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ABOUT US: AT-A-GLANCE

ABOUT US: AT-A-GLANCE

Highmark Health

Headquarters: Pittsburgh, Pennsylvania

Description: Highmark Health and its subsidiaries and affiliates comprise a national health and wellness organization that employs more than 40,000 people and serves millions of Americans in all 50 states and the District of Columbia. The organization includes businesses in health insurance, health care delivery, retail eyewear and eye care services, dental solutions, health risk solutions, and innovative, technology-based solutions. Highmark Health is the parent of Highmark Inc., Allegheny Health Network, HM Health Solutions, and HM Home and Community Services LLC.

Mission: Highmark Health is an interdependent system designed to deliver high-quality, accessible, understandable, and affordable experiences, outcomes, and solutions for our customers.

Number of Employees: 40,000+ across the organization

Leadership: David L. Holmberg, President and Chief Executive Officer

2017 Consolidated Revenues: $18.3 billion

Website: highmarkhealth.org

Highmark Highmark Blue Cross Blue Shield Highmark Blue Shield Highmark Blue Cross Blue Shield West Virginia Highmark Blue Cross Blue Shield Delaware

Headquarters:

  • Highmark Inc., doing business as Highmark Blue Cross Blue Shield in the 42 counties of western and northeastern Pennsylvania and as Highmark Blue Shield elsewhere in the state — Pittsburgh, Pennsylvania
  • Highmark West Virginia Inc., doing business as Highmark Blue Cross Blue Shield West Virginia — Parkersburg, West Virginia
  • Highmark BCBSD Inc., doing business as Highmark Blue Cross Blue Shield Delaware — Wilmington, Delaware

Description: An independent licensee of the Blue Cross and Blue Shield Association, Highmark Inc., together with its Blue-branded affiliates, collectively comprise the third-largest overall Blue Cross and Blue Shield-affiliated organization in the country based on capital. Highmark Inc. is the parent company of the following entities, which do not sell Blue Cross or Blue Shield products: HVHC LLC, United Concordia Dental, and HM Insurance Group.

Customers: Consumers, businesses, and government entities

Products and Services: Individual and group health insurance; Medicare Advantage plans for seniors; Medicaid (through Gateway Health Plan)

Brands Offered: Blue Cross Blue Shield and/or Blue Shield

Geographic Service Area: Pennsylvania, West Virginia, and Delaware

Number of Employees: 6,000

Leadership: Deborah L. Rice-Johnson, President, Highmark Health Plan

Website: highmark.com

Allegheny Health Network

Headquarters: Pittsburgh, Pennsylvania

Description: Allegheny Health Network is the parent company for an integrated health care delivery network that includes eight hospitals; more than 2,800 affiliated physicians; six ambulatory surgery centers; a research institute; home- and community-based health services; a group purchasing organization; and four Health + Wellness Pavilions. Established in 2013, AHN’s member hospitals share legacies of charitable care that date back more than 160 years.

Customers: Patients

Products and Services: Integrated health care delivery, health care research, medical education, wellness services

Brands Offered: Allegheny Health Network, Allegheny General Hospital, Allegheny Valley Hospital, Canonsburg Hospital, Forbes Hospital, Jefferson Hospital, Saint Vincent Hospital, West Penn Hospital, and Westfield Memorial Hospital

Geographic Service Area: 29 counties in Pennsylvania and portions of New York, Ohio, and West Virginia

Number of Employees: 19,000

Leadership: Cynthia D. Hundorfean, President and Chief Executive Officer

Website: ahn.org

HM Health Solutions

Headquarters: Pittsburgh, Pennsylvania

Description: HM Health Solutions (HMHS) delivers business solutions to health plan payers so they can run their organizations efficiently in a competitive and ever-changing market. By offering cutting-edge technology and unparalleled industry knowledge, HMHS meets the many operational needs of health plan payers. A wholly owned subsidiary of Highmark Health, HMHS is partnered with eight health plans serving 10 million members.

Customers: Businesses, specifically health plans

Products and Services: Advanced, end-to-end health insurance solutions, including the Enterprise Health Solution and HM Document Solutions

Geographic Service Area: Global

Number of Employees: 3,500

Leadership: Matthew V. T. Ray, President

Website: hmhs.com

HM Home & Community Services

Headquarters: Pittsburgh, Pennsylvania

Description: HM Home & Community Services specializes in post-acute care management solutions for payors, providers, and patients.

Customers: Health care organizations accountable for post-acute care spend, including integrated delivery and financing systems, health plans, accountable care organizations, hospitals, and health systems

Products and Services: HM Home & Community Services provides health care organizations that are accountable for post-acute spend with customized solutions for the entire episode following hospitalization. These solutions uniquely focus on collaboration, evidence-based pathways of care, big data, innovation, and pay-for-value incentives to improve networks of skilled nursing facilities and home health agencies, achieving a higher level of performance, lower cost, better health outcomes, and a better patient experience.

Leadership: Tony Farah, MD, executive vice president, chief medical and clinical transformation officer, Highmark Health

Website: hmhcs.com

HM Insurance Group

Headquarters: Pittsburgh, Pennsylvania

Description: HM Insurance Group companies (collectively, HM Insurance Group) work to protect businesses and their employees from the financial risks associated with catastrophic health care costs. With 23 offices across the nation, HM Insurance Group is one of the country’s top stop loss carriers.

Customers: Benefits brokers, consultants, and third-party administrators on behalf of group policyholders; providers; managed care entities

Products and Services: Stop Loss and Managed Care Reinsurance

Geographic Service Area: National

Number of Employees: 325

Leadership: F.G. "Chip" Merkel, Executive Vice President, Diversified Businesses, Highmark Inc. and Tom Doran, President and COO, HM Insurance Group

Website: www.hmig.com

United Concordia Dental

Headquarters: Harrisburg, Pennsylvania

Description: United Concordia Companies, Inc. and its subsidiaries — collectively referred to as United Concordia Dental — is a leading dental solutions organization that delivers high-quality, cost-effective dental care through its network of nearly 127,000 unique dentists at over 400,000 access points.

Customers: Consumers, businesses, and government entities

Products and Services: Dental care and oral wellness

Brands Offered: Smile for Health®, Concordia DHMO, UCVision®, UCElect

Geographic Service Area: All 50 states, the District of Columbia, and Puerto Rico

Number of Employees: 1,100

Leadership: F.G. "Chip" Merkel, CEO, United Concordia Dental; Tim Constantine, president, United Concordia Dental

Website: unitedconcordia.com

Visionworks

Headquarters: San Antonio, Texas

Description: Visionworks is the sixth-largest specialty retail optical chain in the United States and a leading provider of eyewear and eye care services. Visionworks has over 700 retail optical stores in 40 states and the District of Columbia. Visionworks is a subsidiary of Highmark Inc.

Customers: Consumers

Products and Services: Prescription eyeglasses and contact lenses in stores and online; eyewear services, including exams

Brands Offered: Frames by Ray-Ban®, Nike®, Armani Exchange®, Penguin®, Lacoste®, Calvin Klein®, Vera Bradley®, Guess®, and Anne Klein®, plus exclusive brand frames, including Chelsea Morgan, Salsa, and Robert Mitchel. Lens brands include the family of Transitions® adaptive lenses and Coppertone® polarized lenses.

Geographic Service Area: 40 states and the District of Columbia

Number of Employees: 8,664

Leadership: Peter Bridgman, Chief Executive Officer, Visionworks

Website: visionworks.com