PayerIQ
Production
Back to universe
Tier 3ARNational

HealthSpring

Monitor & nurture — quarterly touchpoints + data sharing

Composite
54.0
Rank
#190
Members
23.8M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
78
+19.5
Lives
20%
48
+9.6
Geography
20%
62
+12.4
Restrictions
15%
13
+1.9
Relationship
10%
40
+4.0
Financials
10%
66
+6.6
Composite Score54.0
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 19.5 + 9.6 + 12.4 + 1.9 + 4.0 + 6.6 = 54.0
Intelligence

Qualitative intelligence

Members
23.8M
Drug spend
$6.8B
Formulary
3-tier
PA / RA level
Moderate
Biosimilar policy
Case-by-case review
Avg reimbursement
78 days
Strategic notes

Recent merger with regional system creates expanded formulary committee access

Peer set

Closest peers in National

AmeriHealth
UT · Tier 3
54.1
+0.1
Independence Blue Cross
KS · Tier 3
54.3
+0.2
Centene Corporation
GA · Tier 3
56.8
+2.8
Kaiser Permanente Insurance
MT · Tier 3
57.1
+3.1
Regence BlueCross BlueShield
MN · Tier 3
57.5
+3.4
Playbook · Tier 3

Engagement timeline

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