Enabling better outcomes.

  

Solutions: Connecting the dots between everyone

eviCore brings together the broadest range of integrated and innovative intelligent care management solutions delivering intelligent care across the entire healthcare continuum, with a focus on quality healthcare that enables better outcomes for our patients, providers, and plans.​


Specialty Solutions

  • Musculoskeletal

    Delivers a comprehensive suite of musculoskeletal solutions that focuses on a patient-centered approach.

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  • Pediatric Musculoskeletal Solution
  • Radiology

    Decreases the use of unwarranted tests and exposure to unnecessary radiation.

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  • Radiation Therapy

    Optimizes patient outcomes by assessing a patient’s specific disease state, stage, and treatment goals.

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  • Medical Benefits Management
  • Cardiology

    Decreases the utilization of inappropriate cardiac imaging tests, diagnostic services, and implantable devices.

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  • Medical Oncology

    Utilizes disease-specific algorithms to optimize clinical and financial outcomes through clinically appropriate treatment.

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  • Sleep

    Lowers costs and improves patient outcomes by analyzing patient’s therapy use and basing interventions on the results​.

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  • Post-Acute Care

    Helps patients receive the right care in the right setting after a hospital stay to improve health outcomes and lower cost.

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  • Lab Management

    Ensures appropriate utilization of genetic testing through clinical policy, medical necessity review, & claims payment rules.

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  • Health Benefit Plans
  • Specialty Drug Management

    Employs evidence-based guidelines to ensure appropriate use, drives drug administration, and ensures payment integrity.

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Market Solutions

  • Provider

    Technology to reduce administrative expense and complexity associated with securing prior authorization.

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  • Health Plan

    Bringing value to the health plan; utilizing evidence-based tools; & engaging providers to contain costs and improve health.

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  • Government

    Provides specialty solutions to the government marketplace.

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  • eviCore Healthcare Solutions
  

About eviCore: At the core of change

eviCore is an intelligent care management company – through its unique position at the heart of patients, providers, and plans – committed to making a positive impact on healthcare.

With more than one thousand doctors and nurses amongst our experienced professionals, we have the expertise to address the perspectives and needs of all our healthcare clients. This complements an evidence-based, patient-centric healthcare management approach that allows us to integrate and apply more informed insights – prompting more focused actions, more custom services, intelligent solutions, and quality healthcare.

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Our Story

eviCore is driven by one simple goal: better outcomes.
  • 25
    Years of Experience
  • 100M+
    Members Managed
  • 4,000+
    Employees Nationwide
  • >1,000
    Clinicians
  

Insights

What’s happening at eviCore? Keep connected and informed of the latest developments, right here.

Blog Post
Ask eviCore: Denied Requests

To begin the new year, our January Ask eviCore feature is focused on adverse determinations and navigating the path forward with your patient after a request has been denied. We receive a lot of questions about this topic, so we've answered some of the most frequently ask...

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Blog Post
Top 10 Blog Posts of 2018

Happy New Year! As we move into 2019, we wanted to take a moment to review some of the knowledge that we shared over the past year.

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Blog Post
Faces of eviCore: Dr. Tod Nakatsuka

Meet Dr. Tod Nakatsuka, DC. Having gone through the authorization process himself, he is able to relate to the pain points that a provider is facing. That understanding allows him to do everything he can to lessen that pain and make a provider’s experience the best that i...

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