PayerIQ
Production
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Tier 1MNPBM

InfuSystem Holdings Insurance

Priority engagement — executive meetings + contract acceleration

Composite
74.8
Rank
#19
Members
24.4M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
79
+19.8
Lives
20%
67
+13.4
Geography
20%
86
+17.2
Restrictions
15%
68
+10.2
Relationship
10%
65
+6.5
Financials
10%
77
+7.7
Composite Score74.8
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 19.8 + 13.4 + 17.2 + 10.2 + 6.5 + 7.7 = 74.8
Intelligence

Qualitative intelligence

Members
24.4M
Drug spend
$8.7B
Formulary
5-tier
PA / RA level
High
Biosimilar policy
Preferred biosimilar policy
Avg reimbursement
54 days
Strategic notes

Geographic advantage in target region; growing Medicare Advantage enrollment

Peer set

Closest peers in PBM

Magellan Rx Management
AZ · Tier 1
75.0
+0.2
CVS Caremark PBM
AZ · Tier 1
75.5
+0.8
Rightway Healthcare
HI · Tier 1
76.1
+1.3
MedImpact Healthcare Systems
OK · Tier 2
71.9
-2.8
Abarca Health
MA · Tier 2
67.2
-7.5
Playbook · Tier 1

Engagement timeline

Week 1
Executive sponsor outreach · contract review
Week 2
Account team alignment · data sharing MoU
Week 4
Strategic roadmap session
Quarterly
C-suite QBR · joint planning