Evolent Health Services offers a comprehensive suite of administrative and clinical solutions designed to streamline operations for health plans and risk-bearing organizations. By integrating advanced technology with managed services, Evolent enhances operational efficiency, automates workflows, and leverages AI to transform data into actionable insights.
Key Features and Functionality:
- Core Administration: Provides modern administrative capabilities to drive operational efficiency through automation.
- Medical Management: Offers services such as care management, population health management, utilization management, and appeals and grievances.
- Analytics and Reporting: Delivers powerful reporting insights to inform operations and business strategy.
- Customer Service: Ensures high-quality member engagement and satisfaction.
- Pharmacy Benefit Management: Manages pharmacy benefits to optimize therapeutic outcomes.
- Risk Adjustment and Quality: Supports risk adjustment processes and quality improvement initiatives.
- Provider Data and Network Management: Maintains accurate provider data and efficient network management.
- Behavioral Health: Integrates behavioral health services into the overall care model.
- Billing and Finance: Manages billing processes and financial operations.
- Payment Integrity: Ensures accurate and efficient payment processes.
- Actuarial Services: Provides actuarial analysis and support.
Primary Value and Solutions:
Evolent Health Services addresses the challenges faced by health plans and risk-bearing organizations by offering a flexible and comprehensive set of services from a single partner. Their unique hybrid model allows partners to retain essential functions while driving business transformation. By leveraging AI-enabled capabilities and integrated workflows, Evolent reduces medical and administrative costs, improves quality, and enhances member satisfaction.
Who Is the Company Behind Evolent Health Services?
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Seller: Evolent Health
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HQ Location: Arlington, US
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LinkedIn® Page: www.linkedin.com
3,840 employees on LinkedIn®
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Ownership: EVH
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Total Revenue (USD mm): $1,022