PayerIQ
Production
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Tier 3OKRegional

Paramount Health Care of Oklahoma

Monitor & nurture — quarterly touchpoints + data sharing

Composite
52.3
Rank
#197
Members
2.5M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
44
+11.0
Lives
20%
42
+8.4
Geography
20%
74
+14.8
Restrictions
15%
41
+6.1
Relationship
10%
47
+4.7
Financials
10%
72
+7.2
Composite Score52.3
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 11.0 + 8.4 + 14.8 + 6.1 + 4.7 + 7.2 = 52.3
Intelligence

Qualitative intelligence

Members
2.5M
Drug spend
$0.8B
Formulary
5-tier
PA / RA level
Moderate
Biosimilar policy
Preferred biosimilar policy
Avg reimbursement
35 days
Strategic notes

Patient advocacy partnerships in market; leverage for formulary narrative

Peer set

Closest peers in Regional

Dean Health Plan of Georgia
GA · Tier 3
52.3
+0.0
SilverSummit Healthplan of New Mexico
NM · Tier 3
52.0
-0.2
Fallon Health of Wyoming
WY · Tier 3
51.3
-1.0
Cherokee Health Systems of New Jersey
NJ · Tier 3
53.4
+1.1
MedStar Health of Vermont
VT · Tier 3
54.1
+1.9
Playbook · Tier 3

Engagement timeline

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