PayerIQ
Production
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Tier 2OKPBM

MedImpact Healthcare Systems

Active pursuit — access summits + value dossier

Composite
71.9
Rank
#24
Members
31.5M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
54
+13.5
Lives
20%
87
+17.4
Geography
20%
85
+17.0
Restrictions
15%
42
+6.3
Relationship
10%
100
+10.0
Financials
10%
77
+7.7
Composite Score71.9
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 13.5 + 17.4 + 17.0 + 6.3 + 10.0 + 7.7 = 71.9
Intelligence

Qualitative intelligence

Members
31.5M
Drug spend
$10.6B
Formulary
6-tier
PA / RA level
Very High
Biosimilar policy
Preferred biosimilar policy
Avg reimbursement
26 days
Strategic notes

Executive sponsor identified at VP of Pharmacy level; schedule quarterly touchpoint

Peer set

Closest peers in PBM

InfuSystem Holdings Insurance
MN · Tier 1
74.8
+2.8
Magellan Rx Management
AZ · Tier 1
75.0
+3.0
CVS Caremark PBM
AZ · Tier 1
75.5
+3.6
Rightway Healthcare
HI · Tier 1
76.1
+4.2
Abarca Health
MA · Tier 2
67.2
-4.7
Playbook · Tier 2

Engagement timeline

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