The new MSO will initially support nearly 300,000 dedicated managed care members in California
WASHINGTON, D.C., February 26, 2019 – Evolent Health, a company providing an integrated value-based care platform to the nation's leading provider and payer organizations, today announced that River City Medical Group and Evolent have partnered to establish a Management Services Organization (MSO) for managed care entities in California.
Initially, the new MSO will focus on providing services, including claims management, utilization management and care management capabilities, to the approximately 300,000 California Medicaid (Medi-Cal) managed care members delegated to River City Medical Group by its health plan partners. Evolent will provide the MSO with Identifi℠, its population health performance management platform, to support health care operations, utilization management, reporting and other critical workflows.
“River City Medical Group and Evolent share a common vision to provide quality health care to vulnerable patient populations in a holistic and culturally sensitive manner,” said River City Medical Group Chairman of the Board, Dr. Gordon A. Wong. “We are delighted to partner with a nationally recognized value-based care leader like Evolent to collaborate on delivering comprehensive services to Californians. Our partnership presents a synergistic opportunity to emerge as a premier MSO across the state of California.”
Medi-Cal, the California Medical Assistance Program, provides health care services for low-income individuals, including families with children, seniors, persons with disabilities, children in foster care, pregnant women and low-income people with specific diseases. Since 1992, River City Medical Group and its broad and extensive network of providers have served Medi-Cal beneficiaries through a delegated risk arrangement with its health plan partners. River City Medical Group is now partnering with Evolent to serve these beneficiaries through the new MSO and potentially expand its managed service lines to include other government programs.
“We are thrilled to align with River City Medical Group, one of the largest IPAs in California and an innovative organization committed to building a sustainable value-based care infrastructure,” said Evolent Health Chief Executive Officer Frank Williams. “Since day one, Evolent has focused on serving as a bridge between providers, payers and patients. Our partnership with River City Medical Group creates a platform with which we can deliver high-quality services and care to individuals in California’s managed care system across multiple lines of business.”
The MSO is slated to begin servicing managed care members on Evolent’s Identifi platform in late 2019.
About Evolent Health
Evolent Health partners with leading provider and payer organizations to achieve superior clinical and financial results in value-based care and under full-risk arrangements. With a provider heritage and over 20 years of health plan administration experience, Evolent operates in more than 30 U.S. health care markets, actively managing care across Medicare, Medicaid, commercial and self-funded adult and pediatric populations. With the experience to drive change, Evolent confidently stands by a commitment to achieve results. For more information, visit www.evolenthealth.com.