Evolent Health provides value-based care management solutions focusing on complex conditions like cancer, cardiovascular disease, and musculoskeletal issues. The company operates in the healthcare industry, partnering with health plans and risk-bearing entities to enhance care delivery through evidence-based clinical pathways. Evolent's primary offerings include specialty care management services, total cost of care management, and administrative services, utilizing its proprietary CarePro™ platform to support high-quality care delivery.
Evolent generates revenue through fixed fees per member per month, based on non-capitation and capitation arrangements, driven by the number of managed members and utilized services. Its client base primarily consists of payers and providers in the healthcare sector, with whom it maintains long-term partnerships. The company’s operational structure includes various acquisitions, such as New Century Health, Vital Decisions, IPG, and NIA, which have expanded its capabilities in specialty care management.
Key factors impacting Evolent's business performance include its ability to innovate and provide integrated solutions amidst competitive pressures, as well as its focus on performance-based contracts. The company's use of technology, like the Identifi® platform, enhances care delivery efficiency and positions it to meet the evolving needs of the value-based healthcare market.