PayerIQ
Production
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Tier 2CORegional

Hennepin Health of Colorado

Active pursuit — access summits + value dossier

Composite
60.8
Rank
#120
Members
2.0M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
55
+13.8
Lives
20%
47
+9.4
Geography
20%
70
+14.0
Restrictions
15%
98
+14.7
Relationship
10%
55
+5.5
Financials
10%
34
+3.4
Composite Score60.8
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 13.8 + 9.4 + 14.0 + 14.7 + 5.5 + 3.4 = 60.8
Intelligence

Qualitative intelligence

Members
2.0M
Drug spend
$0.7B
Formulary
2-tier
PA / RA level
Low
Biosimilar policy
Step therapy required
Avg reimbursement
76 days
Strategic notes

Strong balance sheet; specialty pipeline access discussion underway

Peer set

Closest peers in Regional

Martin's Point Health Care of Oklahoma
OK · Tier 2
60.5
-0.2
Florida Blue of South Dakota
SD · Tier 2
60.5
-0.3
Gateway Health Plan of Maine
ME · Tier 2
60.4
-0.4
Johns Hopkins Health Plans of Oregon
OR · Tier 2
61.1
+0.4
SCAN Health Plan of South Carolina
SC · Tier 2
60.3
-0.5
Playbook · Tier 2

Engagement timeline

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