PayerIQ
Sun, May 24, 2026
Back to universe
Tier 2WYBCBS
Wellmark Blue Cross Blue Shield Iowa
Active pursuit — access summits + value dossier
Composite
66.8
Rank
#62
Members
6.3M
Scoring profile
Six-criterion radar
Breakdown
Weighted score contribution
Claims
25%
83
+20.8
Lives
20%
73
+14.6
Geography
20%
92
+18.4
Restrictions
15%
18
+2.7
Relationship
10%
71
+7.1
Financials
10%
32
+3.2
Composite Score66.8
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 20.8 + 14.6 + 18.4 + 2.7 + 7.1 + 3.2 = 66.8
Intelligence
Qualitative intelligence
Members
6.3M
Drug spend
$1.9B
Formulary
4-tier
PA / RA level
Moderate
Biosimilar policy
Mandatory substitution
Avg reimbursement
61 days
Strategic notes
Strong balance sheet; specialty pipeline access discussion underway
Peer set
Closest peers in BCBS
Hawaii Medical Service Association
SC · Tier 2
67.5
+0.8
Blue Cross Blue Shield of Rhode Island Health Plan
TN · Tier 2
67.7
+0.9
Anthem Blue Cross Blue Shield of Colorado
AK · Tier 2
67.8
+1.0
Blue Cross Blue Shield of Massachusetts Insurance
GA · Tier 2
68.0
+1.2
Arkansas Blue Cross and Blue Shield
PA · Tier 2
65.5
-1.3
Playbook · Tier 2
Engagement timeline
Week 1
Senior medical director engagement
Week 3
Formulary review submission
Quarterly
Account QBR + utilization review