Highmark Health
Headquarters: Pittsburgh, Pennsylvania
Description: Highmark Health, a Pittsburgh, PA-based enterprise that employs 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 7.1 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 in western Pennsylvania and western New York comprised of 14 hospitals, more than 2,500 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.
Operating since 2014 and formerly known 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.
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
2024 Consolidated Revenues: $29.4 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 Parkersburg, West Virginia
- Highmark BCBSD Inc., doing business as Highmark Blue Cross Blue Shield Wilmington, Delaware
- Highmark Western and Northeastern New York Inc., doing business as Highmark Blue Cross Blue Shield in western New York and Highmark Blue Shield 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 western and northeastern New York
Number of Employees: Approximately 5,461
Leadership: Tom Doran, president, Highmark Health Plan; Deborah L. Rice-Johnson, president, Diversified Businesses, Highmark Inc.
Website: highmark.com
Allegheny Health Network
Headquarters: Pittsburgh, Pennsylvania
Description: Allegheny Health Network is a $5.1 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 2,500 affiliated physicians. While AHN began operations in 2013, AHN’s member hospitals share legacies of charitable care that date back more than 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 Hospital, 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: 23,700
Leadership: Mark Sevco, AHN president
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 known as HM Health Solutions Inc., enGen is a wholly owned health tech subsidiary of Highmark Health. Headquartered in Pittsburgh, Pennsylvania, enGen employs 11,000 people, supports 20 million members, and is trusted by 50 Blue and non-Blue clients.
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: 11,000
Leadership: Mick Malec, chief executive officer, enGen, and enterprise technology & 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: Andonia Aber, vice president of Strategic Network Operations
Website: helion.health
HM Insurance Group
Headquarters: Pittsburgh, Pennsylvania
Description: HM Insurance Group, a Highmark Health affiliate, 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 insurance subsidiaries collectively referred to as United Concordia Dental deliver personalized, high-quality, cost-effective dental benefit plans through its network of over 147,600 unique dentists across more than 548,300 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® (Stand-alone 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, and Puerto Rico.
Number of Employees: 1,100+
Leadership: Edward Shellard, chairman, CEO and president, United Concordia Dental
Website: unitedconcordia.com