PayerIQ
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Tier 1UTBCBS

Blue Cross Blue Shield Wyoming Insurance

Priority engagement — executive meetings + contract acceleration

Composite
83.7
Rank
#1
Members
8.3M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
100
+25.0
Lives
20%
100
+20.0
Geography
20%
100
+20.0
Restrictions
15%
49
+7.3
Relationship
10%
51
+5.1
Financials
10%
62
+6.2
Composite Score83.7
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 25.0 + 20.0 + 20.0 + 7.3 + 5.1 + 6.2 = 83.7
Intelligence

Qualitative intelligence

Members
8.3M
Drug spend
$2.7B
Formulary
3-tier
PA / RA level
Very High
Biosimilar policy
No policy defined
Avg reimbursement
38 days
Strategic notes

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

Peer set

Closest peers in BCBS

Blue Cross Blue Shield of Oklahoma
ME · Tier 1
78.0
-5.7
Anthem Blue Cross Blue Shield Nevada
WA · Tier 1
77.8
-5.9
Blue Cross Blue Shield Wyoming HMO
SD · Tier 1
77.0
-6.7
Hawaii Medical Service Association PPO
AK · Tier 1
73.7
-10.0
Anthem Blue Cross Blue Shield of Kentucky
NH · Tier 1
72.1
-11.6
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