Softheon & Horizon Healthcare Services, Inc. Extend Business Process Contract Extension
Agreement creates incentives to expand Softheon healthcare cloud platform within State Health Benefit Program (SHBP) and other business units within Horizon Blue Cross Blue Shield of New Jersey.
Online, June 14, 2011 (Newswire.com) - Softheon, Inc. and Horizon Healthcare Services, Inc., the state's oldest and largest health insurer, announced today a three-year extension of their original agreement signed in April 2007. The extension is expected to increase the total contract value by offering Softheon's Compliance, Appeals and Grievances business process solution to other Horizon units.
The new 3-year contract strengthens the relationship that has been developed over the past three years by providing a fee structure more closely aligned to Horizon's business model. It also increases the focus on solutions designed to improve services and stimulate growth in Horizon's membership.
"This agreement represents a very innovative approach on the part of Softheon," said Kim Dans, Senior Director of the Service Division. "They have redesigned a number of components in their delivery model to help Horizon continue to gain efficiencies in the compliance, appeals and grievances department and to implement innovative solutions during its re-growth stage. Softheon has demonstrated their flexibility and creativity by successfully finding a way to meet our expanding business needs."
Compliance, Appeals and Grievances solution provided by Softheon will now move to a cloud based fee schedule, which gives Horizon a predictable cost structure that is aligned with business growth. Softheon President and CEO, Eugene Sayan, explained, "This new relationship model simply makes good business sense for both companies. We now have a stronger incentive to find innovative ways to help support Horizon's expansion. This agreement is further evidence that Softheon is solidifying its position as the emerging leader in cloud based business solutions for the healthcare payer industry."
Over the past three years, Softheon and Horizon have been able to make significant improvements in Appeals and Customer Service operations. Since May 1, 2007, the combined team has been able to:
• Successfully implement Compliance, Appeals and Grievances solution that has made it easier for Horizon to administer all SHBP appeals
• Consistently achieve quality metrics that meets or exceeds industry benchmark standards
• Cost-effectively build and maintain a business environment that has experienced near 100% availability and enhanced performance of Horizon's primary systems
"We recognize that our business success is highly dependent on innovations in technology and service excellence," continued Kim Dans." Softheon has helped us innovate to provide better service to our customers."
"This new agreement reflects our expanding payer services capability and our ability to create positive results for clients like Horizon," said Sayan. "Our goal is to help our clients move to the forefront by developing the next wave of innovation in such areas as meeting enhanced HITECH compliance and various Healthcare Reform initiatives."
About Horizon Healthcare Services, Inc.
Horizon Healthcare Services, Inc. is the oldest and largest health insurer in the state serving over 3.6 million members. Horizon is New Jersey's only not-for-profit, health services corporation and is headquartered in Newark with offices in Wall, Mt. Laurel, and West Trenton.
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 compliance by adopting best business practices. For more information, call Softheon at 631-390-1100 or visit www.softheon.com.
