PayerIQ
Sun, May 24, 2026
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Tier 2CAMedicare Advantage
Friday Health Plans
Active pursuit — access summits + value dossier
Composite
70.5
Rank
#32
Members
3.8M
Scoring profile
Six-criterion radar
Breakdown
Weighted score contribution
Claims
25%
71
+17.8
Lives
20%
86
+17.2
Geography
20%
80
+16.0
Restrictions
15%
10
+1.5
Relationship
10%
95
+9.5
Financials
10%
86
+8.6
Composite Score70.5
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 17.8 + 17.2 + 16.0 + 1.5 + 9.5 + 8.6 = 70.5
Intelligence
Qualitative intelligence
Members
3.8M
Drug spend
$2.2B
Formulary
2-tier
PA / RA level
Moderate
Biosimilar policy
Preferred substitution
Avg reimbursement
32 days
Strategic notes
Large covered lives base; formulary team open to outcomes-based contracts
Playbook · Tier 2
Engagement timeline
Week 1
Senior medical director engagement
Week 3
Formulary review submission
Quarterly
Account QBR + utilization review