Softheon Exchange Connector Cloud to connect Oregon's Health CO-OP to Health Exchanges

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May 16, 2013, 02:20 ET

STONY BROOK, N.Y., May 16, 2013 /PRNewswire/ -- Softheon Inc., an emerging leader in next generation cloud-based managed care business process optimization, announced today that Softheon Exchange Connector Cloud platform will be used to connect Oregon's Health CO-OP to Oregon's Health Exchange, Cover Oregon. Cover Oregon is a new central marketplace where Oregon individuals and employers will be able to shop for health insurance plans and access financial assistance to help pay for coverage. Starting in the fall of 2013, Cover Oregon will serve as a one-stop resource that makes it easy to find the plan for any individuals' unique needs.

CareOregon, which provides administrative services to partner health plans such as the CO-OP, contracted with Softheon for this platform. The Softheon Exchange Connector Cloud is designed for regional health plans that need to be operational by September 2013 with their Plan Management, Eligibility & Enrollment, SHOP, Premium Billing and Customer Service solutions. Other Exchange Connector Cloud components include a real-time Rating Engine and Summary of Benefits & Coverage (SBC) distribution to help health plans create their own private sales channels. Above all, the Softheon Exchange Connector Cloud delivers a turn-key exchange integration solution through subscription, eliminating the need for health plans to make major operational or IT investments.

"We are thrilled to work with CareOregon and Oregon's Health CO-OP to overcome these exciting new challenges" says Eugene Sayan, Founder & CEO of Softheon. "Our knowledge and proven track record with Exchanges has given us the necessary know-how to ensure Oregon's Health CO-OP is fully connected with the Cover Oregon marketplace by the October 1^st 2013."

Softheon is uniquely qualified, being the trusted technology platform used by nation's only full service state health benefit exchange since 2008. Softheon's Exchange Connector Cloud is a Software-as-a-Service (SaaS) solution that will integrate with the Cover Oregon marketplace using CareOregon's existing business processes and IT systems with minimal risk and full compliance with ACA.

"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."

Softheon's Exchange Connector Cloud is fully integrated BPM/ESB/SOA platform that handles the complexities of state and federal exchange processes and data interfaces. Softheon's solution enables payers to extend and leverage their existing business and technology investments, which minimizes the risks associated with participating in exchange marketplaces.

About Oregon's Health CO-OP

Oregon's Health CO-OP (incorporated as Community Care of Oregon) is a Consumer Operated and Oriented Plan, a not-for-profit insurance entity, with a member-majority operational board, organized under provisions of the federal Patient Protection and Affordable Care Act. It is the only Oregon-based CO-OP, created by and for Oregonians, on the Exchange. For more information, see www.ohcoop.org

About CareOregon

CareOregon is a non-profit organization that is helping Oregonians lead the way toward the improvement of health for all. CareOregon works with individuals, communities and partner health care organizations, such as Oregon's Health CO-OP, to help people engage in their own health, navigate health systems and build better ones. CareOregon fosters health transformation by: supporting health-focused community building; facilitating transformation education; and delivering and improving health plan services in collaboration with its partners. For more information, see http://www.careoregon.org.

About Softheon

Empowering the nation's only fully operational state health exchange since 2008, Softheon's vision and strategic direction address healthcare payer, provider, and government agencies' goal of meeting PPACA milestones. Softheon provides solutions for interacting with Health Insurance Exchanges (HIX), while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.

To find out more about the Softheon, visit www.softheon.com.

SOURCE Softheon