EHS-2212469-0412
Modern, End-to-End Platform
AI-enabled capabilities drive automation, consumer engagement and
operational efficiency.
• Integrated clinical and administrative workflows
• Powerful reporting insights to drive operations and business strategy
• Experienced implementation
We Partner Differently
We offer a unique hybrid model that ensures partners have the right solution
set they need to drive business transformation, while ensuring they retain functions
most important to them.
• Comprehensive yet flexible set of services from a single partner
• Line of business-specific or support across your book of business
• Highly aligned partnership model, supported by a collaborative team
TECHNOLOGY & SERVICES PURPOSE BUILT FOR
GOVERNMENT PROGRAM ADMINISTRATION
Evolent Health Services provides modern administrative and clinical capabilities along with managed
services to health plans and risk-bearing organizations. We drive operational efficiency through higher
levels of automation, enhance member engagement using a modern, fully integrated end-to-end
platform, and leverage AI to convert data into actionable insights.
REDUCE MEDICAL SPEND AND ADMINISTRATIVE COSTS WHILE
IMPROVING QUALITY AND MEMBER SATISFACTION
Evolent's 20+ years of health plan expertise, combined with our unparalleled digital platform,
enables health plans to reduce MLR and ALR while simultaneously achieving accelerated growth.
Core Administrative and Clinical Services
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evolenthealthservices.com
• Core Administration
• Medical Management
(CM, PHM, UM, A&G)
• Analytics and Reporting
• Encounters
Services and Capabilities
• Customer Service
• Pharmacy Benefit Management
• Risk Adjustment and Quality
• Provider Data and
Network Management
• Behavioral Health
• Billing and Finance
• Payment Integrity
• Actuarial Services
