Softheon

Softheon Softheon has been recognized as a leading SaaS and BPaaS provider by IDC, AHIP, ACAP, and HCEG.

We are a MITA-aligned, HIPAA-compliant PaaS, SaaS, and BPaaS cloud platform, servicing healthcare issuers, government agencies, brokers, employers, and consumers. Founded in 2000, Softheon’s Software-as-a-Service (SaaS) and Business Process-as-a-Service (BPaaS) solutions solve complex operational and service challenges for health plans and government health agencies. By offering modular solutions

designed to integrate with existing systems, Softheon reduces administrative burdens by streamlining critical processes in healthcare. Softheon’s rapidly adapting technology and agile approach to implementation enables clients to proactively respond to changing regulatory environments and consumer demand. Trusted by CMS and 8 State agencies, Softheon’s clients span multiple industries. In 2021, Softheon ranked on the Inc. 5000 regional list for fastest growing companies, and Best in Biz Awards named Softheon one of the top Companies of the Year in the Northeast Region.

06/02/2026

20,000+ followers. That number means something to us.

We have aimed to build a space for health plan leaders, provider-sponsored health plans, and operators working through one of the most complex periods in healthcare coverage history.

We take every follow, share, and comment a signal that the conversations happening here are worth showing up for.

Thank you for being part of it!

📍 Drop your organization or role in the comments.

06/01/2026

For Association for Community Affiliated Plans (ACAP) plans operating across Medicaid, Medicare, and the marketplace, the lines of business are connected, and so are the eligibility changes.

A disruption in one flows directly into another.

🎥 Kevin Deutsch breaks down why fragmented systems are the real barrier to cross-LOB growth, and what that means operationally as coverage transitions accelerate.

ICYMI: Softheon's Kevin Deutsch joined the Insurance Town podcast to break down what is driving the shift toward persona...
05/30/2026

ICYMI: Softheon's Kevin Deutsch joined the Insurance Town podcast to break down what is driving the shift toward personalized health coverage: AI adoption, ICHRA distribution, and why data organization is the real competitive advantage right now.

🎧 Tune in here:

Podcast Episode · Insurance Town · April 23 · 57m

05/29/2026

Medicaid members now have a new requirement to meet, and many of them aren't aware it yet.

Kevin Deutsch breaks down what procedural terminations look like in practice when members miss community engagement requirements, and why the communication and documentation infrastructure has to be in place before January 1, 2027.

05/28/2026

→ Direct access to leadership.
→ Deep ACA expertise.
→ Fast implementation.

This was a health plan CFO's unsolicited feedback to KLAS Research, and we're thrilled!

05/27/2026

Congratulations to KRUTI SHAH, Softheon's Operations MVP.

Kruti is the person teams turn to when things get hard. Patient under pressure, generous with her knowledge, and always ready to step in and help others grow. That kind of teammate makes everyone around them better.

Well deserved, Kruti!

05/26/2026

AI is already making decisions. The question is whether health plans have the governance in place to know when and how.

Mark Mixer, CEO at HealthOne Alliance, draws a sharp comparison to managed care's early days: The industry learned by getting financially hurt, and he concludes AI adoption will follow the same pattern. 👇

05/25/2026

Identifying who is actually subject to Medicaid community engagement requirements is one of the hardest parts of compliance, and getting it wrong puts vulnerable populations at risk of wrongful termination.

🎥 Kevin Deutsch breaks down the four operational areas states need to address, starting with accurate identification and individual-facing documentation systems. Take a look 👇

When KLAS Research asked health plan leaders to describe Softheon's ACA Marketplace Cloud in their own words, the bottom...
05/22/2026

When KLAS Research asked health plan leaders to describe Softheon's ACA Marketplace Cloud in their own words, the bottom line was this:

An effective all-in-one platform that improves enrollment efficiency and billing processes, backed by deep ACA expertise and executives who are accessible when it matters.

That is the direct customer verdict, not a marketing claim! The full report is available at the link below.

🔗 https://bit.ly/4vk8Dbz

Softheon recognized by KLAS Research for ACA Marketplace Cloud, earning a 100% “would buy again” rating and defining a new Member Management category for health plans.

Address

1500 Stony Brook Road
Stony Brook, NY
11794

Opening Hours

Monday 8am - 6pm
Tuesday 8am - 6pm
Wednesday 8am - 6pm
Thursday 8am - 6pm
Friday 8am - 6pm

Telephone

+1 800-236-7941

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