PayerIQ
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Tier 3ARRegional

Sharp Health Plan of Arkansas

Monitor & nurture — quarterly touchpoints + data sharing

Composite
57.4
Rank
#163
Members
3.5M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
39
+9.8
Lives
20%
68
+13.6
Geography
20%
51
+10.2
Restrictions
15%
67
+10.0
Relationship
10%
67
+6.7
Financials
10%
71
+7.1
Composite Score57.4
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 9.8 + 13.6 + 10.2 + 10.0 + 6.7 + 7.1 = 57.4
Intelligence

Qualitative intelligence

Members
3.5M
Drug spend
$1.2B
Formulary
3-tier
PA / RA level
Moderate
Biosimilar policy
Mandatory substitution
Avg reimbursement
80 days
Strategic notes

Competitive payer landscape in state; differentiation via HEOR data essential

Peer set

Closest peers in Regional

CareFirst of Ohio
OH · Tier 3
57.8
+0.4
Tufts Health Plan of Tennessee
TN · Tier 3
56.8
-0.6
Johns Hopkins Health Plans of Missouri
MO · Tier 2
58.2
+0.8
SelectCare of New York
NY · Tier 2
58.3
+0.9
Community Health Options of North Dakota
ND · Tier 3
56.3
-1.1
Playbook · Tier 3

Engagement timeline

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