Highmark Health
Programs
Program 1 [2020]
INTRODUCTION TO HIGHMARK HEALTH (HH) HH IS THE PARENT ORGANIZATION OF AN INTEGRATED DELIVERY AND FINANCING SYSTEM THAT INCLUDES HIGHMARK INC. AND THE ALLEGHENY HEALTH NETWORK. HH PROVIDES STRATEGIC LEADERSHIP, STEWARDSHIP AND SUPPORT TO THE ALLEGHENY HEALTH NETWORK TO ENABLE IT TO EXECUTE ON ITS CHARITABLE MISSION. HH TOGETHER WITH THE ALLEGHENY HEALTH NETWORK AND WITHIN OUR INTEGRATED DELIVERY AND FINANCING SYSTEM ARE DEDICATED TO IMPROVING THE QUALITY OF CARE AND DRIVING DOWN HEALTHCARE COSTS. INTRODUCTION TO THE ALLEGHENY HEALTH NETWORK HEADQUARTERED IN PITTSBURGH, AHN'S OPERATIONS ARE CONCENTRATED PRIMARILY IN THE PENNSYLVANIA CITIES OF PITTSBURGH AND ERIE AND THEIR SURROUNDING COMMUNITIES. THE AHN SYSTEM IS A PATIENT-CENTERED AND PHYSICIAN-LED ACADEMIC HEALTHCARE SYSTEM THAT PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO PATIENTS IN WESTERN PENNSYLVANIA AND THE ADJACENT REGIONS OF OHIO, WEST VIRGINIA, NEW YORK AND MARYLAND. AHN OPERATES EIGHT ACUTE CARE HOSPITALS WITH MORE THAN 2,200 BEDS IN QUATERNARY, TERTIARY AND COMMUNITY FACILITIES, EIGHT AMBULATORY SURGICAL CENTERS, SIX URGENT CARE CENTERS, AND FIVE HEALTH + WELLNESS PAVILIONS ("H+WPS"). THE AHN SYSTEM EMPLOYS MORE THAN 1,200 PHYSICIANS WHO PROVIDE A VARIETY OF PRIMARY AND SPECIALTY CARE AT MORE THAN 250 HEALTHCARE SITES THROUGHOUT THE REGION. AHN IS AFFILIATED WITH THREE MEDICAL SCHOOLS AND CURRENTLY EDUCATES MORE THAN 500 RESIDENTS EACH YEAR IN 46 ACCREDITED RESIDENCY PROGRAMS. AHN ALSO CONTROLS A RESEARCH INSTITUTE AND FOUR CHARITABLE FOUNDATIONS AND A TRUST THAT SUPPORT CERTAIN HOSPITALS WITHIN THE AHN SYSTEM. AHN PROVIDES AN ARRAY OF POST-ACUTE CARE SERVICES, PRIMARILY UNDER JOINT VENTURE ARRANGEMENTS, INCLUDING DURABLE MEDICAL EQUIPMENT, HOME INFUSION SERVICES AND HOME HEALTH AND HOSPICE SERVICES. AHN ALSO OWNS AND OPERATES A GROUP PURCHASING ORGANIZATION THAT SUPPORTS 87 MEMBERS (WHICH INCLUDE AHN ENTITIES) IN THE REGION, A CAPTIVE INSURANCE COMPANY, AND A CLINICALLY INTEGRATED NETWORK ("CIN"), AMONG OTHER BUSINESSES. AHN'S PLAN IS TO TRANSFORM THE CURRENT MODEL OF HEALTH CARE DELIVERY IN WESTERN PENNSYLVANIA BY ENCOURAGING HEALTH CARE PROVIDERS WITHIN AHN, WHETHER HOSPITALS OR PHYSICIANS, TO USE THE MOST COST-EFFECTIVE VENUE FOR CARE, ADHERE TO THE HIGHEST, EVIDENCE-BASED STANDARDS OF CARE, AND DELIVER SUPERIOR OUTCOMES BY REDUCING UNNECESSARY READMISSIONS AND HEALTHCARE ASSOCIATED COMPLICATIONS. PROVIDING COST-EFFICIENT, CONVENIENTLY ACCESSED CARE DELIVERS VALUE AND BENEFIT TO LOCAL COMMUNITIES, PARTNER HEALTH CARRIERS, AREA BUSINESSES, AND MOST OF ALL TO AHN'S PATIENTS. THE GOAL OF AHN IS TO PROMOTE HEALTH AND WELLNESS IN OUR COMMUNITIES BY PROVIDING SAFE, COMPASSIONATE, AFFORDABLE HEALTH CARE TO ALL WHO SEEK IT, REGARDLESS OF A PATIENT'S RACE, CREED, GENDER, NATIONAL ORIGIN, PHYSICAL OR MENTAL DISABILITY, OR ABILITY TO PAY. VISION AND STRATEGY HH AND AHN ARE FULLY COMMITTED TO BUILDING A VALUE-BASED SYSTEM, REQUIRING A FULL-SCALE CULTURAL CHANGE IN THE WAY THAT CLINICAL SERVICES ARE DELIVERED. THIS INVOLVES MOVING CARE TO LOWER-COST SETTINGS; REDESIGNING CARE MODELS TO PROMOTE INTEGRATION AND CLINICAL STANDARDIZATION AND PASSING THOSE BENEFITS ALONG TO EMPLOYERS AND MEMBERS; REALIGNING PAYMENT TO QUALITY-AND