PayerIQ
Production
Back to universe
Tier 3MNNational

Regence BlueCross BlueShield

Monitor & nurture — quarterly touchpoints + data sharing

Composite
57.5
Rank
#162
Members
29.6M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
97
+24.3
Lives
20%
62
+12.4
Geography
20%
34
+6.8
Restrictions
15%
10
+1.5
Relationship
10%
93
+9.3
Financials
10%
32
+3.2
Composite Score57.5
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 24.3 + 12.4 + 6.8 + 1.5 + 9.3 + 3.2 = 57.5
Intelligence

Qualitative intelligence

Members
29.6M
Drug spend
$11.3B
Formulary
3-tier
PA / RA level
Low
Biosimilar policy
Preferred biosimilar policy
Avg reimbursement
18 days
Strategic notes

Data-sharing agreement pending legal review; delay contracting until finalized

Peer set

Closest peers in National

Kaiser Permanente Insurance
MT · Tier 3
57.1
-0.4
Centene Corporation
GA · Tier 3
56.8
-0.7
Blue Cross Blue Shield Association
LA · Tier 2
58.2
+0.8
CVS Caremark
MO · Tier 2
60.5
+3.0
Independence Blue Cross
KS · Tier 3
54.3
-3.2
Playbook · Tier 3

Engagement timeline

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