How does Evolent work with health plans, TPAs or the Carriers?
Evolent provider networks are typically fully integrated into the payers existing hospital and physician networks, and transparent to the member or insured. Evolent educates the network providers to direct claims to Evolent offices.
What is the cost to access Evolent networks and care management services?
Evolent offers a variety of arrangements with the payers. Under the most common method, Evolent's administrative fee is included in the fee schedule. Under this arrangement, there is no separate or additional "access fee" to the payer in excess of the fee schedule amounts. Other methods include a per employee per month access fee, percent of savings, per case, or claimant, or capitation. Please call to discuss other options available.