Provider Overview
Empowering primary care practices to deliver the highest quality care to Medicaid patients
How We Help Primary Care
Backed by over ten years of results, Diverge Health brings a Medicaid-focused, value-based care (VBC) model built to relieve pressure on full primary care panels.
Our in-community care teams and operational support strengthen outcomes for underserved patients while enhancing provider capacity and revenue. And we deliver all of this through a quality VBC program designed to help practices succeed in value-based care arrangements and fully align with your existing Medicaid contracts—at no cost to you or your patients.
Provider Segments
Independents
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Community Health Centers
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Health Systems
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Benefits for your Practice
Diverge is a dedicated operational partner to help you execute the processes for improved patient engagement, outcomes, and capture of quality incentives.
No Monetary Investment
No fee to participate, and ZERO downside risk passed on to the practice.
Incremental Revenue
Your Medicaid panel through increased capture of available quality incentives and participation in network shared savings.
Care Team Support
Access to dedicated operational and wraparound care team support in and outside of your practice to improve patient engagement and outcomes.
Tech Driven Efficiency
Streamlined activities across your Medicaid payer partners supported by enhanced data aggregation and technology
Our Support Model
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Care Solutions
Health Coaches, NPs, and social workers act as an extension of care in the community. The health coach model has a decade of proven results, and health coaches are trained in motivational interviewing techniques to educate patients on their chronic conditions.
Our behavioral health program uses the collaborative care model, allowing patients access to behavioral health support from the comfort of their primary care office.
Diverge also has a number of point-of-care solutions available in new markets, such as transitions of care and ER Diversion, with more being added every year.
Proactive Panel Management
Our provider liaisons leverage technology and data to help optimize routine care of Medicaid patients, including pre-visit planning and post-visit documentation workflow. For high-risk patients, we conduct timely outreach and EMR chart reviews to help develop care plans.
Data Reporting
We deliver insights through analyzing relevant data to help providers manage quality and financial performance. Practice liaisons will deliver these insights regularly to support gap closures and identify areas to improve our partnership, model, and performance.
Standardized Value-Based Contracts
Diverge helps to streamline activity across your Medicaid payer partners and provide access to attractive value-based contracts. Providers bear no risk, pay no fees, and have a single set of goals to meet. No more juggling the demands of different payers.
Aligned Economic Incentives
Our contracts prioritize patient outcomes and align incentives accordingly, providing high-quality care to Medicaid patients. Preventive care, health coaching, and gap closures allow both Diverge and payer partners to participate in shared savings and bonuses.
Proven Outcomes
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80
Net promoter score
across partner practices since 2024
$14,900
Prevention in cost rise
in year 1 vs control group
Patient Impact – Case Studies
At Diverge Health, every patient’s story is a testament to the power of comprehensive, community-driven healthcare. These stories of real individuals reflect the challenges that many underserved populations face daily, from chronic conditions to health system barriers.
Mary, 57
Diabetes, Chronic Kidney Disease, Hypertension, and Severe Back Pain
View Case Study
Mikal, 49
Hypertension, Obesity, Hyperlipidemia, Foot Pain, and Depression
View Case Study
Pam, 55
Hypertension, Anxiety, Depression, and Insomnia
View Case Study
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