COST-PERFORMANCE; AND EMBRACING NOVEL FORMS OF INTEGRATION AND PARTNERSHIPS AMONG DIFFERENT PROVIDERS AND PAYERS. HH AND AHN BELIEVE THIS PATH HOLDS PROMISE OF CORRECTING MANY OF THE FUNDAMENTAL ISSUES AFFECTING THE HEALTH CARE INDUSTRY TODAY. TRANSITION TO THAT MODEL, REQUIRES SUBSTANTIAL INVESTMENT TO BUILD THE CAPABILITIES AND NEW PROCESSES TO SUPPORT THE NECESSARY TYPE OF CARE, AND REQUIRES A NEW STRATEGY. CUSTOMER VALUE CREATION: AHN AND HH ARE BUILDING SERVICES, CAPABILITIES AND PRODUCTS THAT ARE ALIGNED TO PATIENTS' DEMANDS FOR VALUE (ACCESS, EXPERIENCE, AND QUALITY AT AN AFFORDABLE COST). SUSTAINABLE GROWTH: FOCUSING ON BUSINESSES AND CUSTOMERS WHERE HH-AHN'S COMMITMENT TO CUSTOMER VALUE MOST RESONATES. THAT INCLUDES BUILDING ON HH'S HISTORY OF INVESTING IN DIVERSIFIED HEALTHCARE BUSINESSES THAT CAN ADD JOBS AND VALUE TO THE COMMUNITY. CLINICIAN-LED CARE DELIVERY TRANSFORMATION: CREATING CARE MODELS AND UNDERLYING PRODUCTS AND SERVICES THAT IMPROVE THE EXPERIENCE AND OUTCOMES OF PATIENTS, AND THAT ARE ORIENTED TOWARD REDUCING WASTE IN THE HEALTHCARE SYSTEM, BY PUTTING CLINICIANS IN THE DRIVER'S SEAT. CORE BUSINESS PERFORMANCE: IMPROVING THE CORE SYSTEMS THAT ARE REQUIRED FOR DELIVERING HEALTH CARE. UNPARALLELED EXECUTION: BUILDING THE RIGHT SYSTEMS, PROCESSES AND CARE TEAMS TO ENSURE TRANSFORMATIONAL EXECUTION ACROSS THE NETWORK.GeographiesNot indicatedDatesJan 1, 2020 – Dec 31, 2020Source990No causes providedNo populations provided–$404.6MLiving Health Initiative
SEE SCHEDULE O Highmark Health IS THE PARENT ORGANIZATION OF A BLENDED HEALTH SYSTEM THAT INCLUDES THE ALLEGHENY HEALTH NETWORK AND HIGHMARK INC. Highmark Health PROVIDES STRATEGIC, OPERATIONAL AND ADMINISTRATIVE LEADERSHIP, STEWARDSHIP AND SUPPORT TO THE ALLEGHENY HEALTH NETWORK TO ENABLE IT TO EXECUTE ON ITS CHARITABLE MISSION. 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, Highmark Health is uniquely positioned to pioneer new models and transform the healthcare industry to work better now and for generations to come. WE BELIEVE THAT WE HAVE A FUNDAMENTAL RESPONSIBILITY TO BE LEADERS AND STEWARDS IN THE COMMUNITY, WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE BY GIVING BACK TO, REINVESTING IN, AND STRENGTHENING THE COMMUNITIES WHERE OUR CUSTOMERS AND EMPLOYEES LIVE, WORK AND PLAY. Highmark Health, together with the Allegheny Health Network, is dedicated to improving the quality of care and driving down healthcare costs through the living health model. LIVING HEALTH Highmark Health's blended HEALTH SYSTEM APPROACH connects payers, providers, tech innovators, and community organizations to build a health ecosystem that works better for everyone: Living Health. THROUGH LIVING HEALTH, HIGHMARK HEALTH IS DRIVING AN ENTERPRISE STRATEGY BY INTEGRATING HEALTH, COVERAGE AND CARE TO DELIVER A SIMPLER, MORE PERSONALIZED, AND PROACTIVE HEALTH EXPERIENCE FOR INDIVIDUALS AND CLINICIANS. Living Health is intended to reduce organizational friction and extract valuable insights which will optimize outcomes at a lower cost. The Living Health strategy, vendor relationships and related party services are consistent with Highmark Health's stated charitable mission, which includes: provision of access to affordable care, strategic and operational/administrative leadership for