PayerIQ
Production
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Tier 2NENational

Independence Blue Cross Managed Care

Active pursuit — access summits + value dossier

Composite
62.1
Rank
#103
Members
30.0M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
68
+17.0
Lives
20%
71
+14.2
Geography
20%
55
+11.0
Restrictions
15%
28
+4.2
Relationship
10%
77
+7.7
Financials
10%
80
+8.0
Composite Score62.1
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 17.0 + 14.2 + 11.0 + 4.2 + 7.7 + 8.0 = 62.1
Intelligence

Qualitative intelligence

Members
30.0M
Drug spend
$9.5B
Formulary
4-tier
PA / RA level
Low
Biosimilar policy
Mandatory substitution
Avg reimbursement
42 days
Strategic notes

Strong balance sheet; specialty pipeline access discussion underway

Peer set

Closest peers in National

MetroPlus Health Plan
KY · Tier 2
62.0
-0.1
Humana
TN · Tier 2
61.9
-0.2
WellCare Health Plans
CO · Tier 2
61.8
-0.4
Dean Health Plan
CA · Tier 2
61.6
-0.5
Humana Insurance
NC · Tier 2
61.1
-1.0
Playbook · Tier 2

Engagement timeline

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