October 17, 2017 2:26 AM ET


Company Overview of Highmark Blue Cross Blue Shield

Company Overview

Highmark Blue Cross Blue Shield engages in health insurance, dental insurance, vision care, and reinsurance businesses. It operates health insurance plans for individual and group customers in Pennsylvania, Delaware, and West Virginia. The company was founded in 1996 and is based in Pittsburgh, Pennsylvania. Highmark Blue Cross Blue Shield operates as a subsidiary of Highmark Health.

Fifth Avenue Place

120 Fifth Avenue

Pittsburgh, PA 15222-3099

United States

Founded in 1996



Key Executives for Highmark Blue Cross Blue Shield

Chief Administrative Officer, Chief Financial Officer, Executive Vice President and Treasurer
Age: 58
Chief Executive Officer of HVHC Inc
Age: 60
Executive Vice President and Division President of Health Services
President of Health Markets
President of HM Insurance Group
Compensation as of Fiscal Year 2017.

Highmark Blue Cross Blue Shield Key Developments

Highmark Introduces Clinical Case Management Pharmacists to its CareTeam

For those with multiple health issues, managing prescription medications can be a complex process, but a new service introduced by Highmark Inc. can help its members ensure the safety and effectiveness of their medications. With the new service, Highmark Inc. has added Clinical Case Management Pharmacists to its existing Care Management Teams, which include nurse case managers and health coaches, as well as behavioral health and social services. Care Management Teams help members stay on track with health and wellness, including medication adherence, eating right, exercising appropriately, and managing chronic illnesses like diabetes and asthma. The pharmacists will work with the team to manage pharmacy-specific member issues, evaluating individual cases and advising the team on the safest, most effective therapies. The Clinical Case Management Pharmacists will also address such issues as drug interactions, patient noncompliance with a medication, misuse of a medication, or to help address severe side effects a member may be experiencing. Often, the pharmacist will contact the patient's physician to discuss a particular medication issue or a drug interaction. And in some cases, the pharmacists will directly provide counseling to the patient on side effects, more effective use of medications, drug administration techniques, managing multiple medications, interactions and possible duplications. They will also advise patients on how to save money on their prescription drugs through the use of formulary alternatives, patient assistance programs and mail order opportunities. The pharmacists can also help patients better understand proper storage and handling of medications, and can answer questions about pharmacy and formulary policies and the appeals process.

Highmark, Ex-CEO Agree to Settlement

Highmark Inc. and its former president and CEO, Kenneth Melani, reached an out-of-court settlement to end a yearlong legal battle over his firing. Melani was fired in 2012, a week after a fistfight with the estranged husband of his then-girlfriend, Melissa Myler, a Highmark business analyst. Melani sued Highmark for more than $32 million in March 2015, alleging the health insurer owed him $25.85 million in severance and pension payments and that Highmark fired him because he refused to fire Myler.

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Recent Private Companies Transactions

No transactions available in the past 12 months.

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