PayerIQ
Production
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Tier 2UTRegional

SelectCare of Utah

Active pursuit — access summits + value dossier

Composite
67.0
Rank
#61
Members
3.4M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
65
+16.3
Lives
20%
63
+12.6
Geography
20%
63
+12.6
Restrictions
15%
60
+9.0
Relationship
10%
68
+6.8
Financials
10%
98
+9.8
Composite Score67.0
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 16.3 + 12.6 + 12.6 + 9.0 + 6.8 + 9.8 = 67.0
Intelligence

Qualitative intelligence

Members
3.4M
Drug spend
$1.1B
Formulary
3-tier
PA / RA level
High
Biosimilar policy
Case-by-case review
Avg reimbursement
47 days
Strategic notes

Data-sharing agreement pending legal review; delay contracting until finalized

Peer set

Closest peers in Regional

UCare of Alaska
AK · Tier 2
67.6
+0.5
MetroPlus Health Plan of Kansas
KS · Tier 2
66.5
-0.5
Scott and White Health Plan of West Virginia
WV · Tier 2
67.7
+0.6
MedStar Health of Washington DC
DC · Tier 2
67.7
+0.6
WPS Health Solutions of California
CA · Tier 2
66.2
-0.8
Playbook · Tier 2

Engagement timeline

Week 1
Senior medical director engagement
Week 3
Formulary review submission
Quarterly
Account QBR + utilization review