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

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Care Model

Community Care Extension:

Health coaches and nurse practitioners extend your care into the community, meeting patients where they live, helping them manage chronic conditions between visits, and reducing the ER admissions and hospitalizations that signal a patient falling through the cracks.

Our behavioral health program uses the collaborative care model, allowing patients access to behavioral health support from the comfort of their primary care office.

Proactive Panel Management

Your practice liaison keeps your panel from being reactive. We conduct timely outreach for high-risk patients, review charts, and help develop care plans so you're addressing problems before they become crises, not after.

Diverge also has a number of point-of-care solutions available in our markets, such as transitions of care and ER Diversion, with more being added every year.

Actionable Data Reporting

We turn raw payer and EHR data into clear, prioritized reports delivered regularly by your practice liaison, so you always know where your quality performance stands, which gaps to close next, and how the partnership is performing.

Simplified Payer Alignment

One aligned set of goals across our payer partners. Diverge manages the complexity of multiple payer relationships so you don't have to — no more juggling different quality targets, different workflows, different reporting portals.

Aligned Economic Incentives

Our shared savings model means Diverge only succeeds when you do. Contracts are built around the work that generates both better patient outcomes and real revenue for your practice.

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

The data tells part of the story. People’s stories show the impact.

Behind every number is a real patient, and when they had a Diverge health coach in their corner, something shifted. Fewer ER visits. Stabilized conditions. Better outcomes. This isn’t the exception. It’s what happens when people feel genuinely supported.

Mary, 57

Diabetes, Chronic Kidney Disease, Hypertension, and Severe Back Pain

View Patient Story

Mikal, 49

Hypertension, Obesity, Hyperlipidemia, Foot Pain, and Depression

View Patient Story

Pam, 55

Hypertension, Anxiety, Depression, and Insomnia

View Patient Story

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