$26 billion operating revenue in 2022
In 2022, Highmark Health and its subsidiaries and affiliates made capital investments of $915 million to advance the mission of creating a remarkable health experience, freeing people to be their best.
An independent licensee of the Blue Cross Blue Shield Association, Highmark Inc., together with its Blue-branded affiliates, collectively comprise the fifth largest overall Blue Cross Blue Shield-affiliated organization in the country with approximately 7 million members in Pennsylvania, Delaware, West Virginia, and western and northeastern New York.
Star ratings for Highmark and its affiliated health plans: For 2022, Community Blue, Complete Blue, Freedom Blue and Security Blue Medicare Advantage plans in Pennsylvania, and Medicare Advantage PPO plans in western and northeastern New York, achieved the highest possible quality rating from the Centers for Medicare and Medicaid Services: 5 Stars. Medicare Advantage plans in West Virginia and New York Medicare Advantage HMO plans achieved ratings of 4.5 stars.
As of January 2022, Highmark Health Plans had more than 345,000 Medicare Advantage members across Pennsylvania, West Virginia, Delaware, and parts of New York.
With innovative products and lower costs, Highmark has expanded its Affordable Care Act membership to more than 171,000 members nearly doubling its total ACA membership over the past three years.
The Health Plans are supported by more than 154,000 in-network physicians; in 2022, the Health Plans processed more than 214 million claims on behalf of customers.
Five AHN hospitals earned the highest possible safety rating grade A in The Leapfrog Group's fall 2022 survey, a national report that recognizes hospitals for the quality and safety of the care they provide to patients.
In 2022, AHN opened the largest sports medicine and soccer complex of its kind in the U.S.: AHN Montour Health + Sports Medicine Center.
2022 enterprise giving total: In 2022, Highmark Health and its affiliates and subsidiaries totaled more than $58 million in corporate and foundation giving in Pennsylvania, Delaware, West Virginia and New York.
Highmark Inc. and its Blue-branded affiliates provided over $20 million in grants and sponsorships. Additionally, Highmark Health contributed more than $7 million in corporate giving through its non-Blue-branded affiliates and subsidiaries.
The Highmark Foundation, its restricted funds, the Caring Foundation and Delaware BluePrints for the Community committed more than $30 million in funding to support community health, grieving children and other initiatives.
enGen serviced more than 11 million members of separate health plans via the Enterprise Health Solution.
enGen supports all lines of health care business: national, large/small group, individual, ACA, Medicaid, and Medicare Advantage.
Over 86% of home health agencies in the networks Helion serves are in a value-based arrangement.
Approximately 86% of home health episodes are driven to high-performing networks.
Annual gross revenues of $1.2 billion.
Insures more than 1,200 self-funded plans.
Paid more than $750 million in claims in 2022.
United Concordia Dental's network includes over 126,000 unique dentists across more than 396,000 access points. The dental solutions partner has more than 9.3 million members and over 21,500 commercial clients.
United Concordia Dental is the dental benefits administrator for the TRICARE Dental Program (TDP), which serves nearly 1.8 million active-duty family members, and National Guard and Reserve members and their families worldwide. Additionally, it proudly serves 1.4 million eligible active-duty service members enrolled throughout the world in the TRICARE Active Duty Dental Program (ADDP).
United Concordia Dental works collaboratively with 19 Blues partners in 27 service areas and eight national insurance carriers, providing a wide variety of dental solutions from network leasing to Third Party Administrator (TPA) services, etc. to meet their needs and support their growth.