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Reserves for Claims and Performance-Based Arrangements (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Balance, beginning of period $ 171,294 $ 178,828
Incurred health care costs:    
Current year to date period 605,757 457,804
Prior year to date period (11,512) 7,109
Total claims incurred 594,245 464,913
Claims paid related to:    
Current year to date period (427,994) (346,828)
Prior year to date period (137,815) (125,619)
Total claims paid (565,809) (472,447)
Balance, end of period 199,730 171,294
Evolent Health Services    
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Balance, beginning of period 25,618 56,296
Incurred health care costs:    
Current year to date period 0 8,632
Prior year to date period (8,176) 7,036
Total claims incurred (8,176) 15,668
Claims paid related to:    
Current year to date period 0 (20,802)
Prior year to date period (12,911) (25,544)
Total claims paid (12,911) (46,346)
Balance, end of period 4,531 25,618
Clinical Solutions    
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Balance, beginning of period 145,676 122,532
Incurred health care costs:    
Current year to date period 605,757 449,172
Prior year to date period (3,336) 73
Total claims incurred 602,421 449,245
Claims paid related to:    
Current year to date period (427,994) (326,026)
Prior year to date period (124,904) (100,075)
Total claims paid (552,898) (426,101)
Balance, end of period $ 195,199 $ 145,676