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Highlights: Highmark Health Plans

WE ARE PROUD TO SHARE THESE 2019 STORIES:

Dr. Charles DeShazer, senior vice president and chief medical officer, Highmark Health

Promoting recovery, restoring hope: the opioid crisis

Deb Rice

Highmark Inc. President Deborah Rice-Johnson writes about strategic collaboration

Overview

One of America's leading health insurance organizations and an independent licensee of the Blue Cross Blue Shield Association, Highmark Inc. (the Health Plan) and its affiliated health plans (collectively, the Health Plans) work passionately to create a remarkable health experience for customers. Highmark Inc. and its Blue-branded affiliates proudly cover the insurance needs of 5.6 million members in Pennsylvania, Delaware, and West Virginia.

As an industry, health care poses new challenges every day that require 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.

The Health Plans also work to uphold their historic commitment to improve the quality of life in the communities they serve — to give back, reinvest, and ensure those communities remain as strong and healthy as possible. In 2019, the Health Plans' corporate giving benefited hundreds of organizations, donating more than $17 million in the areas of western, central, and northeastern Pennsylvania, West Virginia, and Delaware. In addition, Highmark's signature program, Walk for a Healthy Community, along with Adopt-a-School programs initiated by employees in Pittsburgh and Erie, and National Make a Difference Day of volunteering, provided significant benefits to individuals and the communities the Health Plans proudly serve.

The Health Plans are supported by 88,000 in-network physicians; in 2019, the Health Plans processed 205 million claims on behalf of customers.

An independent licensee of the Blue Cross Blue Shield Association, Highmark Inc., together with its Blue-branded affiliates, collectively comprise the fourth-largest overall Blue Cross Blue Shield-affiliated organization in the country based on membership.

Highmark Inc. remains among the largest Blue Plans in the country with 5.6 million members.

Highmark Inc.'s Financial Investigations and Provider Review (FIPR) department made a financial impact of over $260 million in savings related to fraud, waste and abuse in 2019 and has saved more than $850 million over the past five years.

Embracing health in remarkable ways

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