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Revenue Recognition - Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Evolent Health Services      
Disaggregation of Revenue [Line Items]      
Total revenue $ 309,813 $ 382,360 $ 408,905
Evolent Health Services | Medicaid      
Disaggregation of Revenue [Line Items]      
Total revenue 215,236 236,634 267,222
Evolent Health Services | Medicare      
Disaggregation of Revenue [Line Items]      
Total revenue 26,358 68,505 73,671
Evolent Health Services | Commercial and other      
Disaggregation of Revenue [Line Items]      
Total revenue 68,219 77,221 68,012
Clinical Solutions      
Disaggregation of Revenue [Line Items]      
Total revenue 598,144 542,279 278,217
Clinical Solutions | Medicaid      
Disaggregation of Revenue [Line Items]      
Total revenue 205,833 274,028 75,675
Clinical Solutions | Medicare      
Disaggregation of Revenue [Line Items]      
Total revenue 363,053 257,092 199,817
Clinical Solutions | Commercial and other      
Disaggregation of Revenue [Line Items]      
Total revenue $ 29,258 $ 11,159 $ 2,725