Comments
yourfanat wrote: I am using another tool for Oracle developers - dbForge Studio for Oracle. This IDE has lots of usefull features, among them: oracle designer, code competion and formatter, query builder, debugger, profiler, erxport/import, reports and many others. The latest version supports Oracle 12C. More information here.
Cloud Expo on Google News

2008 West
DIAMOND SPONSOR:
Data Direct
SOA, WOA and Cloud Computing: The New Frontier for Data Services
PLATINUM SPONSORS:
Red Hat
The Opening of Virtualization
GOLD SPONSORS:
Appsense
User Environment Management – The Third Layer of the Desktop
Cordys
Cloud Computing for Business Agility
EMC
CMIS: A Multi-Vendor Proposal for a Service-Based Content Management Interoperability Standard
Freedom OSS
Practical SOA” Max Yankelevich
Intel
Architecting an Enterprise Service Router (ESR) – A Cost-Effective Way to Scale SOA Across the Enterprise
Sensedia
Return on Assests: Bringing Visibility to your SOA Strategy
Symantec
Managing Hybrid Endpoint Environments
VMWare
Game-Changing Technology for Enterprise Clouds and Applications
Click For 2008 West
Event Webcasts

2008 West
PLATINUM SPONSORS:
Appcelerator
Get ‘Rich’ Quick: Rapid Prototyping for RIA with ZERO Server Code
Keynote Systems
Designing for and Managing Performance in the New Frontier of Rich Internet Applications
GOLD SPONSORS:
ICEsoft
How Can AJAX Improve Homeland Security?
Isomorphic
Beyond Widgets: What a RIA Platform Should Offer
Oracle
REAs: Rich Enterprise Applications
Click For 2008 Event Webcasts
SYS-CON.TV
Top Links You Must Click On


Softheon Launches Exchange Plan Management Software as a Service (SaaS) Solution for Health Insurers
Softheon Exchange Connector SaaS platform can be quickly deployed and customized to automate QHP Certification Process for Public Exchanges, real-time product selection and configuration for Private Exchanges.

CHICAGO, Dec. 5, 2012 /PRNewswire/ -- Softheon Inc., a leader in Health Care Reform Exchange solutions, announced today that they have released an updated cloud-based Qualified Health Plan (QHP) Certification solution as part of their Exchange Connector Plan Management platform.  Softheon is getting Health Plans prepared for PPACA and helping them to connect with both Federally Facilitated Exchanges (FFE) and State-based Exchanges (SBE).  Within Softheon's Plan Management solution, its QHP module supports interfaces between the health plan and the exchanges it operates in. Whether integrating with HIOS, SERFF, or any other communication protocol, Softheon ultimately provides a single interaction point for health plans during the certification, re-certification, decertification, appeals, and ongoing compliance monitoring processes.

The Softheon Exchange Connector (SEC) Plan Management solution has assisted several major health plans with some of the early PPACA mandates, including a real–time Summary of Benefits and Coverage (SBC) solution. Softheon generates an XML-based SBC repository containing relevant plan and rate information in order to produce uniform descriptions of coverage, including cost sharing, for each category of benefits identified. The SBC solution's composite web services are then able to support real-time plan data aggregation and dissemination between member and broker portals, enrollment and core administrative systems.

Along with their QHP and SBC solutions, Softheon's Exchange Connector™ platform also includes:

  • A Small Business Health Options (SHOP) solution that provides real-time integration with respective exchange business areas to assist qualified small employers in enrolling employees in health insurance plans. 
  • An Eligibility & Enrollment solution that can significantly reduce the administrative burden that the health plans will experience during enrollment, thus allowing them to focus on customer care.
  • A Billing & Financial Management solution that allows insured enrollees, federal agencies and health plan issuers to receive invoices and make payments, and provides a complete and transparent solution for all financial activities associated with the exchange.
  • A Member Services solution that provides members with an easier purchasing experience, and enables health plan issuers to act as the first point of contact by offering easy access health coverage information and member services across multiple channels and mechanisms. 

According to Softheon's Healthcare Reform Program Manager, Robert Miller, "Healthcare payers are feeling enormous pressures to implement provisions of PPACA; despite constrained resources, they must meet aggressive timelines. We are cognizant of a health plan's need to successfully participate in exchanges. Now, more than ever, insurers are looking for more efficient ways to effectively manage a wide array of business transformation efforts and simultaneously become more agile. Softheon is ready, with solutions that are ready to go."

About Softheon

Softheon, an emerging leader in next generation healthcare business process optimization, enables payer, provider, and government organizations to measurably reduce administrative cost, improve member and provider satisfaction, generate new revenue opportunities, and comply with regulatory statutes by adopting best business practices. The company does this mainly via its Softheon Exchange Connector™ platform, which serves as an intermediary between Carriers and Insurance Exchanges. Softheon is one of only two technology providers with operational experience in designing, implementing and supporting the nation's first state exchange, the Health Connector, in Massachusetts.

Softheon is currently attending the AHIP Fall Forum and Exchange Conference to educate and assist Health Plans with the upcoming challenges they are expecting to face. To find out more about the Softheon Exchange Connector or to request a demonstration, you can stop by their table or visit www.softheon.com.

 

SOURCE Softheon Inc.

About PR Newswire
Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Enterprise Open Source Magazine Latest Stories . . .
The recent trends like cloud computing, social, mobile and Internet of Things are forcing enterprises to modernize in order to compete in the competitive globalized markets. However, enterprises are approaching newer technologies with a more silo-ed way, gaining only sub optimal benefi...
The Eclipse IoT community is growing community of open source projects focused on providing the building blocks for the IoT industry. The goal of the community is to provide open source implementations of important IoT standards, frameworks that implement key services for IoT applicati...
In his session at 15th Cloud Expo, Mark Hinkle, Senior Director, Open Source Solutions at Citrix Systems Inc., will provide overview of the open source software that can be used to deploy and manage a cloud computing environment. He will include information on storage, networking(e.g.,...
StackIQ offers a comprehensive software suite that automates the deployment, provisioning, and management of Big Infrastructure. With StackIQ’s software, you can spin up fully configured big data clusters, quickly and consistently — from bare-metal up to the applications layer — and ma...
In a very real way, everything they do at iXsystems helps the cause of open source. From the engineers who write code they contribute back to FreeBSD, to the testers who give feedback on open source drivers back to vendors, to the marketers who travel around the world to promote FreeBS...
More and more Web sites and applications are being moved from Apache to nginx. While Apache is still the number one HTTP server with more than 60% on active Web sites, nginx has now taken over the 2nd place in the ranking and relegated Microsoft’s IIS to 3rd place. Among the top 10.000...
Subscribe to the World's Most Powerful Newsletters
Subscribe to Our Rss Feeds & Get Your SYS-CON News Live!
Click to Add our RSS Feeds to the Service of Your Choice:
Google Reader or Homepage Add to My Yahoo! Subscribe with Bloglines Subscribe in NewsGator Online
myFeedster Add to My AOL Subscribe in Rojo Add 'Hugg' to Newsburst from CNET News.com Kinja Digest View Additional SYS-CON Feeds
Publish Your Article! Please send it to editorial(at)sys-con.com!

Advertise on this site! Contact advertising(at)sys-con.com! 201 802-3021




SYS-CON Featured Whitepapers
ADS BY GOOGLE