PayerIQ
Production
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Tier 2MACommercial

Paramount Health Care

Active pursuit — access summits + value dossier

Composite
68.9
Rank
#40
Members
3.3M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
63
+15.8
Lives
20%
100
+20.0
Geography
20%
88
+17.6
Restrictions
15%
33
+5.0
Relationship
10%
71
+7.1
Financials
10%
35
+3.5
Composite Score68.9
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 15.8 + 20.0 + 17.6 + 5.0 + 7.1 + 3.5 = 68.9
Intelligence

Qualitative intelligence

Members
3.3M
Drug spend
$1.0B
Formulary
4-tier
PA / RA level
High
Biosimilar policy
Preferred substitution
Avg reimbursement
33 days
Strategic notes

Outperforms nationals in local market; key state champion opportunity

Peer set

Closest peers in Commercial

UCare
IA · Tier 2
70.5
+1.6
Hennepin Health
ND · Tier 2
67.3
-1.7
CareOregon Managed Care
DC · Tier 2
67.3
-1.7
CareOregon
NH · Tier 2
67.2
-1.8
MDwise HMO
HI · Tier 2
63.4
-5.5
Playbook · Tier 2

Engagement timeline

Week 1
Senior medical director engagement
Week 3
Formulary review submission
Quarterly
Account QBR + utilization review