Better care for your members. Lower costs for your plan.
Diverge Health partners with providers already in your network to manage cost, improve quality, and meet performance requirements for value-based care.
Why Partner with Diverge?
The primary care providers in your network are managing some of the most complex patients in the healthcare system, often without the infrastructure, data, or community-based support to do it well.
Diverge embeds directly alongside these providers — with dedicated practice liaisons, community health teams, improved clinical workflows, and actionable data — to turn high-risk members into well-managed patients.
Who Benefits and How:
Your Plan
- Stronger positioning with states: Enhanced performance on state alternative payment model, quality improvement, and health equity requirements.
- Improved MLRs: Reduced total cost of care and unnecessary utilization, driving more consistent and improved gross margins.
- A more resilient network: Independent PCPs who are supported stay viable and in-network.
Providers in Your Network
- A care team extension: Community health teams support practices in the clinic and in the community — at no cost to the practice.
- One system, not many: A unified technology platform and clinical workflows that work across all Medicaid and Medicare payer relationships — reducing administrative burden.
- Revenue for the work they’re already doing: Gain-share and quality incentives tied to outcomes providers are already working toward.
Patients
- Someone in their corner: A health coach from their own community who meets them where they live — helping them understand their condition, stay on their medications, and navigate a system that hasn’t always made it easy.
- Care that sees the whole person: Support that addresses both clinical needs and the social factors — food, transportation, housing — that drive the majority of health outcomes for underserved members.
- Real outcomes: Fewer ER visits. Fewer hospitalizations. More patients who understand their health and feel supported in managing it.
Proven Outcomes
Diverge-enrolled members show measurable, sustained improvement across cost, utilization, and quality.
6%
improvement in patients visiting their PCPs in 2025
2%
improvement in screenings and chronic condition management in 2025
2%
reduction in population level MLR in 2025
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.
