PayerIQ
Production
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Tier 3LAMedicaid

Meridian Health Plan of Louisiana

Monitor & nurture — quarterly touchpoints + data sharing

Composite
56.0
Rank
#178
Members
9.3M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
81
+20.3
Lives
20%
55
+11.0
Geography
20%
79
+15.8
Restrictions
15%
14
+2.1
Relationship
10%
40
+4.0
Financials
10%
29
+2.9
Composite Score56.0
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 20.3 + 11.0 + 15.8 + 2.1 + 4.0 + 2.9 = 56.0
Intelligence

Qualitative intelligence

Members
9.3M
Drug spend
$1.3B
Formulary
4-tier
PA / RA level
Very High
Biosimilar policy
Case-by-case review
Avg reimbursement
55 days
Strategic notes

Large covered lives base; formulary team open to outcomes-based contracts

Peer set

Closest peers in Medicaid

New Mexico Medicaid Health Plan
NM · Tier 3
55.9
-0.1
Community Care Alliance Vermont Health Plan
VT · Tier 3
55.8
-0.3
Medicaid Managed Care Hawaii
HI · Tier 3
56.4
+0.3
Molina Medicaid Iowa
IA · Tier 3
56.5
+0.4
Cenpatico California
CA · Tier 3
57.5
+1.5
Playbook · Tier 3

Engagement timeline

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