Total Health Plan Management, Evolved.
Healthcare today is archaic, reactionary, and ritualized.
At Evolve, these days are over.
Why Traditional Healthcare Fails.
Year after year, the ritual repeats:
You're presented with renewal options. Premiums have jumped again with no clear explanation why.
You ask for claims data to understand what's driving costs... and the response is vague at best.
You're told cost management solutions exist, but they barely touch the high-cost claims that actually drive your increases.
So you accept another unjustifiable increase and move on.
Until next year, when it happens all over again.
Our Approach
Proactive Risk Management
As risk managers, we take a proactive and controlled approach to self-funded and level-funded health plans. We allow data and strategic analysis to drive solutions.
Through best-in-class TPA services, we build customized health plans with integrated cost containment that produces better benefits, better pricing, and enhancements that employers and employees love.
Evolve Health Plans
Evolve brings together all key plan components into a single, coordinated platform—creating a more effective approach for employers. As a
Super General Agency (GA), we partner with elite brokers & advisors nationwide, enabling them to deliver better-performing health plans with less fragmentation.
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Managed Underwriting Services
Smarter risk selection and plan structuring for long-term sustainability
2
Best-in-Class Third Party Administration
Transparent claims, real-time data, and operational excellence
3
High-Performance PPO Networks
Broad access paired with aggressively negotiated pricing
4
Evolve Rx & Specialty Drug Programs
Targeted pharmacy strategies to control your fastest-growing expense
5
Strategic Stop Loss & Insurance Solutions
Integrated protection that aligns with your overall cost strategy
Built for Elite Brokers Nationwide.
One partner. One platform. Total control.
Next-Gen Cost Containment Solutions
We understand the cost drivers of healthcare and build winning programs with cost management and avoidance in mind.
Our Solutions:
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Third Party Administration (TPA Services)
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Customized Level-Funded & Self-Funded Solutions
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Custom Built Community Health Plans
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Custom Built Association Health Plans
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High-Performance Networks
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Evolve Rx / PBM Carve Out Plans
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Bill Review / Claims Editing
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Medical Case Management
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Medical Infusion Savings Programs
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Biosimilar Reviews
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Diagnostic Imaging Savings Programs
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High-cost Brand & Specialty Drug Savings Programs
"Evolve Benefits is amazing. Truly an innovative cost containment company that produces real results"
- Pharmaceutical consulting company