PayerIQ
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Tier 3ALMedicaid

Amerigroup Alabama

Monitor & nurture — quarterly touchpoints + data sharing

Composite
49.5
Rank
#210
Members
6.4M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
59
+14.8
Lives
20%
42
+8.4
Geography
20%
45
+9.0
Restrictions
15%
44
+6.6
Relationship
10%
46
+4.6
Financials
10%
61
+6.1
Composite Score49.5
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 14.8 + 8.4 + 9.0 + 6.6 + 4.6 + 6.1 = 49.5
Intelligence

Qualitative intelligence

Members
6.4M
Drug spend
$1.0B
Formulary
4-tier
PA / RA level
Moderate
Biosimilar policy
Mandatory substitution
Avg reimbursement
89 days
Strategic notes

Outperforms nationals in local market; key state champion opportunity

Peer set

Closest peers in Medicaid

WellCare of Texas
TX · Tier 3
48.8
-0.7
Medicaid Managed Care Maryland
MD · Tier 3
50.5
+1.0
Cenpatico Arizona
AZ · Tier 3
51.7
+2.3
Wisconsin Community Health Alliance
WI · Tier 3
47.1
-2.4
Cenpatico Michigan
MI · Tier 3
47.0
-2.4
Playbook · Tier 3

Engagement timeline

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