PayerIQ
Production
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Tier 2VTBCBS

Blue Cross Blue Shield of Louisiana

Active pursuit — access summits + value dossier

Composite
63.4
Rank
#89
Members
5.2M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
100
+25.0
Lives
20%
61
+12.2
Geography
20%
50
+10.0
Restrictions
15%
10
+1.5
Relationship
10%
100
+10.0
Financials
10%
47
+4.7
Composite Score63.4
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 25.0 + 12.2 + 10.0 + 1.5 + 10.0 + 4.7 = 63.4
Intelligence

Qualitative intelligence

Members
5.2M
Drug spend
$2.1B
Formulary
4-tier
PA / RA level
High
Biosimilar policy
Step therapy required
Avg reimbursement
88 days
Strategic notes

Prior collaboration on REMS program; account trust level high

Peer set

Closest peers in BCBS

Blue Cross Blue Shield Nebraska
ND · Tier 2
63.8
+0.4
Blue Cross Blue Shield of Georgia
NH · Tier 2
62.9
-0.5
Blue Cross Blue Shield Montana
VA · Tier 2
62.4
-1.0
Anthem Blue Cross Blue Shield of Maine MCO
CT · Tier 2
61.6
-1.8
Blue Cross Blue Shield Wyoming
NJ · Tier 2
61.5
-1.9
Playbook · Tier 2

Engagement timeline

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