PayerIQ
Production
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Tier 2NERegional

UCare of Nebraska

Active pursuit — access summits + value dossier

Composite
62.5
Rank
#98
Members
4.2M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
63
+15.8
Lives
20%
83
+16.6
Geography
20%
69
+13.8
Restrictions
15%
17
+2.5
Relationship
10%
60
+6.0
Financials
10%
78
+7.8
Composite Score62.5
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 15.8 + 16.6 + 13.8 + 2.5 + 6.0 + 7.8 = 62.5
Intelligence

Qualitative intelligence

Members
4.2M
Drug spend
$1.1B
Formulary
4-tier
PA / RA level
Moderate
Biosimilar policy
Preferred substitution
Avg reimbursement
40 days
Strategic notes

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

Playbook · Tier 2

Engagement timeline

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