PayerIQ
Production
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Tier 3KSNational

Independence Blue Cross

Monitor & nurture — quarterly touchpoints + data sharing

Composite
54.3
Rank
#187
Members
25.5M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
31
+7.8
Lives
20%
56
+11.2
Geography
20%
69
+13.8
Restrictions
15%
68
+10.2
Relationship
10%
50
+5.0
Financials
10%
63
+6.3
Composite Score54.3
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 7.8 + 11.2 + 13.8 + 10.2 + 5.0 + 6.3 = 54.3
Intelligence

Qualitative intelligence

Members
25.5M
Drug spend
$8.9B
Formulary
4-tier
PA / RA level
High
Biosimilar policy
Preferred substitution
Avg reimbursement
26 days
Strategic notes

Executive sponsor identified at VP of Pharmacy level; schedule quarterly touchpoint

Peer set

Closest peers in National

AmeriHealth
UT · Tier 3
54.1
-0.1
HealthSpring
AR · Tier 3
54.0
-0.2
Centene Corporation
GA · Tier 3
56.8
+2.5
Kaiser Permanente Insurance
MT · Tier 3
57.1
+2.9
Regence BlueCross BlueShield
MN · Tier 3
57.5
+3.2
Playbook · Tier 3

Engagement timeline

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