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Revenue Recognition - Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Evolent Health Services        
Disaggregation of Revenue [Line Items]        
Total revenue $ 76,827 $ 99,950 $ 236,527 $ 282,848
Evolent Health Services | Medicaid        
Disaggregation of Revenue [Line Items]        
Total revenue 41,857 51,637 154,850 165,584
Evolent Health Services | Medicare        
Disaggregation of Revenue [Line Items]        
Total revenue 4,816 28,483 19,500 57,729
Evolent Health Services | Commercial and other        
Disaggregation of Revenue [Line Items]        
Total revenue 30,154 19,830 62,177 59,535
Clinical Solutions        
Disaggregation of Revenue [Line Items]        
Total revenue 145,644 139,622 423,072 395,255
Clinical Solutions | Medicaid        
Disaggregation of Revenue [Line Items]        
Total revenue 51,829 73,480 148,816 197,992
Clinical Solutions | Medicare        
Disaggregation of Revenue [Line Items]        
Total revenue 91,249 63,663 267,793 190,223
Clinical Solutions | Commercial and other        
Disaggregation of Revenue [Line Items]        
Total revenue $ 2,566 $ 2,479 $ 6,463 $ 7,040