PayerIQ
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Tier 1WABCBS

Anthem Blue Cross Blue Shield Nevada

Priority engagement — executive meetings + contract acceleration

Composite
77.8
Rank
#5
Members
5.9M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
100
+25.0
Lives
20%
58
+11.6
Geography
20%
100
+20.0
Restrictions
15%
22
+3.3
Relationship
10%
100
+10.0
Financials
10%
79
+7.9
Composite Score77.8
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 25.0 + 11.6 + 20.0 + 3.3 + 10.0 + 7.9 = 77.8
Intelligence

Qualitative intelligence

Members
5.9M
Drug spend
$2.1B
Formulary
5-tier
PA / RA level
Moderate
Biosimilar policy
Case-by-case review
Avg reimbursement
49 days
Strategic notes

Outperforms nationals in local market; key state champion opportunity

Peer set

Closest peers in BCBS

Blue Cross Blue Shield of Oklahoma
ME · Tier 1
78.0
+0.2
Blue Cross Blue Shield Wyoming HMO
SD · Tier 1
77.0
-0.8
Hawaii Medical Service Association PPO
AK · Tier 1
73.7
-4.1
Anthem Blue Cross Blue Shield of Kentucky
NH · Tier 1
72.1
-5.7
Blue Cross Blue Shield Wyoming Insurance
UT · Tier 1
83.7
+5.9
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