PayerIQ
Production
Back to universe
Tier 3MIMedicaid

Cenpatico Michigan

Monitor & nurture — quarterly touchpoints + data sharing

Composite
47.0
Rank
#224
Members
6.2M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
51
+12.8
Lives
20%
42
+8.4
Geography
20%
43
+8.6
Restrictions
15%
32
+4.8
Relationship
10%
68
+6.8
Financials
10%
57
+5.7
Composite Score47.0
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 12.8 + 8.4 + 8.6 + 4.8 + 6.8 + 5.7 = 47.0
Intelligence

Qualitative intelligence

Members
6.2M
Drug spend
$0.9B
Formulary
3-tier
PA / RA level
Very High
Biosimilar policy
Mandatory substitution
Avg reimbursement
49 days
Strategic notes

Executive sponsor identified at VP of Pharmacy level; schedule quarterly touchpoint

Peer set

Closest peers in Medicaid

Wisconsin Community Health Alliance
WI · Tier 3
47.1
+0.1
Minnesota Medicaid Health Plan
MN · Tier 3
46.1
-0.9
Molina Medicaid Louisiana
LA · Tier 4
45.7
-1.3
WellCare of Florida
FL · Tier 4
45.4
-1.6
WellCare of Texas
TX · Tier 3
48.8
+1.7
Playbook · Tier 3

Engagement timeline

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