PayerIQ
Production
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Tier 1NDCommercial

Sharp Health Plan

Priority engagement — executive meetings + contract acceleration

Composite
75.0
Rank
#17
Members
2.9M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
93
+23.3
Lives
20%
86
+17.2
Geography
20%
84
+16.8
Restrictions
15%
20
+3.0
Relationship
10%
81
+8.1
Financials
10%
66
+6.6
Composite Score75.0
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 23.3 + 17.2 + 16.8 + 3.0 + 8.1 + 6.6 = 75.0
Intelligence

Qualitative intelligence

Members
2.9M
Drug spend
$0.9B
Formulary
4-tier
PA / RA level
High
Biosimilar policy
Step therapy required
Avg reimbursement
71 days
Strategic notes

Competitive payer landscape in state; differentiation via HEOR data essential

Peer set

Closest peers in Commercial

Rocky Mountain Health Plans
IL · Tier 1
76.8
+1.9
UCare
IA · Tier 2
70.5
-4.5
Paramount Health Care
MA · Tier 2
68.9
-6.0
Rocky Mountain Health Plans Insurance
VT · Tier 1
82.3
+7.3
Hennepin Health
ND · Tier 2
67.3
-7.7
Playbook · Tier 1

Engagement timeline

Week 1
Executive sponsor outreach · contract review
Week 2
Account team alignment · data sharing MoU
Week 4
Strategic roadmap session
Quarterly
C-suite QBR · joint planning