PayerIQ
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Tier 2IDMedicaid

Idaho Department of Medicaid

Active pursuit — access summits + value dossier

Composite
60.9
Rank
#118
Members
5.8M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
82
+20.5
Lives
20%
34
+6.8
Geography
20%
81
+16.2
Restrictions
15%
26
+3.9
Relationship
10%
46
+4.6
Financials
10%
89
+8.9
Composite Score60.9
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 20.5 + 6.8 + 16.2 + 3.9 + 4.6 + 8.9 = 60.9
Intelligence

Qualitative intelligence

Members
5.8M
Drug spend
$0.8B
Formulary
4-tier
PA / RA level
High
Biosimilar policy
Preferred biosimilar policy
Avg reimbursement
93 days
Strategic notes

Active Medicaid contract renewal cycle; incumbent advantage can be leveraged

Peer set

Closest peers in Medicaid

Medicaid Managed Care New Jersey
NJ · Tier 2
60.8
-0.1
WellCare of Alaska
AK · Tier 2
59.0
-1.9
Medicaid Managed Care Delaware
DE · Tier 2
58.9
-2.0
Centene Medicaid Wyoming
WY · Tier 2
63.8
+2.9
Meridian Health Plan of Kentucky
KY · Tier 3
58.0
-2.9
Playbook · Tier 2

Engagement timeline

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