HealthEdge and UST HealthProof Merge to Modernize Health Plans

What You Should Know: 

– HealthEdge and UST HealthProof have announced the successful completion of their merger, following Bain Capital’s acquisition of UST HealthProof from UST. 

– The combined company will operate as HealthEdge, with its headquarters in Boston. With a reach that touches over 110 million lives in the U.S., HealthEdge is now positioned to empower health plans with modern, AI-enabled technology and services that can lower total costs and improve operational efficiency.

Helping Payers Modernize Their Operations

Health plans are currently facing pressure from rising administrative costs, complex regulations, and growing member expectations, and many of their legacy systems are not meeting their evolving needs. The combination of HealthEdge and UST HealthProof creates a single, end-to-end platform that helps payers modernize their operations.

The merger unites HealthEdge’s AI-powered payer applications with UST HealthProof’s interoperability suite to streamline administrative processes, lower total costs, and improve the member experience. Additionally, UST HealthProof’s proprietary technology is designed to reduce the risks of migrating to the cloud, giving payers a safer path to digital transformation while supporting better clinical outcomes.

Go-to-Market Presence

The combined company will bring together award-winning technology, end-to-end product breadth, and industry experience to accelerate payer technology modernization. Specifically, the new HealthEdge will:

Drive improved value for payers through integrated software and tech-enabled services.Unlock new product and market expansion opportunities.Accelerate platform and services innovation by developing an AI-native operating system that supports all aspects of the payer value chain.Create a stronger, unified go-to-market presence to address customer needs.

“I’m honored to take the helm at this pivotal moment for healthcare technology,” said Kevin Adams, CEO of HealthEdge. “Health plans are looking for new ways to handle rising costs and regulatory demands while meeting what their members expect. This merger brings together best-in-class payer technology with seamless integration capabilities and experienced operational teams. It streamlines the administrative complexity that health plans deal with every day. Our integrated approach gives them a solution that’s easier to implement and more effective in delivering the value they are seeking.”