With more than 30 years of experience serving a variety of payer types including Medicaid, Medicare, commercial and provider-led health plans, we understand that you are continually challenged to improve the health of your members while maintaining – or reducing costs.
Partnering with the Envolve family of companies allows for better healthcare and efficiency in delivery of care for health plans through services in business administration, effective data utilization, clinical excellence and operational support. With a focus on quality and actionable data, we can help you boost Star ratings and increase HEDIS scores. Our proven results and clinical efficiencies help you meet financial targets and margin expectations and provide best-in-class care to your members.
We believe in total solution integration of physical health, behavioral health, total pharmacy management and ancillary services. Working together, our health plan solutions help you minimize costs, improve membership growth and satisfaction, deliver a strong provider network, and benefit from innovative technology solutions – through one simple, flexible partnership.
With some of our clients, we have entered into delegated risk arrangements for a variety of services representing a subset of the total insurance plan that they manage. Doing this allows health plans to operate with budget predictability by deferring the risk premium to Envolve.
Learn more about all our services below and contact us to find how they can be tailored for your needs.