PayerIQ
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Tier 3MNMedicaid

Minnesota Medicaid Health Plan

Monitor & nurture — quarterly touchpoints + data sharing

Composite
46.1
Rank
#229
Members
4.8M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
29
+7.3
Lives
20%
30
+6.0
Geography
20%
51
+10.2
Restrictions
15%
47
+7.0
Relationship
10%
78
+7.8
Financials
10%
78
+7.8
Composite Score46.1
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 7.3 + 6.0 + 10.2 + 7.0 + 7.8 + 7.8 = 46.1
Intelligence

Qualitative intelligence

Members
4.8M
Drug spend
$0.7B
Formulary
3-tier
PA / RA level
Low
Biosimilar policy
Step therapy required
Avg reimbursement
64 days
Strategic notes

Prior collaboration on REMS program; account trust level high

Peer set

Closest peers in Medicaid

Molina Medicaid Louisiana
LA · Tier 4
45.7
-0.4
WellCare of Florida
FL · Tier 4
45.4
-0.7
Cenpatico Michigan
MI · Tier 3
47.0
+0.9
Wisconsin Community Health Alliance
WI · Tier 3
47.1
+1.0
Sunshine State Health Alaska
AK · Tier 4
44.4
-1.7
Playbook · Tier 3

Engagement timeline

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