Skip to Main Content
About Highmark Inc

Highmark has staked its claim as the largest health insurer in the Keystone state. A licensee of the Blue Cross and Blue Shield Association, the not-for-profit firm covers some 5 million people in its core service areas in central and western Pennsylvania and the Lehigh Valley. Through subsidiaries and affiliates it serves additional customers in West Virginia, Delaware, and other parts of Pennsylvania, and it provides administrative and network-access services nationally. In addition, Highmark sells Medicare Advantage and prescription drug plans to seniors. Its Allegheny Health Network provides care through eight hospitals and more than 2,400 physicians. Other subsidiaries (not operating under a BCBS license) provide dental insurance, vision care, and other products and services nationwide. The firm is owned by Highmark Health.

Operations

In the optical arena, Highmark owns managed vision care organization Davis Vision, which has 22 million members. Highmark operates some 700 Visionworks optical retail stores in 40 states and four US-based eyewear manufacturing facilities. 

Another unit, HM Insurance Group, offers employer health risk solutions such as stop-loss insurance and a limited benefit medical plan, while United Concordia Companies provides dental coverage throughout the US and Puerto Rico.

The company maintains multiple collaborative agreements with neighboring Blues Independence Blue Cross and Hospital Service Association of Northeastern Pennsylvania. Another affiliate, Gateway Health Plan provides Medicaid HMO coverage in Pennsylvania.

Highmark processes more than 185 million health care claims a year.

Geographic Reach

Highmark's core geographic markets are served through wholly owned subsidiaries Highmark Blue Cross Blue Shield, which operates in 40 counties of western and northern Pennsylvania, and Highmark Blue Shield, which serves the Pittsburgh area. It reaches nearby states through subsidiaries Highmark Blue Cross Blue Shield West Virginia and Highmark Blue Cross Blue Shield Delaware.

 

Sales and Marketing

Highmark's customers include businesses, individuals, and government entities.

Financial Performance

In 2017 Highmark's operating revenue increased less than 1% to $18.3 billion. In health plan operations, both the government and the commercial businesses saw growth that year. It was the first year that Highmark's ACA business became an income-producing unit, and Allegheny Health Network revenue rose 8%. Additionally, the company has been focusing on cutting its administrative expenses. In non-operating revenue, net investment income also saw growth. A gain on the sale of part of its vision operations further contributed to the group's earnings.

As a result, the company's excess of revenue over expenses totaled $1.1 billion, $1 billion more than in 2016. 

Strategy

Highmark Health is the largest commercial health plan in Pennsylvania, with some 3.9 million members in its core medical plan.  The organization has been working to expand its core health insurance operations through a number of measures, including introducing new programs, increasing involvement in government health programs such as Medicare, and strengthening partnerships with other insurance companies. In late 2017 it established a $1 billion initiative with Penn State Health aimed at providing affordable community-based care. The partnership is non-exclusive to help ensure competition will offer lower prices for consumers. 

The organization provides an impressive array of specialty services through its non-Blue subsidiaries, and is experiencing strong growth in its dental and vision care businesses.

Company Background

Highmark was created from the merger of Blue Cross of Western Pennsylvania, founded in 1937, and Pennsylvania Blue Shield, created in 1964 when the Medical Service Association of Pennsylvania (MSAP) adopted the Blue Shield name. In the 1970s Pennsylvania Blue Shield could not keep up with the cost of paying its doctors, which led to rate increases and closer scrutiny of its expenses. Competition increased in the 1980s as HMOs cropped up around the state. Pennsylvania Blue Shield fought back by creating its own HMO plans -- some of which it owned jointly with Blue Cross of Western Pennsylvania -- in the 1980s. 

The company acquired the assets of West Penn Allegheny Health System, establishing its Allegheny Health Network research and care provider division.

In 2015 the company combined with Blue Cross of Northeastern Pennsylvania (which was merged into Highmark) in a deal that expanded its Blue coverage in Pennsylvania. The combined entity operates under the Highmark Blue Cross Blue Shield banner.

