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Revenue Recognition - Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Disaggregation of Revenue [Line Items]      
Revenue [1] $ 1,352,013 $ 907,957 $ 924,639
Evolent Health Services      
Disaggregation of Revenue [Line Items]      
Revenue 407,502 309,813 382,360
Evolent Health Services | Medicaid      
Disaggregation of Revenue [Line Items]      
Revenue 238,504 215,236 236,634
Evolent Health Services | Medicare      
Disaggregation of Revenue [Line Items]      
Revenue 27,092 26,358 68,505
Evolent Health Services | Commercial and other      
Disaggregation of Revenue [Line Items]      
Revenue 141,906 68,219 77,221
Clinical Solutions      
Disaggregation of Revenue [Line Items]      
Revenue 944,511 598,144 542,279
Clinical Solutions | Medicaid      
Disaggregation of Revenue [Line Items]      
Revenue 320,858 205,833 274,028
Clinical Solutions | Medicare      
Disaggregation of Revenue [Line Items]      
Revenue 431,321 380,973 258,905
Clinical Solutions | Commercial and other      
Disaggregation of Revenue [Line Items]      
Revenue $ 192,332 $ 11,338 $ 9,346
[1] See Note 19 for amounts attributable to unconsolidated related parties included in these line items.