Highmark Inc. participates in an organized health care arrangement (“OHCA”), as permitted by the Health Insurance Portability and Accountability Act (“HIPAA”), with Allegheny Health Network, an affiliated entity under common ownership and control with Highmark Inc. An OHCA is a framework that allows health plan covered entities affiliated with Highmark Inc. and provider covered entities affiliated with Allegheny Health Network to share protected health information about members or patients for joint healthcare operations of the OHCA. HIPAA recognizes the following categories of joint purposes for which identifiable information can be shared among OHCA participants: quality assessment and improvement, utilization review, and related activities.