Highmark Inc

120 5TH AVE
Pittsburgh, PA 15222-3000
Phone: 1 (412) 544-7000

Stats

Employer Type: Privately Owned
SVP, Strategic Operations: Pete Dzimiera
Chairman; President and CEO, Highmark Health: David L. Holmberg
President, Highmark Inc. and Highmark Health Plan: Deborah L. Rice-Thompson
Employees (This Location): 3,000
Employees (All Locations): 35,000

Major Office Locations

Pittsburgh, PA

Other Locations

Dothan, AL
Marked Tree, AR
Casa Grande, AZ
Chandler, AZ
Flagstaff, AZ
Gilbert, AZ
Glendale, AZ
Mesa, AZ
Phoenix, AZ
Scottsdale, AZ
Tucson, AZ
Fresno, CA
La Quinta, CA
San Francisco, CA
Woodland Hills, CA
Aurora, CO
Broomfield, CO
Colorado Springs, CO
Denver, CO
Fort Collins, CO
Grand Junction, CO
Greeley, CO
Lakewood, CO
Littleton, CO
Longmont, CO
Pueblo, CO
Washington, DC
Clearwater, FL
Key West, FL
Leesburg, FL
Mary Esther, FL
Melbourne, FL
Miami, FL
Panama City, FL
Pensacola, FL
Port Orange, FL
Saint Petersburg, FL
Tampa, FL
Alpharetta, GA
Atlanta, GA
Buford, GA
Duluth, GA
East Point, GA
Hartwell, GA
Kennesaw, GA
Lithonia, GA
Mcdonough, GA
Newnan, GA
Snellville, GA
Warner Robins, GA
Council Bluffs, IA
Mason City, IA
Boise, ID
Coeur D Alene, ID
Arlington Heights, IL
Aurora, IL
Batavia, IL
Bloomingdale, IL
Bolingbrook, IL
Calumet City, IL
Chicago, IL
Chicago Ridge, IL
Gurnee, IL
Hillside, IL
Hoffman Estates, IL
Lake Zurich, IL
Lincolnwood, IL
Lombard, IL
Niles, IL
Orland Park, IL
Oswego, IL
Riverside, IL
Schaumburg, IL
Tinley Park, IL
West Dundee, IL
Clarksville, IN
Merrillville, IN
New Albany, IN
Overland Park, KS
Wichita, KS
Bowling Green, KY
Covington, KY
Elizabethtown, KY
Frankfort, KY
Louisville, KY
Paducah, KY
Richmond, KY
Alexandria, LA
Baton Rouge, LA
Covington, LA
Gretna, LA
Harvey, LA
Houma, LA
Lafayette, LA
Lake Charles, LA
Metairie, LA
Monroe, LA
Shreveport, LA
Slidell, LA
Billerica, MA
Boston, MA
Brockton, MA
Brookline, MA
Cambridge, MA
Danvers, MA
Framingham, MA
Franklin, MA
Hyannis, MA
Malden, MA
North Dartmouth, MA
Pembroke, MA
Quincy, MA
Saugus, MA
Annapolis, MD
Baltimore, MD
Bel Air, MD
Brandywine, MD
Catonsville, MD
Columbia, MD
Frederick, MD
Gaithersburg, MD
Gambrills, MD
Hanover, MD
Lanham, MD
Laurel, MD
Owings Mills, MD
Rockville, MD
Silver Spring, MD
Towson, MD
Waldorf, MD
Westminster, MD
Burnsville, MN
Duluth, MN
Eden Prairie, MN
Edina, MN
Elk River, MN
Faribault, MN
Fergus Falls, MN
Hopkins, MN
Mankato, MN
Maple Grove, MN
Minneapolis, MN
Rochester, MN
Saint Cloud, MN
Saint Paul, MN
Stillwater, MN
Willmar, MN
Woodbury, MN
Cape Girardeau, MO
Independence, MO
Kansas City, MO
Lees Summit, MO
Saint Joseph, MO
Springfield, MO
Hattiesburg, MS
Jackson, MS
Charlotte, NC
Fargo, ND
Lincoln, NE
Omaha, NE
Papillion, NE
Salem, NH
Cherry Hill, NJ
Clifton, NJ
Edison, NJ
Ewing, NJ
Monmouth Beach, NJ
Morristown, NJ
Neptune, NJ
Paramus, NJ
Pompton Plains, NJ
Succasunna, NJ
Totowa, NJ
Union, NJ
Woodbridge, NJ
Albuquerque, NM
Las Cruces, NM
Henderson, NV
Las Vegas, NV
North Las Vegas, NV
Reno, NV
Albany, NY
Amsterdam, NY
Auburn, NY
Batavia, NY
Binghamton, NY
