HARRISBURG (TNS) — Highmark Health has confirmed that it has laid off more employees.

There were 98 employees impacted by the latest layoffs including 18 people in central Pennsylvania, according to Leilyn Perri, Highmark Health spokesperson.

Highmark Health provided the following statement:

“Reinventing health means reinventing how our organization operates. Highmark Health is actively transforming to meet the changing needs of members and our communities through our Living Health model while maintaining financial strength and stability. This transformation requires that we continue to reimagine and simplify our operations to effectively and efficiently achieve the quintuple aim — better patient experience, clinician satisfaction, health equity and health outcomes, with lower costs.”

Highmark Health has laid off more than 300 people since March.

A Highmark spokesperson confirmed last month that it laid off 47 employees, including 11 people in the central Pennsylvania region, where it employs about 3,500 people. In March, Highmark laid off 182 people, including 40 employees in the Harrisburg region.

Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, enGen, and Helion. Highmark Inc. and its subsidiaries and affiliates provide health insurance to 6.9 million members in Pennsylvania, West Virginia, Delaware, and New York.