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May 24, 2015 7:57 PM ET


Company Overview of Highmark Inc.

Company Overview

Highmark Inc. is engaged 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 Inc. 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 Inc.

Chief Administrative Officer, Chief Financial Officer, Executive Vice President and Treasurer
Age: 55
Chief Executive Officer of HVHC Inc
Age: 57
Executive Vice President and Division President of Health Services
Executive Vice President and Division President of Integrated Delivery Network
Highmark Delaware President
Compensation as of Fiscal Year 2014.

Highmark Inc. Key Developments

UPMC Presses its Cancer Treatment Claims against Highmark

UPMC is continuing to press its cancer treatment claims against Highmark Inc. in Common Pleas Court, backing efforts by state regulators to bring both sides to the negotiating table. In a March 24 ruling, Judge Christine Ward denied UPMC's request to compel arbitration with Highmark over amounts paid to UPMC for chemotherapy treatments. A month later, UPMC spelled out its objections to Ward's ruling in a court filing, writing that Ward had erred in not requiring arbitration because it's a remedy prescribed the consent decrees both sides signed. UPMC has also appealed Ward's ruling to Superior Court. The state Attorney General, Insurance Department and Department of Health on April 27th petitioned Commonwealth Court to force Highmark and UPMC into the bargaining table, saying both sides had 'refused to comply with material terms of the consent decrees'. The petition revealed an utter breakdown in negotiations between the two since the consent decrees were signed in July 2014. Among the Highmark-UPMC failures cited by state regulators in the Commonwealth Court petition: No agreement was reached on emergency room/trauma services, which was required by July 15, 2014. No agreement was reached on protecting seniors from disruption in care from having to switch doctors. No agreement was reached on reimbursement rates for so-called critical access hospitals and doctors. Highmark filed the Common Pleas Court lawsuit to challenge chemotherapy reimbursement rates the carrier said were inflated and unnecessarily increased health care costs without affecting quality of care. At issue are chemotherapy treatment rates when care is provided in a doctor's office rather than a hospital outpatient clinic, which are at least double the rates when compared to a doctor's office.

Metamark Announces Partnership with Highmark Blue Shield to Provide Access to Comprehensive Urology Diagnostics

Metamark announced that it has signed an agreement with Highmark Blue Shield to provide its 5.2 million members with in-network access to Metamark’s comprehensive suite of urology specialized diagnostic offerings. The agreement covers Highmark Blue Shield members in Delaware, Pennsylvania and West Virginia. Metamark provides access to sophisticated diagnostic and prognostic tools that enable urologists to chart their patient’s optimal treatment path throughout the continuum of prostate care.

Highmark Inc. Lays Off Nearly 100 Jobs

Highmark Inc. announced that its 100 workers lost their jobs on February 27, 2015, as the company cuts costs, streamlines some functions with technology and adjusts its operations to deal with fewer members. The company announced the layoffs included 66 workers from its HM Health Solutions subsidiary. The health insurer laid off about 30 workers from its health plan operations. The reductions total about 0.5 % of Highmark's 20,000 employees and were spread across offices in Pennsylvania, Delaware and West Virginia. Most laid-off employees will be given the chance to apply for other jobs at Highmark or with other companies working with HM Health Solutions.

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