eviCore

Bluffton, United States Founded: 1992 • Age: 34 yrs Acquired By Express Scripts
Medical benefit management solutions are delivered to healthcare organizations.

About eviCore

eviCore is a Healthcare company based in Bluffton (United States) founded in 1992, and was acquired by Express Scripts in October 2017. It operates as a medical benefit management solutions are delivered to healthcare organizations. eviCore has completed 2 acquisitions, including Palladianhealth and QPID Health. Its chief executive is John Joseph Arlotta. Its website evicore.com draws about 202 thousand monthly visits. eviCore offers products and services including Prior Authorization Automation and EviCore intelliPath®. Its focus areas include HealthTech, Healthcare IT, Value Based Care and Population Health Management. Its legal entity is CARECORE NATIONAL, LLC. Its competitors include Genomics, Assurecare, ZeOmega, Cricket Health and Patients Know Best and 2 more; 5 of its 7 listed competitors have raised funding.

Company details

eviCore healthcare offers diversified medical benefit management solutions to healthcare organizations. The company provides these solutions to managed care organizations and risk-bearing provider organizations serving commercial, Medicare and Medicaid populations. The company supports clients by ensuring the right evidence-based care is delivered at the right time to the right patient at the right site of care. Flexible medical benefit management solutions are offered in: Diagnostic Testing and Imaging; Cardiology; Comprehensive Musculoskeletal and Pain Management; Medical and Radiation Oncology; Sleep Services; Lab Management; and Post-Acute Care (including participating in the CMS Bundled Payments for Care Improvement Initiative). Claims to serve over 80 million Americans. Specialty Solutions cater to Radiology, Radiation Therapy, Post-Acute Care, Sleep, Cardiology, Lab Management, Musculoskeletal, Medical Oncology, Specialty Drug Management.

Key Metrics

Products & Services of eviCore

eviCore offers a comprehensive portfolio of products and services, including Prior Authorization Automation and EviCore intelliPath®.

Prior Authorization Automation
Utilization Management Tool

Automates processes for checking authorization requests from providers.

EviCore intelliPath®
Decision Support Platform

Offers intelligent tools for medical treatment and site decisions.

Apps and channels of eviCore

its YouTube channel EviCore by Evernorth has 575 subscribers and 30 videos.

EviCore by Evernorth
YouTube 575 subscribers 30 videos Science & Technology
Open channel

Videos from eviCore

The most watched videos on eviCore's YouTube channel, EviCore by Evernorth (575 subscribers). Click a video to play it here.

Understanding EviCore's Approach to Patient-Centered Care
53.3K views
Radiation Oncology 101 | eviCore Webinar Series
3.7K views
Medical Oncology Clinical Trials | eviCore Webinar Series
3.1K views
Medical Oncology 101 for Healthcare Professionals | eviCore Webinar Series
3.1K views

More on EviCore by Evernorth .

Funding Insights of eviCore

  • Total Rounds 3
  • Investors Count 3

All 3 funding rounds of eviCore with amounts and investors; the two latest post-money valuations are shown, the rest are part of the premium plan.

DateAmountTransaction NameValuationLead InvestorsInvestors
Jun 2014–Private Equity Round––
Jun 2014–Private Equity Round––
Jun 2010–Private Equity Round––
Valuation history

4 investors in total: 4 institutional.

Investors in eviCore

eviCore has secured backing from 4 investors, including venture fund and institutional investors. Prominent investors backing the company include Express Scripts, General Atlantic and Ridgemont Equity partners.

All
Venture Fund
Institutional
InvestorDescriptionFounded YearDomainLocation
Mid-market companies are invested in by this private equity firm.
–ridgemontep.comCharlotte, United States
Private equity fund focused on global markets
1980generalatlantic.comNew York, United States
Multiple sectors are invested in by private equity firm TA.
–ta.comBoston, United States
Pharmacy benefit management services are delivered through SaaS platforms.
1986express-scripts.comSt. Louis, United States
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Investor details for eviCore

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People of eviCore

24 people are tracked at eviCore (19 in leadership, 5 in team).

