PayerIQ
Production
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Tier 2NDCommercial

Hennepin Health

Active pursuit — access summits + value dossier

Composite
67.3
Rank
#56
Members
2.9M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
73
+18.3
Lives
20%
79
+15.8
Geography
20%
81
+16.2
Restrictions
15%
20
+3.0
Relationship
10%
50
+5.0
Financials
10%
90
+9.0
Composite Score67.3
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 18.3 + 15.8 + 16.2 + 3.0 + 5.0 + 9.0 = 67.3
Intelligence

Qualitative intelligence

Members
2.9M
Drug spend
$0.8B
Formulary
4-tier
PA / RA level
Very High
Biosimilar policy
Step therapy required
Avg reimbursement
65 days
Strategic notes

Strong balance sheet; specialty pipeline access discussion underway

Peer set

Closest peers in Commercial

CareOregon Managed Care
DC · Tier 2
67.3
0.0
CareOregon
NH · Tier 2
67.2
-0.1
Paramount Health Care
MA · Tier 2
68.9
+1.7
UCare
IA · Tier 2
70.5
+3.3
MDwise HMO
HI · Tier 2
63.4
-3.9
Playbook · Tier 2

Engagement timeline

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