Highmark Health
Headquarters: Pittsburgh, Pennsylvania
Description: Highmark Health a Pittsburgh, Pennsylvania-based enterprise that, together with its subsidiaries and affiliates, employs more than 44,000 people who serve millions of Americans across the country is the parent company of Highmark Inc., Allegheny Health Network, and enGen.
Highmark Inc. and its subsidiaries and affiliates provide health insurance to approximately 7 million members in Pennsylvania, West Virginia, Delaware and 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.
Operating since 2014, formerly as HM Health Solutions Inc., enGen's dynamic ecosystem of smart automation and technology supports and streamlines complex operations for health plans and their provider partners.
Mission: To create a remarkable health experience, freeing people to be their best.
Number of Employees: 44,000+ across the organization
Leadership: David L. Holmberg, president and chief executive officer, and Karen Hanlon, executive vice president and chief operating officer
2023 Consolidated Revenues: $27.1 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 (including five counties in southeastern Pennsylvania as of January 2024) 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, doing business as Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of 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 western and northeastern New York
Number of Employees: Approximately 5,460
Leadership: Tom Doran, president, Highmark Health Plan; Deborah L. Rice-Johnson, chief executive officer of Diversified Businesses for Highmark Inc. and chief growth officer
Website: highmark.com
Allegheny Health Network
Headquarters: Pittsburgh, Pennsylvania
Description: Allegheny Health Network, together with its subsidiaries and affiliates, is a $4.7 billion health and wellness organization that has more than 300 clinical locations, including 13 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 175 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, AHN Wexford Hospital
Geographic Service Area: Western Pennsylvania and portions of New York, Ohio, and West Virginia
Number of Employees: 22,000
Leadership: Jim Benedict, president, AHN, and Bruce A. Meyer, executive vice president and western Pennsylvania market president, Highmark Health
Website: ahn.org
enGen
Headquarters: Pittsburgh, Pennsylvania
Description: enGen's dynamic ecosystem of smart automation and technology supports and streamlines complex operations for health plans and their provider partners. Operating since 2014, formerly as HM Health Solutions Inc., enGen is a wholly owned healthtech subsidiary of Highmark Health. Headquartered in Pittsburgh, Pennsylvania, enGen has more than 12,000 employees and works with health care plans serving more than 11 million members nationwide.
Customers: Health plans
Products and Services: Advanced, end-to-end health insurance solutions, including the Enterprise Health Solution and Forge
Geographic Service Area: Global
Number of Employees: 12,000
Leadership: Mick Malec, chief executive officer, enGen, and enterprise technology and operations officer
Website: goengen.com
Helion
Headquarters: Pittsburgh, Pennsylvania
Description: Helion is an independent company that provides post-acute network management services for Highmark Inc. and its affiliated health plans. It 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, Helion, and Andonia Aber, vice president, Strategic Network Operations, Helion
Website: helion.health
HM Insurance Group
Headquarters: Pittsburgh, Pennsylvania
Description: HM Insurance Group works 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 custom, client-specific accident and health quota share and excess loss reinsurance solutions for carriers and health plans and excess loss insurance for providers.
Customers: Benefits brokers, consultants and third-party administrators on behalf of group policyholders, health plans or provider organizations or ceding carriers
Products and Services: Stop Loss, assumed accident and health reinsurance, and provider excess insurance
Geographic Service Area: All 50 states and Washington, D.C.
Number of Employees: 325
Leadership: Mark Lawrence, president, HM Insurance Group
Website: hmig.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 132,000 unique dentists across more than 461,000 access points.
Customers: Consumers, businesses, and government organizations
Products and Services: Dental and vision solutions for commercial sale, as well as for partnering with health plans and other organizations on commercial, Medicare Advantage, Federal Employee Program and Medicaid insurance products and services
Brands Offered: Concordia Preferred® (Dental PPO), Concordia Flex® (Dental PPO), Concordia EPO (Dental EPO), Concordia Plus® (Dental HMO), Smile for Health® Value Plans (Dental PPO), UC ClearVision® (Standalone Vision PPO), UC Vision® (Vision PPO Rider), iDental® Discount Plan (Dental Savings Plan), along with other value-added services
Geographic Service Area: All 50 states, the District of Columbia, Puerto Rico, and Guam
Number of Employees: 1,100
Leadership: Edward Shellard, chair, CEO and president, United Concordia Dental
Website: unitedconcordia.com