What You Should Know
- Diverge Health and Medical Home Network (MHN) PBC announced a definitive merger agreement to form one of the nation’s largest value-based care platforms dedicated entirely to safety-net populations and under-resourced communities.
- The combination establishes one of the largest value-based care platforms in the United States dedicated to underserved communities, entering 2027 with nearly 500,000 attributed Medicaid and Medicare lives and $3 billion in managed medical spend across nine states.
The 500k-Member Cohort, Embedded Community Teams, and AI-Driven Care Plans
The merger of Diverge Health and Medical Home Network brings together complementary operational, technical, and clinical models tailored to safety-net healthcare:
- Unifying FQHC Networks and Independent Primary Care: Bridges two distinct provider segments that historically operated in silos. While MHN brings more than 15 years of experience managing FQHC networks—having launched one of the nation’s earliest and most successful community health center Medicaid ACOs—Diverge Health brings a proven track record partnering with independent primary care physicians. Entering 2027, the combined entity connects nearly 100 FQHCs and more than 300 independent practices, supported by over 20 payer contracts across nine states.
- Demonstrated Actuarial and Engagement Outcomes: Backed by real-world performance metrics. In commercial payer deployments, Diverge’s model delivered a 2% net reduction in population-level Medical Loss Ratio (MLR) alongside a 6% increase in patient primary care visits in 2025, proving that proactive field outreach directly improves quality metrics and keeps patients anchored in primary care rather than emergency rooms.
- Embedded Field Teams for Whole-Person Care: Solves the staffing bottleneck that constrains community clinics. Rather than demanding that clinic doctors manage non-clinical social needs, the platform embeds multidisciplinary community health teams directly alongside partner practices. These teams address behavioral health barriers, arrange transportation, coordinate social services, and engage disconnected patients in their homes and neighborhoods.
- Proprietary Risk Modeling and Automated Care Planning: Modernizes the data input layer for complex patient populations. Diverge’s machine learning infrastructure ingests multi-source data—including clinical EHR records, Medicaid encounter data, and community social vulnerability indices—to identify “rising-risk” patients before an acute crisis occurs. The system automatically drafts customized, actionable care plans, placing them directly into the hands of local care coordinators to streamline field interventions.
Executive Leadership
Binoy Bhansali leads the combined organization as CEO of Diverge Health, with Cheryl Lulias serving as Co-Founder and President of MHN PBC. The platform is backed by prominent healthcare venture capital and growth equity firms, with Oak HC/FT joining the board of directors alongside Triple Aim Partners and GV (Google Ventures).
“Value-based care is notoriously hard, especially in Medicaid, but strengthening our country’s primary care backbone and supporting their patients to live their healthiest lives is a moral imperative,” said Binoy Bhansali, CEO and Co-Founder of Diverge Health. “Together, we are proving that succeeding in value-based care is very much possible if you support these practices with the right infrastructure, community health teams, and data.”
