PayerIQ
Production
Back to universe
Tier 2MSRegional

Dean Health Plan of Mississippi

Active pursuit — access summits + value dossier

Composite
69.8
Rank
#35
Members
5.2M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
62
+15.5
Lives
20%
97
+19.4
Geography
20%
56
+11.2
Restrictions
15%
55
+8.3
Relationship
10%
55
+5.5
Financials
10%
100
+10.0
Composite Score69.8
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 15.5 + 19.4 + 11.2 + 8.3 + 5.5 + 10.0 = 69.8
Intelligence

Qualitative intelligence

Members
5.2M
Drug spend
$1.2B
Formulary
4-tier
PA / RA level
Moderate
Biosimilar policy
Mandatory substitution
Avg reimbursement
77 days
Strategic notes

Competitive payer landscape in state; differentiation via HEOR data essential

Peer set

Closest peers in Regional

L.A. Care Health Plan of Pennsylvania
PA · Tier 2
68.9
-0.9
ConnectiCare of North Carolina
NC · Tier 2
70.9
+1.1
FirstChoice of Illinois
IL · Tier 2
68.5
-1.3
Scott and White Health Plan of West Virginia
WV · Tier 2
67.7
-2.2
MedStar Health of Washington DC
DC · Tier 2
67.7
-2.2
Playbook · Tier 2

Engagement timeline

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