Manage growing demand for physical rehabilitation and therapy services
Evolent’s Physical Medicine solution brings a comprehensive approach to managing chiropractic, physical therapy, occupational therapy and speech therapy services.
We help plans ensure that members receive the right rehabilitation services at the right frequency and duration.
Our clinical team brings the deep expertise and outcomes-centered approach needed to earn provider’s trust.
Our program integrates with other solutions to ensure high quality, coordinated care throughout the member experience.
Guide evidence-based therapies to improve mobility, increase function and reduce pain
Rehabilitation services are estimated to be a $56 billion industry, with the outpatient therapy market alone expected to reach nearly $36 billion by 2024. Evolent’s Physical Medicine Management Solution seeks to ensure high-quality care for chiropractic, physical therapy, occupational therapy and speech therapy services in a variety of settings, while making care more affordable for all.
Clinical expertise and high-touch provider relations
Specialty-matched experts validate records to ensure medical necessity and compliance with standard and appropriate clinical and billing requirements. These reviewers bring deep knowledge in a variety of subspecialties, such as women’s health, lymphedema, pediatrics, geriatrics, orthopedics/sports medicine, and hand therapy.
- Apply evidence-based guidelines
- Provide appropriate and consistent care at the proper frequency and duration
- Reduce unwarranted variation in treatment
- Foster collegial dialogue, trust and appropriate care by working with, not around, providers
Member-centered care
Our Physical Medicine program considers the person, not just the procedure, and guides the most appropriate and proven treatments.
- Coordinate care among all available services
- Benefit from our team’s expertise in multiple subspecialties
- Help patients achieve optimal physical health
Analytics to drive measurable savings
We monitor and compare provider trends and practice patterns to identify outliers and consult with health plans to shape cost-effective, outcome-driven care. Peer benchmarking, provider profiling and tiering serve as tools to influence practice patterns and help decrease variations in care.
- Manage costs with network strategies and tiering
- Replicate and customize existing networks
- Operate efficiently with flexible claim and payment processing
This program is fully accredited by the National Committee on Quality Assurance and URAC.
Complementary Solutions and Products
Our solutions are designed to work together to connect the complex care experience.