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Highlights • Highmark Health Plans

For the underserved in Delaware and West Virginia: Health coverage to count on

When the Affordable Care Act granted states the option to expand their Medicaid programs to more Americans, Delaware and West Virginia stood up and said "yes" on behalf of their underserved residents. Under the expansion, many more people would be able to access long-needed, often long-delayed services.

Overview

One of America's leading health insurance organizations and an independent licensee of the Blue Cross and Blue Shield Association, Highmark Inc. and its affiliated health plans work passionately to deliver high-quality, accessible, understandable and affordable experiences, outcomes and solutions to customers. Highmark and its Blue-branded affiliates proudly cover the insurance needs of 5.2 million members in Pennsylvania, Delaware and West Virginia.

As an industry, health care poses new challenges every day, requiring deep insights, constant innovation and new solutions. The health plan business has boldly forged ahead with doing things differently, piloting new approaches and breaking from the pack.

In 2015, the health plans introduced new tiered network products, new home-based care solutions and new partnerships. They continued to work intensively with hospitals and doctors to better serve patients through progressive models such as accountable care organizations and patient-centered medical homes. And they brought their outstanding services to new members through the merger of Blue Cross of Northeastern Pennsylvania and the expansion into Medicaid in West Virginia and Delaware.

The Highmark health plans also upheld their historic commitment to improve the quality of life in the communities they serve—to give back, reinvest and ensure that those communities remain as strong and healthy as possible. In 2015, the organization’s corporate giving benefitted hundreds of organizations across the health plans’ service areas, including Variety, the Children’s Charity, featured here. In addition, Highmark’s signature programs such as the Walk for a Healthy Community and Fun, Fit and Fabulous, along with countless hours of employee volunteerism, provided significant benefits to individuals and the communities the health plans proudly serve.

Read Highmark Health's financial overview. Read Highmark Health's financial performance.

Awards & Recognition

Highmark maintained A- ratings from A.M. Best Company and Standard & Poor’s

Highmark Inc. was assigned an A- (Excellent) Rating by A.M. Best, a global credit rating agency that focuses on the insurance industry. Standard & Poor’s Ratings Services, a leading provider of independent credit risk research, also assigned Highmark Inc. an A- (Stable) rating. The ratings confirm Highmark’s stability as it continues to invest in new technologies, products and services that will keep it at the forefront of the health insurance industry.

Highmark recognized as a winner in the "Pittsburgh Green Workplace Challenge"

In recognition of its environmental stewardship, Highmark Inc. was recognized as the winner among large businesses in the 2015 "Pittsburgh Green Workplace Challenge" sponsored by Sustainable Pittsburgh. In the friendly, supportive competition, Highmark successfully topped major local Fortune 500 companies by reducing kilowatt hours (kWh) by 9 percent or 2.1 million kWh, supporting bicycling infrastructure, and engaging employees in the value of local, healthy foods.

Highmark achieved four-star quality rating for Medicare Advantage

Highmark’s Freedom Blue PPO, a Medicare Advantage plan for seniors in 33 counties of West Virginia, earned a four-star quality rating from the Centers for Medicare and Medicaid Services (CMS) for 2016. The rating system of one to five stars educates consumers on the overall quality of Medicare Advantage and Part D prescription drug plans. To achieve its four-star quality rating, Highmark identified opportunities to work closely with providers and members to ensure quality and appropriate care, successfully increasing its levels of member satisfaction.

Highmark recognized for leadership in multicultural health care

Highmark achieved the Distinction in Multicultural Health Care (MHC) from the National Committee for Quality Assurance (NCQA) for several of its commercial and Medicare Advantage plans in Pennsylvania, West Virginia and Delaware. The recognition reflects Highmark’s leadership in several areas: working to reduce health disparities related to race, ethnicity and language; enhancing consumers’ health literacy and care; improving providers’ cultural competency; and improving the quality of health care for Americans.

Fast Fact

75,000 in-network

The health plan organization is supported by more than 75,000 in-network physicians, and it processed more than 16.2 million claims on behalf of customers in 2015.

300,000 Medicare Advantage members

Fast Fact

Offering the largest Medicare Advantage plan in Pennsylvania, Highmark proudly serves more than 300,000 members.

500 bikes, 50 locations

Fast Fact

In collaboration with the City of Pittsburgh and Allegheny Health Network, Highmark is sponsoring Healthy Ride, Pittsburgh’s first bike-sharing program, which puts 500 bikes in 50 locations around the city.


Highmark Health
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