Softheon Inc., a health insurance marketplace integration and business operation company, said its Marketplace Connector platform currently used to connect Oregon’s Health CO-OP to Cover Oregon can assist Oregon-based health plans in their transitions to the Federally Facilitated Marketplace and federal data hub.
Federal and Cover Oregon board officials said the state’s health insurance exchange, Cover Oregon, is the first to migrate to the Federally Facilitated Marketplace (FFM). Marketplace Connector (MC2) is a software-as-a-service application that serves as the integration platform between both state and federally facilitated marketplaces and the existing business processes and IT systems. The platform provides health plan payers the ability to align and have qualified health plans up and running in 30 days, with minimal risk and full PPACA regulatory compliance.
The MC2 platform offers plan management; eligibility and enrollment; SHOP; premium billing; and customer service solutions. It is compatible with multiple carrier core systems, including TriZetto QNXT, DST Amisys, HealthEdge, ikaSystems and EPIC. Insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of 2014 enrollment and other mandates.
“We chose Softheon because of its excellent track record and well-crafted design,” said Rod Meyer, director of information services for CareOregon. “We’re very committed to the success of Oregon’s Health CO-OP and are choosing partners that will help us serve the CO-OP and its members with great care.”
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