PayerIQ
Production
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Tier 2OKCommercial

Arkansas Blue Cross

Active pursuit — access summits + value dossier

Composite
63.0
Rank
#93
Members
2.7M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
58
+14.5
Lives
20%
70
+14.0
Geography
20%
74
+14.8
Restrictions
15%
45
+6.8
Relationship
10%
70
+7.0
Financials
10%
59
+5.9
Composite Score63.0
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 14.5 + 14.0 + 14.8 + 6.8 + 7.0 + 5.9 = 63.0
Intelligence

Qualitative intelligence

Members
2.7M
Drug spend
$0.7B
Formulary
4-tier
PA / RA level
Low
Biosimilar policy
Step therapy required
Avg reimbursement
64 days
Strategic notes

Strong balance sheet; specialty pipeline access discussion underway

Peer set

Closest peers in Commercial

MDwise HMO
HI · Tier 2
63.4
+0.4
Sunshine Health MCO
NH · Tier 2
61.2
-1.8
CareOregon
NH · Tier 2
67.2
+4.2
Hennepin Health
ND · Tier 2
67.3
+4.3
CareOregon Managed Care
DC · Tier 2
67.3
+4.3
Playbook · Tier 2

Engagement timeline

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