PayerIQ
Production
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Tier 3LARegional

Premera Blue Cross of Louisiana

Monitor & nurture — quarterly touchpoints + data sharing

Composite
48.0
Rank
#217
Members
2.0M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
75
+18.8
Lives
20%
36
+7.2
Geography
20%
57
+11.4
Restrictions
15%
10
+1.5
Relationship
10%
37
+3.7
Financials
10%
55
+5.5
Composite Score48.0
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 18.8 + 7.2 + 11.4 + 1.5 + 3.7 + 5.5 = 48.0
Intelligence

Qualitative intelligence

Members
2.0M
Drug spend
$0.5B
Formulary
6-tier
PA / RA level
Low
Biosimilar policy
Mandatory substitution
Avg reimbursement
57 days
Strategic notes

BCBS plan with regional flexibility; negotiation via BlueCard network possible

Peer set

Closest peers in Regional

New Mexico Health Connections of Washington
WA · Tier 3
47.8
-0.3
HarmonyCare of Delaware
DE · Tier 3
47.6
-0.4
Oscar Health of Oklahoma
OK · Tier 3
47.4
-0.6
Tufts Health Plan of Connecticut
CT · Tier 3
48.7
+0.7
New Mexico Health Connections of Kansas
KS · Tier 3
48.8
+0.7
Playbook · Tier 3

Engagement timeline

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