PayerIQ
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Tier 2AKRegional

UCare of Alaska

Active pursuit — access summits + value dossier

Composite
67.6
Rank
#54
Members
5.2M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
68
+17.0
Lives
20%
98
+19.6
Geography
20%
64
+12.8
Restrictions
15%
48
+7.2
Relationship
10%
57
+5.7
Financials
10%
53
+5.3
Composite Score67.6
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 17.0 + 19.6 + 12.8 + 7.2 + 5.7 + 5.3 = 67.6
Intelligence

Qualitative intelligence

Members
5.2M
Drug spend
$1.3B
Formulary
5-tier
PA / RA level
Moderate
Biosimilar policy
Mandatory substitution
Avg reimbursement
87 days
Strategic notes

High claims volume but federal formulary restrictions require CMS waiver pathway

Peer set

Closest peers in Regional

Scott and White Health Plan of West Virginia
WV · Tier 2
67.7
+0.1
MedStar Health of Washington DC
DC · Tier 2
67.7
+0.1
SelectCare of Utah
UT · Tier 2
67.0
-0.5
FirstChoice of Illinois
IL · Tier 2
68.5
+0.9
MetroPlus Health Plan of Kansas
KS · Tier 2
66.5
-1.1
Playbook · Tier 2

Engagement timeline

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