PayerIQ
Production
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Tier 3TXBCBS

Arkansas Blue Cross and Blue Shield HMO

Monitor & nurture — quarterly touchpoints + data sharing

Composite
56.8
Rank
#169
Members
6.7M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
36
+9.0
Lives
20%
76
+15.2
Geography
20%
64
+12.8
Restrictions
15%
26
+3.9
Relationship
10%
74
+7.4
Financials
10%
85
+8.5
Composite Score56.8
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 9.0 + 15.2 + 12.8 + 3.9 + 7.4 + 8.5 = 56.8
Intelligence

Qualitative intelligence

Members
6.7M
Drug spend
$2.7B
Formulary
5-tier
PA / RA level
Low
Biosimilar policy
Mandatory substitution
Avg reimbursement
73 days
Strategic notes

Recent merger with regional system creates expanded formulary committee access

Peer set

Closest peers in BCBS

Anthem Blue Cross Blue Shield New Hampshire
TX · Tier 3
56.5
-0.3
Medical Mutual of Ohio
MN · Tier 3
56.3
-0.5
CareFirst BlueCross BlueShield
MO · Tier 3
57.6
+0.8
Blue Cross Blue Shield North Dakota
MA · Tier 2
58.5
+1.8
Anthem HealthKeepers Virginia
AZ · Tier 2
58.9
+2.1
Playbook · Tier 3

Engagement timeline

Week 2
Account manager check-in
Bi-annually
Formulary monitoring report