Overview
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 is a wholly owned subsidiary of Highmark Health whose dynamic ecosystem of smart automation and technology supports and streamlines complex operations for health plans and their provider partners.
Highmark Health's vision is a world where everyone embraces health. Its mission is to create a remarkable health experience, freeing people to be their best. Through its structure as a blended health organization, it is uniquely positioned to pioneer new models and transform the health care industry to work better now and for generations to come. The financial overview and performance information in this annual report demonstrate the financial strength of the enterprise, which allows it to invest to meet the needs of customers and strategically align with health industry innovators and leaders who share its focus on delivering high-quality outcomes and an exceptional customer experience.
Collaborating to create a remarkable health experience
2023 was the 10th anniversary of forming Highmark Health as the parent organization connecting Blue-branded health plans in four states, a provider system in western Pennsylvania, and diversified businesses serving customers across the U.S.
While celebrating the many accomplishments across that decade, the organization's most notable developments were all about the future.
In a 2023 article, its president and CEO, David Holmberg, pointed to advances in the organization's Living Health model as "tangible examples of how we are evolving a consumer-focused, digitally empowering ecosystem of health, coverage and care. We are building the infrastructure necessary to unleash the power of health-related data, give it back to individuals and their care teams, and connect them to more choices and better, more proactive, personalized support."
Strategic collaboration plays a vital role in building that infrastructure. Collaborations with Google Cloud and League drove the 2023 launch of a "one-stop shop" app that represents the first iteration of Living Health's integrated health experience platform. Even in the first iteration, the app gives health plan members convenient access to an impressive array of personalized tools and resources. The platform will continue to expand, connecting more and more of a person's health experience in one place. Clinician-focused components of the platform are also in progress.
Other collaborators, like Sword, provide digitally enabled care solutions for conditions like back and neck pain, type 2 diabetes and more. The organization has seen promising results for these solutions in member engagement and satisfaction, in clinical measures and in feedback from users. Collaboration with Cedar Pay has created a simpler billing and payment experience that has nearly 90% customer satisfaction. In October of 2023, the organization announced another valuable collaboration with Spring Health which will expand access points to behavioral health care by 40%.
These strategic collaborations have a parallel with the traditional health insurer responsibility of creating high-quality provider networks. With Living Health, Highmark Health takes on the responsibility of assessing, selecting and integrating high-performing technology and community partners to ensure that health plan members have access to high-quality digital, virtual and community resources for health, as well as to hospitals and clinical facilities.
"The Living Health model is fundamentally collaborative, with the consumer at the center, not us," Holmberg explained. "Whether it's a provider system, a technology company or a community organization addressing social determinants of health, we are proving how much more we can accomplish when we align around a commitment to improving health outcomes and creating a remarkable health experience."
Chief Operating Officer Karen Hanlon discusses Highmark Health's path toward the future [article]
Other Highlights
- Insights on improving health equity from Nebeyou Abebe, senior vice president, Social Determinants of Health
- Dr. Anil Singh, executive medical director, Population and Curated Health, discusses expanding mental health care access
- Health Care Reinvented: Big data provides big outcomes for patients
- Explore the latest interviews, podcasts, webinars and more on Living Health
$27.1 billion operating revenue in 2023
In 2023, Highmark Health and its subsidiaries and affiliates made capital investments of more than $825 million to advance the mission of creating a remarkable health experience, freeing people to be their best.
Insight: A Collaborative, Consumer-Centered Approach
"Whether it's a provider system, a technology company or a community organization addressing social determinants of health, we are proving how much more we can accomplish when we align around a commitment to improving health outcomes and creating a remarkable health experience."