PayerIQ
Production
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Tier 1SDBCBS

Blue Cross Blue Shield Wyoming HMO

Priority engagement — executive meetings + contract acceleration

Composite
77.0
Rank
#8
Members
7.4M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
77
+19.3
Lives
20%
100
+20.0
Geography
20%
79
+15.8
Restrictions
15%
27
+4.0
Relationship
10%
86
+8.6
Financials
10%
93
+9.3
Composite Score77.0
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 19.3 + 20.0 + 15.8 + 4.0 + 8.6 + 9.3 = 77.0
Intelligence

Qualitative intelligence

Members
7.4M
Drug spend
$2.7B
Formulary
6-tier
PA / RA level
None
Biosimilar policy
Preferred substitution
Avg reimbursement
40 days
Strategic notes

CMS Star Rating above 4.0; quality bonus payments create room for contract flexibility

Peer set

Closest peers in BCBS

Anthem Blue Cross Blue Shield Nevada
WA · Tier 1
77.8
+0.8
Blue Cross Blue Shield of Oklahoma
ME · Tier 1
78.0
+1.0
Hawaii Medical Service Association PPO
AK · Tier 1
73.7
-3.3
Anthem Blue Cross Blue Shield of Kentucky
NH · Tier 1
72.1
-4.9
Anthem Blue Cross Blue Shield of Indiana
AK · Tier 2
71.5
-5.5
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