PayerIQ
Production
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Tier 2AZRegional

WellStar Health of Arizona

Active pursuit — access summits + value dossier

Composite
62.6
Rank
#97
Members
2.5M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
62
+15.5
Lives
20%
46
+9.2
Geography
20%
78
+15.6
Restrictions
15%
43
+6.5
Relationship
10%
73
+7.3
Financials
10%
86
+8.6
Composite Score62.6
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 15.5 + 9.2 + 15.6 + 6.5 + 7.3 + 8.6 = 62.6
Intelligence

Qualitative intelligence

Members
2.5M
Drug spend
$0.8B
Formulary
3-tier
PA / RA level
Low
Biosimilar policy
No policy defined
Avg reimbursement
21 days
Strategic notes

Competitive payer landscape in state; differentiation via HEOR data essential

Peer set

Closest peers in Regional

UCare of Nebraska
NE · Tier 2
62.5
-0.1
GuildNet of Tennessee
TN · Tier 2
63.0
+0.4
Blue Care Network of Pennsylvania
PA · Tier 2
62.2
-0.4
Medica Health Plans of Tennessee
TN · Tier 2
61.8
-0.9
PreferredOne of Wyoming
WY · Tier 2
61.4
-1.3
Playbook · Tier 2

Engagement timeline

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