NameRoleGroup
John Joseph Arlotta
CEOLeadership
Rodney Schmucker
Managing Director, eviCore OperationsLeadership
David Smith
President, Medical Benefits ManagementLeadership
Christopher Chisholm
Medical DirectorLeadership
Melvin Gaskins
Senior Medical DirectorLeadership
David Newlin
IT Director - Voice And Collaboration At EvicoreLeadership
Cassie Kuo
Medical DirectorLeadership
Jenny Butler M.D.
Medical DirectorLeadership
Delecia R. Robinson
Senior Medical DirectorLeadership
Celeste Player
President, Evicore By EvernorthLeadership
Alison S. Hanowell
Medical DirectorLeadership
Alia Lepere
Medical Director Post Acute CareLeadership
Nipun Aggarwal
Associate Medical DirectorLeadership
Denise Morita
Medical DirectorLeadership
Magda E. Sanchez
Medical DirectorLeadership
Bimpe Fashanu
Medical DirectorLeadership
Norman Scarborough
Senior Vice President & Chief Medical Officer, RadiologyLeadership
Dawn T.
Medical Director - RadiologyLeadership
Andrew Lynch
Medical Director, Muskuloskeletal ServicesLeadership
Eric J. Gratias
Dynamic Physician ExecutiveTeam

4 more people are available in the full profile.

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Complete people profiles for eviCore

Full employee and board profiles, team structure, tenure and professional contact details require an active premium plan.

  • Full employee list
  • Team structure
  • Board tenure
  • Professional contacts

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Investments & Acquisitions by eviCore

eviCore has strategically engaged in corporate development activities, having acquired 2 companies. Notable acquisitions include Palladianhealth and QPID Health.

Acquisitions
Company NameDescriptionDomainLocationFoundedAcquiredAmount
-
palladianhealth.comWest Seneca, United States1994Feb 2018••••
Clinical insights platform for healthcare providers.
qpidhealth.comBoston, United States2012Feb 2016••••
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Complete acquisition details for eviCore

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  • Acquired stakes
  • Deal sources
  • Complete history
  • Exports

Verified entity values are shown only after access is granted.

Timeline of eviCore

6 dated milestones of eviCore across 26 years, from founding to its latest funding, stage changes and deals.

  1. Founded eviCore is founded.
  2. Funding First funding round.
  3. Funding Latest funding round, Private Equity Round,.
  4. Acquisition Acquires QPID Health.
  5. Exit Acquired by Express Scripts.
  6. Acquisition Acquires Palladianhealth.

Competitors of eviCore

eviCore has 7 listed competitors in our database, 5 of them funded. They include Genomics, Assurecare, ZeOmega, Cricket Health and Patients Know Best, among others.

Company NameDomainFoundedHQ LocationTotal fundingEmployeesDescription
genomics.com2014Oxford, United Kingdom$115.54M–
Genomic risk assessment and prevention platform is provided.
assurecare.com1997Cincinnati, United States––
Digital population health management is provided for healthcare professionals.
zeomega.com2001Plano, United States$21.5M496
Population health management software is provided to payers and providers.
crickethealth.com2015San Francisco, United States$112.85M–
High-risk patients are identified through advanced analytics for kidney care.
patientsknowbest.com2008Cambridge, United Kingdom$22.6M59
Personal health records software is provided for healthcare organizations.
hilabs.com2014Olney, United States$39.25M154
Provider of a DIY data science platform for health organizations to explore data and get insights
apollomed.net2001Glendale, United States–1,800
Health ecosystem participants are connected and provider support is integrated.
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Detailed competitors of eviCore

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  • Full competitor set
  • Operating metrics
  • Benchmarks
  • Competitive positioning

Verified entity values are shown only after access is granted.

Web traffic of eviCore

The website of eviCore (evicore.com) receives about 201.7K visits a month and ranks #161,175 among all websites worldwide, #5,051 in Health.

  • Monthly visits
    201.7K

    ▼ 21.8% vs previous month

  • Unique visitors
    38.5K

    per month

  • Global rank
    #161,175

    among all websites

  • Category rank
    #5,051

    Health · Health

Similar websites

Websites whose visitors overlap most with eviCore. Affinity shows how closely the audiences match.

