HealthEdge Bolsters Member Engagement Portfolio Through Wellframe Acquisition

HealthEdge Software, Inc., a leading provider of next-generation integrated solutions for health insurers, has reached a definitive agreement to acquire Wellframe Inc., marking a significant expansion into the digital member engagement market. This strategic move represents the culmination of the payer technology company’s mission to drive digital innovation across healthcare operations.

Market Impact and Strategic Rationale

The acquisition signals HealthEdge’s commitment to transforming how health plans interact with their membership base. By integrating Wellframe’s proven digital health management capabilities, HealthEdge aims to create a comprehensive end-to-end solution that addresses both administrative efficiency and member experience—two critical pain points facing modern payers.

Wellframe currently supports more than 33 million members through its consumer-facing mobile application, which delivers personalized health content and enables direct connectivity between members and plan staff. The company has established itself as a market innovator by transitioning care management from traditional telephonic models to smartphone and tablet-enabled engagement.

Complementary Product Ecosystem

The integration strategy centers on connecting Wellframe’s platform with HealthEdge’s existing enterprise solutions. HealthRules Payor, the company’s core payer system, will be linked with Wellframe to generate real-time insights that drive immediate member interventions and enhance plan experiences. Simultaneously, GuidingCare, HealthEdge’s care management platform, will combine with Wellframe to deliver a comprehensive clinical continuum spanning member identification, risk stratification, care plan development, engagement and real-time performance tracking.

Wellframe’s Clinical Foundation

Wellframe’s Digital Care Management (DCM) solution operates as a digital gateway for health plans targeting high-risk populations. The platform incorporates more than 70 curated clinical programs addressing chronic disease, behavioral health, pregnancy and complex conditions. The company’s Digital Care Advocacy (DCA) offering extends beyond high-risk populations to engage the entire membership spectrum, creating ongoing relationships that support members in navigating healthcare systems.

The platform harnesses artificial intelligence and real-time member-generated data to identify intervention opportunities across its product portfolio. Members interact with a self-service interface that integrates proprietary Wellframe content, plan-sponsored resources and third-party materials delivered dynamically through API integrations.

Leadership and Financial Details

“We are thrilled to welcome Wellframe co-founder and CEO Jake Sattelmair, his leadership team, and approximately 150 employees to HealthEdge,” said Steve Krupa, CEO of HealthEdge. “Wellframe is a market trailblazer that has digitally reimagined how health plans manage consumer relationships. This acquisition enables us to support Wellframe’s continued independent growth while unlocking synergies across our enterprise system and care management platform to enhance member experiences, boost staff productivity, improve utilization rates and reduce medical expenses.”

Sattelmair added: “Through our Digital Health Management platform, we enable health plans to deliver modern services that improve member experience and market competitiveness. In combining with HealthEdge, we are positioned as a long-term strategic partner to accelerate health plan digital transformation.”

Ram Jagannath, Global Head of Healthcare for Blackstone Growth and Tactical Opportunities, noted: “This acquisition propels HealthEdge into the large and fast-growing digital member engagement market. Coupled with its existing products, this creates a highly differentiated solution for customers.”

The transaction is expected to close in the fourth quarter, pending customary closing conditions. TripleTree, LLC and Debevoise & Plimpton LLP served as financial and legal advisors to HealthEdge and Blackstone. Centerview Partners, LP and Goodwin Procter LLP provided financial and legal counsel to Wellframe.

About the Companies

HealthEdge provides the health insurance industry’s leading next-generation solution suite that automates and integrates payer administrative and clinical systems. The company delivers modern healthcare IT solutions enabling health insurers to adopt innovative business models, improve outcomes and reduce administrative costs. In 2020, funds managed by Blackstone became majority owner.

Wellframe partners with health plans nationwide to reimagine plan-member relationships through digital health management solutions. The platform combines innovation, strategic partnerships and clinical expertise to create measurable health outcomes at scale.

Blackstone, one of the world’s leading investment firms, manages $684 billion in assets under management across private equity, real estate, public debt and equity, growth equity and other investment vehicles globally.