PayerIQ
Sun, May 24, 2026
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Tier 2VAFederal
Medicaid Federal Match Program
Active pursuit — access summits + value dossier
Composite
68.3
Rank
#47
Members
18.2M
Scoring profile
Six-criterion radar
Breakdown
Weighted score contribution
Claims
25%
75
+18.8
Lives
20%
59
+11.8
Geography
20%
89
+17.8
Restrictions
15%
52
+7.8
Relationship
10%
39
+3.9
Financials
10%
83
+8.3
Composite Score68.3
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 18.8 + 11.8 + 17.8 + 7.8 + 3.9 + 8.3 = 68.3
Intelligence
Qualitative intelligence
Members
18.2M
Drug spend
$2.9B
Formulary
2-tier
PA / RA level
High
Biosimilar policy
Step therapy required
Avg reimbursement
46 days
Strategic notes
Strong legacy relationship with regional medical director; preferred placement feasible
Playbook · Tier 2
Engagement timeline
Week 1
Senior medical director engagement
Week 3
Formulary review submission
Quarterly
Account QBR + utilization review