PayerIQ
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Tier 4LAMedicaid

Molina Medicaid Louisiana

Deprioritize — minimal contact + revisit annually

Composite
45.7
Rank
#232
Members
6.9M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
54
+13.5
Lives
20%
47
+9.4
Geography
20%
35
+7.0
Restrictions
15%
70
+10.5
Relationship
10%
10
+1.0
Financials
10%
43
+4.3
Composite Score45.7
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 13.5 + 9.4 + 7.0 + 10.5 + 1.0 + 4.3 = 45.7
Intelligence

Qualitative intelligence

Members
6.9M
Drug spend
$1.1B
Formulary
3-tier
PA / RA level
Moderate
Biosimilar policy
Case-by-case review
Avg reimbursement
49 days
Strategic notes

Competitive payer landscape in state; differentiation via HEOR data essential

Peer set

Closest peers in Medicaid

WellCare of Florida
FL · Tier 4
45.4
-0.3
Minnesota Medicaid Health Plan
MN · Tier 3
46.1
+0.4
Sunshine State Health Alaska
AK · Tier 4
44.4
-1.3
Cenpatico Michigan
MI · Tier 3
47.0
+1.3
Wisconsin Community Health Alliance
WI · Tier 3
47.1
+1.4
Playbook · Tier 4

Engagement timeline

Annually
Maintenance review · revisit tier