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AP Blue Cross and Blue Shield companies Highmark and HealthNow New York announced the finalization of their affiliation on Monday, a collaboration that they say will lead to better services and lower costs for their 6.5 million members. Under the agreement, Pittsburgh-based Highmark, which serves members in Pennsylvania, Delaware and West Virginia, will acquire the Blue Cross and Blue Shield license that HealthNow maintains. Operationally, the deal looks like a merger, except that no money will change hands between the two not-for-profits. The combined company will be named Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York and will represent the fourth-largest Blues plan in the nation.

New yorkUnited statesWest virginiaRon mornelliMichael edbauerDavid andersonJulie snyderHealthnow administrative serviceBlue crossBlue shieldHealthnow new yorkPittsburgh based highmarkHighmark blue cross shieldWestern new yorkHighmark blue shieldNortheastern new york