Get a free OE consultation with Softheon’s experts to discuss your biggest operational sticking points and practical changes that can help your team and members this enrollment season.

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What to Expect

A 20-minute conversation with a team that has supported health plans through OE for more than a decade. We’ll discuss:

Operational sticking points

Across enrollment, billing, payments, reconciliation, and member support

Manual processes and integration

Gaps that could create friction as volume increases

Practical changes

Identifying areas that you can prioritize before or during OE

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Carrier exits and footprint changes mean hundreds of thousands of Marketplace members could be shopping for new coverage in 2027.

Rates Are Rising Again

Marketplace insurers are proposing a median 15% premium increase for 2027, keeping affordability and price sensitivity front and center.

Coverage Is Still Shifting

Changes across Marketplace and public coverage programs could bring consumers into OE with more questions about eligibility, subsidies, affordability, and where they find coverage.

Beyond OE: Individual Market Growth Is Changing

As On-Exchange enrollment is projected to decline, Off-Exchange enrollment is expected to grow. ICHRA has already surpassed 500,000 covered lives, creating another source of Individual market membership for plans to watch.

Open Enrollment is bringing another round of change to the Individual market. For health plans, the challenge goes beyond keeping up with what changed.

Download this resource to learn about the biggest market shifts shaping OE27 and where to look for operational friction before it slows your team down!