Brockport, NY
Buffalo, NY
Centereach, NY
Central Islip, NY
Corning, NY
Cortland, NY
East Greenbush, NY
East Meadow, NY
East Northport, NY
East Setauket, NY
East Syracuse, NY
Elmira, NY
Fayetteville, NY
Fulton, NY
Garden City, NY
Geneva, NY
Glens Falls, NY
Guilderland, NY
Halfmoon, NY
Hauppauge, NY
Ithaca, NY
Kingston, NY
Latham, NY
Levittown, NY
Liverpool, NY
Lockport, NY
Massapequa Park, NY
New Hartford, NY
New York, NY
North Syracuse, NY
Oneida, NY
Oneonta, NY
Oswego, NY
Plattsburgh, NY
Potsdam, NY
Poughkeepsie, NY
Rochester, NY
Rockville Centre, NY
Rocky Point, NY
Rome, NY
Saratoga Springs, NY
Slingerlands, NY
Syracuse, NY
Tonawanda, NY
Troy, NY
Utica, NY
Vestal, NY
Watertown, NY
West Babylon, NY
Akron, OH
Beachwood, OH
Brooklyn, OH
Canton, OH
Elyria, OH
Mentor, OH
North Olmsted, OH
Richmond Heights, OH
Norman, OK
Oklahoma City, OK
Tulsa, OK
Albany, OR
Beaverton, OR
Eugene, OR
Gresham, OR
Happy Valley, OR
Medford, OR
Portland, OR
Salem, OR
Allentown, PA
Bethel Park, PA
Butler, PA
Camp Hill, PA
Canonsburg, PA
Cheswick, PA
Clairton, PA
Coraopolis, PA
Cranberry Township, PA
East Mc Keesport, PA
Erie, PA
Gibsonia, PA
Harrisburg, PA
Homestead, PA
Jefferson Hills, PA
Lancaster, PA
Mckeesport, PA
Mc Kees Rocks, PA
Mc Murray, PA
Monroeville, PA
Natrona Heights, PA
New Kensington, PA
Philadelphia, PA
Pittsburgh, PA
Somerset, PA
Springfield, PA
Tarentum, PA
Washington, PA
West Mifflin, PA
Wexford, PA
Wilkes Barre, PA
Williamsport, PA
Willow Grove, PA
Cranston, RI
Middletown, RI
Narragansett, RI
Florence, SC
Greenville, SC
Sioux Falls, SD
Antioch, TN
Brentwood, TN
Bristol, TN
Clarksville, TN
Collierville, TN
Franklin, TN
Goodlettsville, TN
Hendersonville, TN
Johnson City, TN
Kingsport, TN
Madison, TN
Memphis, TN
Murfreesboro, TN
Nashville, TN
Smyrna, TN
Abilene, TX
Allen, TX
Amarillo, TX
Arlington, TX
Austin, TX
Brownsville, TX
Burleson, TX
Cedar Hill, TX
Cedar Park, TX
College Station, TX
Conroe, TX
Corpus Christi, TX
Dallas, TX
Denton, TX
El Paso, TX
Fort Worth, TX
Friendswood, TX
Frisco, TX
Garland, TX
Georgetown, TX
Grapevine, TX
Harlingen, TX
Highland Village, TX
Houston, TX
Humble, TX
Hurst, TX
Irving, TX
Katy, TX
Killeen, TX
Lake Jackson, TX
Laredo, TX
Lewisville, TX
Lubbock, TX
Mcallen, TX
Mckinney, TX
Mesquite, TX
Midland, TX
New Braunfels, TX
Odessa, TX
Pasadena, TX
Pearland, TX
Plano, TX
Port Arthur, TX
Rockwall, TX
Rosenberg, TX
Round Rock, TX
San Antonio, TX
San Marcos, TX
Schertz, TX
Selma, TX
Spring, TX
Sugar Land, TX
Temple, TX
The Woodlands, TX
Tomball, TX
Tyler, TX
Victoria, TX
Waco, TX
Watauga, TX
Weatherford, TX
Weslaco, TX
Wichita Falls, TX
Wylie, TX
Murray, UT
Salt Lake City, UT
Sandy, UT
Alexandria, VA
Arlington, VA
Baileys Crossroads, VA
Fairfax, VA
Herndon, VA
Leesburg, VA
Manassas, VA
Reston, VA
Sterling, VA
Vienna, VA
Woodbridge, VA
Spokane, WA
Vancouver, WA
Brookfield, WI
Eau Claire, WI
Greendale, WI
Kenosha, WI
La Crosse, WI
Menomonee Falls, WI
Mequon, WI
Milwaukee, WI
Oconomowoc, WI
Waukesha, WI
Wauwatosa, WI
West Bend, WI
Barboursville, WV
Charleston, WV