UST HealthProof and HealthEdge Announce Multiyear Strategic Partnership with Gateway Health

Partnership will Reduce Costs, Lead to Greater Innovation, and Improve Customer Satisfaction

UST HealthProof, a UST company, and a leading platform and services company for U.S. healthcare payers, and HealthEdge Software, a provider of the industry’s next-generation core administrative claims processing, care management, and payment integrity assets for payers, announced that they have partnered with Gateway Health Plan, Inc., a leading managed care organization dedicated to caring for the ‘total health’ of its members, to provide an end-to-end Business Processing as a Service (BPaaS) solution for its core administration.

Gateway Health cares for the whole person in all communities where the need is greatest by addressing physical health and socioeconomic challenges for nearly 350,000 Medicaid and Medicare members across Pennsylvania. Gateway Health chose UST HealthProof‘s BPaaS ecosystem, powered by the HealthRules Payor interface, for its highly configurable business rules engine, modern architecture, and business operations automation.

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“The combination of the HealthEdge cloud-based enterprise payer platform, UST HealthProof’s accelerators and BPaaS capabilities will modernize our systems and improve efficiency,” said Ellen Duffield, Senior Vice President and Chief Operations Officer, Gateway Health. “This new level of efficiency and effectiveness in core operations will allow our associates to have greater focus on the strategic work and innovation needed to enhance our member and provider healthcare experience,” she added.

“Together with UST HealthProof, we are committed to automating transactional systems and providing seamless integrations across cloud-based solutions for customers like Gateway,” said Steve Krupa, HealthEdge’s Chief Executive Officer. “Government health plans implementing HealthRules Payor can quickly achieve high efficiency, maintain regulatory compliance, reduce operating expenses, and improve member and provide engagement,” he added.

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“UST HeathProof values its partnership with HealthEdge. Our modern BPaaS solution has a digital platform at its core and offers health plans, like Gateway Health, the ability to redirect focus from back-office operations to strategic member and provider-facing initiatives to improve the overall experience and quality outcomes,” said Kevin Adams, Chief Executive Officer, UST HealthProof. “Health plans have accomplished high levels of customer satisfaction and transparency by providing accurate, real-time information to everyone involved in the care continuum,” he added.

“We serve our regional health plans with high quality, consistent and affordable services, and proven solutions. The HealthEdge solution suite enables health plans like Gateway Health the opportunity to reduce administrative costs,” said Raj Sundar, President, UST HealthProof.

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