Case Study: HighMark achieves de-risked innovation and up to $800K in savings with Pegasystems

Highmark de-risks innovation to transform healthcare

Highmark Health Solutions (HMHS), a subsidiary of Highmark Health that delivers technology and services to health plans, faced a perception problem: clients increasingly viewed HMHS as technicians rather than an innovative solutions partner. That limited its ability to lead industry thinking and scale new offerings without driving up costs.

Working with Pega Catalyst™, HMHS adopted a six‑step innovation methodology, using design thinking and week‑long sprints with cross‑functional teams to frame, prototype, and test ideas; Pega Infinity™ converted sketches into working prototypes within two days. The approach identified 29 business outcomes to pursue, de‑risked projects (saving an estimated $15k–$20k per sprint) and avoided roughly $500k–$800k in wasted work.

HighMark

Paul Jones

Vice President, Clinical Systems