PayerIQ
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Tier 3AZMedicaid

Cenpatico Arizona

Monitor & nurture — quarterly touchpoints + data sharing

Composite
51.7
Rank
#200
Members
5.2M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
63
+15.8
Lives
20%
39
+7.8
Geography
20%
45
+9.0
Restrictions
15%
55
+8.3
Relationship
10%
67
+6.7
Financials
10%
42
+4.2
Composite Score51.7
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 15.8 + 7.8 + 9.0 + 8.3 + 6.7 + 4.2 = 51.7
Intelligence

Qualitative intelligence

Members
5.2M
Drug spend
$0.9B
Formulary
2-tier
PA / RA level
High
Biosimilar policy
Step therapy required
Avg reimbursement
67 days
Strategic notes

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

Peer set

Closest peers in Medicaid

Medicaid Managed Care Maryland
MD · Tier 3
50.5
-1.2
Amerigroup Alabama
AL · Tier 3
49.5
-2.3
WellCare of Texas
TX · Tier 3
48.8
-3.0
Community Care Alliance Vermont Health Plan
VT · Tier 3
55.8
+4.1
New Mexico Medicaid Health Plan
NM · Tier 3
55.9
+4.2
Playbook · Tier 3

Engagement timeline

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