Reduce imaging costs and improve member safety
Most imaging studies provide critical insights to patient care, while some just drive up costs and radiation safety risks. Evolent helps health plans tell the difference.
Evolent works with providers to select the most appropriate imaging studies to inform diagnosis and treatment.
We help avoid inappropriate studies that expose patients to excessive radiation and may result in additional unnecessary workups.
By avoiding low-value and inappropriate imaging studies, Evolent enables plans to reduce costs to plans and members.
Radiology costs and utilization are increasing. Evolent can help.
Up to half of advanced imaging studies fail to provide information that improves patients’ welfare and frequently generate further unnecessary imaging and downstream care.1 Despite clear data demonstrating overuse, rates of advanced imaging procedures continue to rise, subsequently increasing costs and exposing members to excessive radiation. Inappropriate imaging studies can produce incidental findings, bringing potentially unnecessary downstream care that can increase risks, costs and anxiety for patients.
Evolent’s decades of experience ensuring that imaging studies are appropriate and medically necessary can help reduce overall spend for your health plan while improving patient safety. Our solution has been shown to reduce member procedural radiation exposure by an average of 30%.
Comprehensive scope with specialized experience
Our Radiology Solution offers guideline review for multiple imaging services.
- Manage MRI/MRA, CT/CTA and PET
- Engage with 175 licensed, board-certified specialty and sub-specialty physicians
- Support from highly specialized nurses with expertise in cardiology, neurology, oncology, orthopedics, pain management and many other fields
Provider- and member-focused
Through our high-touch service and robust online resources, Evolent provides support and education for providers about radiation exposure, ensuring patient safety remains a priority.
- Minimize imaging that does not impact medical decision making
- Select high-quality, cost-effective imaging facilities
- Identify quality improvement and savings opportunities
Integration across the clinical continuum
Our programs are designed to work in concert with other Evolent solutions and products. By combining advanced imaging with our offerings in oncology, cardiology, musculoskeletal care, genetic testing, physical medicine and other specialties, we aim to increase savings while improving care across the care continuum, leading to a better experience for both the member and the provider.
- Lower costs and improve care throughout the member experience
- Leverage advanced clinical analytics across multiple solutions
- Provide total care management of complex populations
This solution is fully accredited by the National Committee for Quality Assurance and URAC.
1 Jury, Farrin B. 2015. Addressing medical imaging overutilization with clinical decision support. Utica College, ProQuest Dissertations Publishing
Complementary Solutions and Products
Our solutions are designed to work together to connect the complex care experience.