PayerIQ
Production
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Tier 4MDRegional

Physicians Health Plan of Maryland

Deprioritize — minimal contact + revisit annually

Composite
43.1
Rank
#240
Members
—
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
21
+5.3
Lives
20%
35
+7.0
Geography
20%
59
+11.8
Restrictions
15%
41
+6.1
Relationship
10%
72
+7.2
Financials
10%
57
+5.7
Composite Score43.1
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 5.3 + 7.0 + 11.8 + 6.1 + 7.2 + 5.7 = 43.1
Intelligence

Qualitative intelligence

Members
—
Drug spend
—
Formulary
—
PA / RA level
—
Biosimilar policy
—
Avg reimbursement
—
Strategic notes

No notes recorded.

Peer set

Closest peers in Regional

Oscar Health of Kentucky
KY · Tier 4
42.4
-0.8
UCare of Colorado
CO · Tier 4
42.4
-0.8
Capital Health Plan of South Carolina
SC · Tier 4
41.6
-1.5
Tufts Health Plan of Texas
TX · Tier 4
45.1
+2.0
CareFirst of Wisconsin
WI · Tier 4
40.4
-2.8
Playbook · Tier 4

Engagement timeline

Annually
Maintenance review · revisit tier