Case Study: HighMark achieves improved member health outcomes and lower costs with Informatica

Provided a single source of business and clinical information, thereby lowering risk and operational costs

Highmark, formed in 1996 through the merger of two leading Pennsylvania insurers, is one of the largest U.S. health plans serving more than 4.7 million people. The company faced challenges common to large health insurers — minimizing merger impacts, attracting and retaining members, lowering operating and medical costs, improving member health outcomes, and meeting regulatory and audit requirements — all of which demanded a single, reliable view of business and clinical data.

Highmark implemented Informatica to provide timely, trustworthy, consolidated data for clinicians, financial managers, and members. The solution enabled faster responses to claims and financial questions, empowered members with tools to manage their health, reduced operational risk and costs through a single source of truth, and improved the company’s ability to meet audit and regulatory reporting needs.

HighMark

Sue Jones

Director of Business Information Applications