TO EVOLVE MEANS TO CHANGE THROUGH TIME
It's time to change how you think about healthcare.
It's time for your benefits program to EVOLVE
The current trends and premium increases in healthcare are unsustainable. Everyone knows that healthcare is broken and out of control. Stop going through the same annual quoting exercises and accepting less benefits at a higher price. Stop doing the same thing and expecting different results. Your next annual insurance increase is coming so let's get ahead of it.
​

Is the pain of change greater than the pain
of staying where you're at?

Evolve Benefits & Administrators
Perfect for Brokers. Great for Employers.
Evolve is a healthcare cost management company that provides customized health plan solutions with integrated cost containment, and Third Party Administration (TPA) services to small and mid-sized employers nationwide. We partner with a national network of elite brokers and advisors to help employers gain control over rising healthcare costs—without sacrificing the quality of their employee benefits.
We were founded by industry experts specializing in different but complementary skill sets consisting of underwriting, medical bill review, claims administration, specialty Rx, and high-impact cost and risk management strategies. We deliver top-tier talent, tools, and strategic insights that give our broker and advisor partners a decisive advantage to win for their clients.
​
Unfortunately, healthcare has become a game that's very hard to win. To play, we subject ourselves to an endless procession of broker quoting, spreadsheets and cost comparisons followed by justifications for increased premiums and benefits that have been eroded.
​
Ever wonder what these pointless exercises are accomplishing?
​
If you want a partner that can deliver better outcomes, next generation cost management strategies, lower costs, and happier employees come to Evolve.
​​
It is time to spark a revolution in healthcare. ​​
​

IT'S A REVOLUTION
Healthcare today is archaic, reactionary and ritualized. Employers go through the motions taking increases that can't be justified and accept that they are not able to receive adequate claims data. It's hard to find effective cost management and what's out there does very little to address the high-cost claims that drive premium increases that keep you up at night. At Evolve, these days are over.
As risk managers, we take a proactive and controlled approach to the self funded and level-funded health plan procurement process and allow data and strategic analysis to drive solutions.
​
Through best-in-class Third Party Administration (TPA) services, we build customized health plans with integrated cost containment that produces better benefits, better pricing and benefit enhancements that employers and employees love.
​
OUR CUSTOMIZED APPROACH - EVOLVE HEALTH TM
(INCLUDES 5 KEY COMPONENTS)
​​​​
-
Managed underwriting services
-
Best-in-class third party administration
-
High-Performance PPO networks
-
Evolve Rx & specialty drug programs
-
Strategic stop loss & insurance solutions
We’re changing the way healthcare is done. Sounds like a revolution of sorts, doesn’t it?
​
Reach out to us and join the Revolution.


LEVEL-FUNDED HEALTH PLANS
WITH INTEGRATED COST CONTAINMENT
We understand the cost drivers of healthcare and know how to build winning healthcare programs with high-level cost management and cost avoidance in mind. We know that employers just like you have been searching for innovative ways to balance two issues – skyrocketing healthcare costs and providing the best benefits to your employees.
​
​
WE PARTNER WITH ELITE BROKERS AND ADVISORS THAT THINK LIKE US
Evolve partners with an elite network of like-minded Brokers and Advisors across the country to deliver custom-built, level-funded healthcare plan solutions, that enables employers, often for the very first time, the opportunity to control key cost drivers in their healthcare plan which helps them save money and provide enhanced benefits to their employees.
​
​
PERFECT FOR SMALL TO MID-SIZED EMPLOYERS
Our level funded programs and cost containment solutions are perfect for employers that have at least 10 employees participating on their healthcare program and who are exhausted with the annual exercise of dealing with double-digit increases at renewal.
​
Our turnkey bundled programs are perfect for employers that prefer fully insured healthcare plans but are desperately searching for an option where they can take the necessary steps in implementing cost-management and cost-avoidance solutions to control the cost of claims.
​
​
LEAVE THE RISK, TAKE THE SAVINGS!

BE THE HERO YOUR CLIENTS NEED
Add Massive Value
For years, your clients have been telling you that they are reaching a breaking point and can no longer afford or absorb healthcare premium increases.
As a Valued Broker / Advisor, you know that your value proposition to your clients is extremely important and it's imperative that you stand out from the crowd. You have to have "unique" arrows in your quiver so let us show you how to use our cost-containment, cost-avoidance and risk management programs to mitigate high-dollar claims to control premium increases.
Not only do we help our brokers and advisors in securing new clients but we assist them in retaining current ones.
​


NEXTGEN COST MANAGEMENT SOLUTIONS
5% of your employees drive 50% of the healthcare spend. Our solutions mitigate risk on the 5%
-
Third Party Administration (TPA Services)
-
Customized Level-Funded & Self Funded Solutions
-
Custom Built Community Health Plans
-
Custom Built Association Health Plans
-
High-Performance Networks
-
Evolve Rx / PBM Carve Out Plans
-
Bill Review / Claims Editing
-
Medical Case Management
-
Site of Care (SOC) Optimization
-
Biosimilar Review & Optimization
-
Specialty Drug Sourcing Programs
