Built for Today: Financial Strength and Support for Our Communities

The strength of Highmark Health's business model starts with our core health insurance business. Our Blue-branded affiliates remain the largest health insurers in Pennsylvania, Delaware, West Virginia, and western New York, growing total membership to 7 million in 2022, including successful Medicare Advantage, ACA market, Medicaid, and CHIP programs. We also embarked on a significant expansion of our health insurance presence in the southeastern Pennsylvania market, with commercial and ACA products in development for 2024.

Our diversified business portfolio — including enGen, Helion, HM Insurance Group, and United Concordia Dental — also continues to be a key differentiator for our organization, providing long-term strength and stability in uncertain times.

On the provider side, despite the significant challenges facing health care systems nationwide, Allegheny Health Network increased outpatient registrations, physician visits, ER visits, and births during the year. Just as importantly, the health system continued expanding care capabilities in the communities we serve, including opening the AHN Seneca Valley Outpatient Center and the AHN Montour Health + Sports Medicine Center.

As a purpose-driven organization, we also leverage financial strength to help improve health and economic resilience in our communities. We reinforced that commitment in 2022 by launching Highmark Bright Blue Futures, a unifying program for community giving and engagement activities that will help maximize the impact of our efforts to improve equitable access to care, quality of life, and economic resilience in our communities. At the intersection of health and community, we also continued to invest in capabilities and programs addressing social determinants of health, including a multi-year initiative to create a high-performing social care network of community-based organizations.

Shaping the Future

We are now midway through our five-year business transformation centered on Living Health, a blended model of health, coverage, and care that will deliver a simpler, more personalized, and proactive health experience for individuals and clinicians. Like much of our work in the 10 years since standing up Allegheny Health Network and forming Highmark Health as a national blended health organization, the current strategy has driven near-term improvements while also investing in a bold vision of the future.

In 2022, that bold vision became more tangible for consumers as we began rolling out a new generation of digitally enhanced health solutions that provide simpler, proactive, personalized support for conditions like diabetes and joint and muscle pain. In November, we launched My Highmark, an app that serves as the digital front door to Living Health’s integrated health experience platform. This is a big step forward in our goal of providing health plan members with a “one-stop shop” for all the tools, resources, and information they need to manage their health.

As this annual report's financial performance presentation and financial overview demonstrate, Highmark Health remains in a strong position to prevail against ongoing headwinds and continue growing our businesses and expanding capabilities to meet customer needs and long-term strategic priorities.

Looking ahead, the past few years remind us that we cannot predict or control every challenge that will come our way. What we can control is the readiness and capacity to respond, an unwavering commitment to our customers, communities, and each other, and a relentless focus on our mission to create a remarkable health experience, freeing people to be their best.