PayerIQ
Production
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Tier 3GARegional

Dean Health Plan of Georgia

Monitor & nurture — quarterly touchpoints + data sharing

Composite
52.3
Rank
#196
Members
3.9M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
78
+19.5
Lives
20%
70
+14.0
Geography
20%
34
+6.8
Restrictions
15%
10
+1.5
Relationship
10%
51
+5.1
Financials
10%
54
+5.4
Composite Score52.3
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 19.5 + 14.0 + 6.8 + 1.5 + 5.1 + 5.4 = 52.3
Intelligence

Qualitative intelligence

Members
3.9M
Drug spend
$1.1B
Formulary
3-tier
PA / RA level
High
Biosimilar policy
Preferred substitution
Avg reimbursement
93 days
Strategic notes

Strong balance sheet; specialty pipeline access discussion underway

Peer set

Closest peers in Regional

Paramount Health Care of Oklahoma
OK · Tier 3
52.3
-0.0
SilverSummit Healthplan of New Mexico
NM · Tier 3
52.0
-0.3
Fallon Health of Wyoming
WY · Tier 3
51.3
-1.0
Cherokee Health Systems of New Jersey
NJ · Tier 3
53.4
+1.1
MedStar Health of Vermont
VT · Tier 3
54.1
+1.8
Playbook · Tier 3

Engagement timeline

Week 2
Account manager check-in
Bi-annually
Formulary monitoring report