Major client growth eviCore recently signed a new client (Highmark Health) indicating ongoing expansion in enterprise healthcare networks. This momentum suggests opportunities to engage other large payors and health systems seeking MBM solutions for imaging, procedures, and drug reviews.

Imaging and PA focus The company specializes in determining the appropriateness of sophisticated imaging and a broad set of prior authorization services, presenting upsell potential with additional imaging and procedure coverage, as well as expanding genetic testing prior authorization partnerships.

Genetic testing synergy Partnership with Concert Genetics to streamline prior authorization for genetic testing signals a growth area for cost containment in genomics and precision medicine; target payors and providers expanding genomic testing to leverage eviCore’s MBM capabilities.

Regulatory and guidelines leadership Continuous updates to evidence‑based guidelines in cardiology and radiology demonstrate commitment to standards; opportunities exist to offer expanded clinical guideline services, analytics, and decision support to health plans and provider networks aiming to reduce variability and cost.

Strategic partnerships history Past alignments with Express Scripts and Aetna highlight a track record of integrating MBM with large insurers and care networks; leverage this credibility to approach other insurers, self-funded employers, and health systems seeking proven prior authorization and medical management solutions.