the Health System and operational oversight to ensure effective and efficient operation and provision of high-quality care. THE LIVING HEALTH DYNAMIC PLATFORM IS BEING DESIGNED AS THE HEALTH "OPERATING SYSTEM" OF THE FUTURE AND WILL CONNECT WHAT INDIVIDUALS AND CLINICIANS NEED ON ONE DIGITAL PLATFORM. LIVING HEALTH'S SUCCESS IN ACHIEVING THE QUADRUPLE AIM (BETTER PATIENT EXPERIENCE, CLINICIAN SATISFACTION, AND HEALTH OUTCOMES, WITH LOWER COSTS) WILL PROVIDE A SUSTAINABLE ECONOMIC MODEL THAT CAN SOLVE INDUSTRY PROBLEMS AT SCALE. The Living Health activities are central to the mission of AHN - to create a remarkable health experience, freeing people to be their best. INTRODUCTION TO THE ALLEGHENY HEALTH NETWORK ALLEGHENY HEALTH NETWORK (AHN), BASED IN PITTSBURGH, PENNSYLVANIA, IS A TAX-EXEMPT, PATIENT-CENTERED AND PHYSICIAN-LED ACADEMIC HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE CARE AND HIGH-QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO PATIENTS FROM WESTERN PENNSYLVANIA AND THE ADJACENT REGIONS OF OHIO, WEST VIRGINIA, NEW YORK AND MARYLAND. AHN COMPRISES 14 HOSPITALS AND MORE THAN 200 PRIMARY - AND SPECIALTY - CARE PRACTICES IN MORE 300 HEALTHCARE SITES, INCLUDING FIVE HEALTH + WELLNESS PAVILIONS, SURGICAL CENTERS AND OUTPATIENT CLINICS; A RESEARCH INSTITUTE; MORE THAN 2,600 EMPLOYED AND AFFILIATED PHYSICIANS; APPROXIMATELY 22,000 TOTAL EMPLOYEES; HUNDREDS OF VOLUNTEERS; A GROUP PURCHASING ORGANIZATION; AND A COMPLETE SPECTRUM OF HOME AND COMMUNITY BASED HEALTHCARE SERVICES. THE NETWORK'S HOSPITALS INCLUDE ONE QUATERNARY ACADEMIC MEDICAL CENTER (AHN ALLEGHENY GENERAL HOSPITAL IN PITTSBURGH), NINE TERTIARY/COMMUNITY HOSPITALS THAT PROVIDE A WIDE ARRAY OF GENERAL AND ADVANCED CLINICAL SERVICES (AHN ALLEGHENY VALLEY HOSPITAL, NATRONA HEIGHTS, PA; AHN CANONSBURG HOSPITAL, CANONSBURG, PA; AHN FORBES HOSPITAL, MONROEVILLE, PA; AHN GROVE CITY HOSPITAL, GROVE CITY, PA; AHN JEFFERSON HOSPITAL, JEFFERSON HILLS, PA; AHN SAINT VINCENT HOSPITAL, ERIE, PA; AHN WEST PENN HOSPITAL, PITTSBURGH, PA; AHN WESTFIELD MEMORIAL HOSPITAL, WESTFIELD, NY; AND AHN WEXFORD HOSPITAL, WEXFORD, PA), AND FOUR NEIGHBORHOOD HOSPITALS (AHN HEMPFIELD, GREENSBURG, PA; AHN MCCANDLESS, PITTSBURGH, PA; AHN HARMAR, PITTSBURGH, PA; AND AHN BRENTWOOD, PITTSBURGH, PA). AHN'S PLAN IS TO TRANSFORM THE CURRENT MODEL OF HEALTHCARE DELIVERY IN WESTERN PENNSYLVANIA BY ENCOURAGING HEALTHCARE PROVIDERS TO USE THE MOST APPROPRIATE, COST-EFFECTIVE VENUE FOR CARE; ADHERE TO THE HIGHEST, EVIDENCE-BASED STANDARDS OF CARE; AND DELIVER SUPERIOR OUTCOMES BY REDUCING UNNECESSARY READMISSIONS AND HEALTHCARE-ASSOCIATED COMPLICATIONS. PROVIDING COST-EFFICIENT, CONVENIENTLY ACCESSED CARE DELIVERS VALUE AND BENEFIT TO LOCAL COMMUNITIES, PARTNER HEALTH CARRIERS, AREA BUSINESSES, AND MOST OF ALL TO AHN'S PATIENTS. THE GOAL OF AHN IS TO PROMOTE HEALTH AND WELLNESS IN ITS COMMUNITIES BY PROVIDING HIGH-QUALITY, SAFE, COMPASSIONATE, AFFORDABLE HEALTHCARE TO ALL WHO SEEK IT, REGARDLESS OF A PATIENT'S RACE, CREED, GENDER IDENTITY OR SEXUAL ORIENTATION, NATIONAL ORIGIN, PHYSICAL OR INTELLECTUAL DISABILITY, OR ABILITY TO PAY.GeographiesNot indicatedDatesJan 1, 2023 – Dec 31, 2023Source990No causes providedNo populations provided–$455.7M
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