Enabling better outcomes.

  

Solutions: Connecting the dots between everyone

eviCore brings together the broadest range of integrated, 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

    Ensures providers meet their financial objective while acting as an extension of their model.

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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.
  • 20+
    Years of Experience
  • 100M+
    Members Managed
  • 3,000+
    Employees Nationwide
  • >1,000
    Clinicians
  

Media: Now & Next

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

Study: First-of-its-Kind Online Chemotherapy Approval Protocol Accelerates Cance...
Press Release

Journal of Oncology Practice publishes results of a UnitedHealthcare pilot that expedited treatment approvals, increased coverage approval rates and lowered treatment costs.

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Medical Benefit Management Company
Health IT company QPID Health acquired by eviCore
Press Release

Combined entity will support healthcare’s shift to value-based care with advanced analytics, software and services to support payers, hospitals, physicians and patients.

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How can I Avoid Peer-to-Peer Conversations?
Blog Post

In my first few years as a Medical Director at eviCore, I was surprised at how many requested imaging studies were being denied — even for what appeared to be routine studies — and how often peer-to-peer (P2P) phone conversations took place. Since then, I have been committed to helping other providers avoid peer-to-peers by educating them on ways to avoid denials.

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