Highmark Health
Headquarters: Pittsburgh, Pennsylvania
Description: Highmark Health, with its headquarters in Pittsburgh, PA, is the lead company in an enterprise that employs more than 37,000 people who serve millions of Americans across the country. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, HM Health Solutions, and various other companies.
Highmark Inc. and its subsidiaries and affiliates provide health insurance to approximately 6.8 million members in Pennsylvania, West Virginia, Delaware, and parts of New York, as well as dental insurance and related health products through a national network of diversified businesses.
Allegheny Health Network is an integrated delivery network comprised of 14 hospitals, more than 2,600 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions is focused on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans, by providing proven business processes, expert knowledge, and integrated cloud-based platforms.
Mission: To create a remarkable health experience, freeing people to be their best.
Number of Employees: 37,000+ across the organization
Leadership: David L. Holmberg, president and chief executive officer
2021 Consolidated Revenues: $22 billion
Website: highmarkhealth.org
Highmark Health Plans
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
- Highmark Western and Northeastern New York Inc., doing business as Highmark Blue Cross Blue Shield of Western New York in eight counties in western New York and Highmark Blue Shield of Northeastern New York in 13 counties in northeastern New York Buffalo, New York
Description: 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 deliver high-quality, accessible, understandable, and affordable experiences, outcomes, and solutions to customers.
Customers: Consumers, businesses, and government entities
Products and Services: Individual and group health insurance; Medicare Advantage plans for seniors
Brands Offered: Blue Cross Blue Shield and/or Blue Shield
Geographic Service Area: Pennsylvania, West Virginia, Delaware, and New York
Number of Employees: Approximately 4,683
Leadership: Deborah L. Rice-Johnson, chief executive officer, Diversified Businesses, Highmark Inc. and chief growth officer
Website: highmark.com
Allegheny Health Network
Headquarters: Pittsburgh, Pennsylvania
Description: Allegheny Health Network is a $4 billion health and wellness organization that has more than 300 clinical facilities, including hospitals throughout western Pennsylvania and one in western New York; Health + Wellness Pavilions; a comprehensive research institute; ambulatory surgery centers; an employed physician organization; home- and community-based health services; a group purchasing organization; and nearly 2,600 affiliated physicians. While AHN began operations in 2013, AHN’s member hospitals share legacies of charitable care that date back more than 170 years.
Customers: Patients
Products and Services: Integrated health care delivery, health care research, medical education, wellness services
Brands Offered: Allegheny Health Network, AHN Allegheny General Hospital, AHN Allegheny Valley Hospital, AHN Brentwood, AHN Canonsburg Hospital, AHN Forbes Hospital, AHN Grove City, AHN Harmar, AHN Hempfield, AHN Jefferson Hospital, AHN McCandless, AHN Saint Vincent Hospital, AHN West Penn Hospital, AHN Westfield Memorial Hospital, and AHN Wexford Hospital
Geographic Service Area: Western Pennsylvania and portions of New York, Ohio, and West Virginia
Number of Employees: 21,000
Leadership: Cynthia D. Hundorfean, president and chief executive officer
Website: ahn.org
Helion
Headquarters: Pittsburgh, Pennsylvania
Description: Helion, an indirect wholly-owned subsidiary of Highmark Health, specializes in population health management solutions that benefit payers, providers, and customers.
Customers: Health care organizations accountable for managing populations in home and community settings, including integrated delivery and financing systems, health plans, accountable care organizations, hospitals, and health systems.
Products and Services: Helion provides health care organizations that are accountable for managing populations in home and community settings with customized solutions for the entire episode of care. These solutions uniquely focus on collaboration, evidence-based pathways of care, automation, innovation, and value-based incentives to transform the networks of skilled nursing facilities and home health agencies, enabling a higher level of performance, lower cost, better health outcomes, and a better patient experience.
Leadership: Nick Stupakis, vice president, Commercial Services, Helion
Website: helion.health
HM Health Solutions Inc. (HMHS)
Headquarters: Pittsburgh, Pennsylvania
Description: HM Health Solutions Inc. (HMHS) delivers business solutions to health plan payers so they can run their organizations more efficiently in a competitive and ever-changing market. By offering leading technology and industry expertise, HMHS meets the many operational needs of health plan payers. A wholly-owned subsidiary of Highmark Health, HMHS is partnered with 12 health plans serving approximately 11 million members.
Customers: 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: 3,000
Leadership: Mick Malec, CEO and enterprise technology and operations officer, HMHS
Website: hmhs.com
HM Insurance Group
Headquarters: Pittsburgh, Pennsylvania
Description: Companies within HM Insurance Group, a wholly-owned subsidiary and diversified business of Highmark Inc., provide insurance and reinsurance coverage to protect businesses from the financial risk associated with catastrophic health care costs. A recognized leader in employer stop loss, the company delivers protection for a range of group sizes. HM Insurance Group also offers managed care solutions, including provider excess loss insurance and health plan reinsurance.
Customers: Benefits brokers, consultants, and third-party administrators on behalf of group policyholders, HMOs, health plans, or provider organizations
Products and Services: Stop loss and managed care reinsurance
Geographic Service Area: National
Number of Employees: 325
Leadership: Mark Lawrence, president, HM Insurance Group
Website: hmig.com
Lumevity
Description: Lumevity, an indirect wholly-owned subsidiary of Highmark Health, helps companies transform in ways that drive direct financial benefits while improving quality and increasing employee engagement. Lumevity partners with companies to drive transformation quickly and effectively with ready-to-deploy, integrated capabilities centering on organization effectiveness, automation solutions, agile approaches, ideation solutions, readiness and adoption, and employee activation. Lumevity fills capability and capacity gaps quickly to get its partners on the path to eliminating inefficiencies, creating new revenue opportunities, inspiring and enabling teams to do innovative work, and delivering enhanced outcomes for customers.
Products and Services: Organization Effectiveness, Automation Solutions, Agile Processes, Ideation Solutions, Readiness and Adoption, and Employee Activation
Geographic Service Area: National
Number of Employees: 85
Leadership: Larry Kleinman, Board Chair; Marcus Johnson, Managing Director, Delivery; Kelli Amerine, Managing Director, Marketing and Product Development; Rob Spence, Managing Director, Planning and Operations; Anthony Gardner, Managing Director, Market Development; Duane Dickson, Managing Director, Client Growth and Delivery
Website: lumevity.com
United Concordia Dental
Headquarters: Camp Hill, Pennsylvania
Description: United Concordia Companies, Inc. and its subsidiaries collectively referred to as United Concordia Dental is a leading dental solutions partner that delivers access to high-quality, cost-effective dental care through its network of over 125,000 unique dentists across more than 392,000 access points. United Concordia is a subsidiary of Highmark Inc.
Customers: Consumers, businesses, and government organizations
Products and Services: Dental solutions, including insurance products and services
Brands Offered: Concordia Preferred (PPO), Concordia Flex (PPO), Concordia Plus (DHMO), Concordia EPO (EPO), Smile for Health® Value Plan (low-cost PPO)
Geographic Service Area: All 50 states, the District of Columbia, Puerto Rico, and Guam
Number of Employees: 1,000
Leadership: Tim Constantine, president and chief executive officer, United Concordia Dental
Website: unitedconcordia.com