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Revenue Recognition - Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Jun. 30, 2021
Jun. 30, 2020
Evolent Health Services        
Disaggregation of Revenue [Line Items]        
Total revenue $ 74,863 $ 86,521 $ 159,700 $ 182,898
Evolent Health Services | Medicaid        
Disaggregation of Revenue [Line Items]        
Total revenue 52,064 55,502 112,993 113,947
Evolent Health Services | Medicare        
Disaggregation of Revenue [Line Items]        
Total revenue 6,346 14,061 14,684 29,246
Evolent Health Services | Commercial and other        
Disaggregation of Revenue [Line Items]        
Total revenue 16,453 16,958 32,023 39,705
Clinical Solutions        
Disaggregation of Revenue [Line Items]        
Total revenue 147,194 130,778 277,428 255,633
Clinical Solutions | Medicaid        
Disaggregation of Revenue [Line Items]        
Total revenue 53,648 64,050 96,987 124,512
Clinical Solutions | Medicare        
Disaggregation of Revenue [Line Items]        
Total revenue 90,761 64,206 176,544 126,560
Clinical Solutions | Commercial and other        
Disaggregation of Revenue [Line Items]        
Total revenue $ 2,785 $ 2,522 $ 3,897 $ 4,561