PayerIQ
Production
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Tier 3WAPBM

Zinc Health Services HMO

Monitor & nurture — quarterly touchpoints + data sharing

Composite
56.9
Rank
#167
Members
23.0M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
62
+15.5
Lives
20%
54
+10.8
Geography
20%
64
+12.8
Restrictions
15%
29
+4.3
Relationship
10%
63
+6.3
Financials
10%
71
+7.1
Composite Score56.9
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 15.5 + 10.8 + 12.8 + 4.3 + 6.3 + 7.1 = 56.9
Intelligence

Qualitative intelligence

Members
23.0M
Drug spend
$8.9B
Formulary
4-tier
PA / RA level
Low
Biosimilar policy
No policy defined
Avg reimbursement
81 days
Strategic notes

Large covered lives base; formulary team open to outcomes-based contracts

Peer set

Closest peers in PBM

OptumRx MCO
MD · Tier 3
56.9
+0.0
AllianceRx Walgreens Prime Health Plan
HI · Tier 3
56.2
-0.6
Elixir Industries
OR · Tier 3
56.1
-0.8
OptumRx
CT · Tier 2
58.3
+1.4
BioScrip
MN · Tier 2
59.3
+2.4
Playbook · Tier 3

Engagement timeline

Week 2
Account manager check-in
Bi-annually
Formulary monitoring report