PayerIQ
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Tier 1CTRegional

Providence Health of Connecticut

Priority engagement — executive meetings + contract acceleration

Composite
72.7
Rank
#22
Members
5.1M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
88
+22.0
Lives
20%
100
+20.0
Geography
20%
69
+13.8
Restrictions
15%
47
+7.0
Relationship
10%
46
+4.6
Financials
10%
52
+5.2
Composite Score72.7
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 22.0 + 20.0 + 13.8 + 7.0 + 4.6 + 5.2 = 72.7
Intelligence

Qualitative intelligence

Members
5.1M
Drug spend
$1.5B
Formulary
3-tier
PA / RA level
Moderate
Biosimilar policy
Preferred substitution
Avg reimbursement
83 days
Strategic notes

BCBS plan with regional flexibility; negotiation via BlueCard network possible

Peer set

Closest peers in Regional

ConnectiCare of North Carolina
NC · Tier 2
70.9
-1.8
Dean Health Plan of Mississippi
MS · Tier 2
69.8
-2.8
L.A. Care Health Plan of Pennsylvania
PA · Tier 2
68.9
-3.8
Sunshine Health of South Carolina
SC · Tier 1
76.7
+4.0
FirstChoice of Illinois
IL · Tier 2
68.5
-4.2
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