WebsiteDomainAudience affinityMonthly visitsGlobal rankProfile
providerportal.com
100%
–#64,352View details
uhcprovider.com
100%
4.4M#13,725View details
radmd.com
97%
208K#150,565View details
availity.com
92%
8.5M#4,842View details
cms.gov
72%
4.6M#12,694View details
••••••••••••••••.com••%•.•M#•••••–
••••••••••••••••.com••%•.•M#•••••–
••••••••••••••••.com••%•.•M#•••••–
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All 17 similar websites and full traffic analytics for eviCore

The complete similar-websites list, audience overlap and engagement analytics require an active premium plan.

  • 17 similar websites
  • Audience overlap
  • Engagement analytics
  • Traffic by brand

Verified entity values are shown only after access is granted.

Top companies in Clinical IT & Data Platforms

10 companies that operate in the same segment as eviCore (Clinical IT & Data Platforms), ranked by their profile score on The Company Check.

CompanyDescriptionFoundedLocationTotal fundingRevenueEmployees
Provider of fitness memberships encompassing group classes, gyms, and at-home workouts
2016Bengaluru, Karnataka, IndiaUSD 716.99 M–1,832
Employee health benefits are facilitated via a cloud-based platform.
2007Plymouth Meeting, Pennsylvania, United StatesUSD 228.3 M––
Healthcare appointments are booked online via Zocdoc's platform.
2007New York, New York, United StatesUSD 425.97 MUSD 4.66 M1,365
Virtual physical therapy and digital pain care solutions are provided.
2015San Francisco, California, United StatesUSD 854.44 M–1,746
Tech-enabled mental health solutions for employers are provided.
2016New York, New York, United StatesUSD 473.73 M–3,902
App-based health insurance is offered to individuals and businesses.
2016Paris, Ile de France, FranceUSD 863.12 M–1,606
Virtual care programs for managing chronic diseases are provided.
2011San Francisco, California, United StatesUSD 450.12 MUSD 260.21 M992
AI-driven EMR and practice management software is delivered for clinics.
2010Boca Raton, Florida, United StatesUSD 329.17 M–2,470
Cloud-based administrative tools for healthcare providers are offered.
1997Watertown, United StatesUSD 40 M––
Membership-based primary care platform is offered for employees and consumers.
2007San Francisco, California, United StatesUSD 402.56 M––
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Related news about Evicore

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Complete news archive for eviCore

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Verified entity values are shown only after access is granted.

Frequently Asked Questions about eviCore

eviCore was founded in 1992 and raised its 1st funding round 18 years after it was founded.

eviCore is headquartered in Bluffton, United States. It is registered at Bluffton, South Carolina, United States.

John Joseph Arlotta is the current CEO of eviCore.

eviCore healthcare offers diversified medical benefit management solutions to healthcare organizations. The company provides these solutions to managed care organizations and risk-bearing provider organizations serving commercial, Medicare and Medicaid populations. The company supports clients by ensuring the right evidence-based care is delivered at the right time to the right patient at the right site of care. Flexible medical benefit management solutions are offered in: Diagnostic Testing and Imaging; Cardiology; Comprehensive Musculoskeletal and Pain Management; Medical and Radiation Oncology; Sleep Services; Lab Management; and Post-Acute Care (including participating in the CMS Bundled Payments for Care Improvement Initiative). Claims to serve over 80 million Americans. Specialty Solutions cater to Radiology, Radiation Therapy, Post-Acute Care, Sleep, Cardiology, Lab Management, Musculoskeletal, Medical Oncology, Specialty Drug Management.

eviCore's top competitors include HiLabs, Patients Know Best and Assurecare.

eviCore offers Prior Authorization Automation and EviCore intelliPath®.

eviCore has made 2 acquisitions, including Palladianhealth, and QPID Health.

eviCore has 4 investors. Key investors include Express Scripts, General Atlantic, Ridgemont Equity partners, and TA Associates.

eviCore operates through Carecore National, Llc.

Yes. eviCore was acquired by Express Scripts in October 2017.

The website of eviCore receives about 202 thousand visits a month and ranks #161,175 among all websites worldwide.

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