PayerIQ
Sun, May 24, 2026
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Tier 2PARegional
Blue Care Network of Pennsylvania
Active pursuit — access summits + value dossier
Composite
62.2
Rank
#102
Members
3.2M
Scoring profile
Six-criterion radar
Breakdown
Weighted score contribution
Claims
25%
49
+12.3
Lives
20%
64
+12.8
Geography
20%
82
+16.4
Restrictions
15%
61
+9.2
Relationship
10%
52
+5.2
Financials
10%
64
+6.4
Composite Score62.2
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 12.3 + 12.8 + 16.4 + 9.2 + 5.2 + 6.4 = 62.2
Intelligence
Qualitative intelligence
Members
3.2M
Drug spend
$0.7B
Formulary
2-tier
PA / RA level
High
Biosimilar policy
Mandatory substitution
Avg reimbursement
69 days
Strategic notes
Outperforms nationals in local market; key state champion opportunity
Playbook · Tier 2
Engagement timeline
Week 1
Senior medical director engagement
Week 3
Formulary review submission
Quarterly
Account QBR + utilization review