Hub Models

Hub models can provide an overarching infrastructure aimed at centralizing administrative and operational functions for a collective group of community-based organizations offering evidence-based programming and other services. This section of the Coverage Toolkit offers various versions of hub models to consider, and the chart below explains the differences between them.

Umbrella Hub Arrangements (UHAs) Community Care Hubs (CCHs) Partner Networks
  • Consists of lead organization (UHO) and subsidiary partners, including community-based organizations (CBOs)
  • Focuses on the National Diabetes Prevention Program (National DPP) lifestyle change program
  • Allows the UHA to operate as a single Medicare Diabetes Prevention Program (MDPP) supplier and share CDC-recognition status with subsidiaries
  • Centralizes administrative and operational functions, including payer contracting and billing
  • Pursues sustainability through payer reimbursement for subsidiary organizations, including CBOs
  • Consists of lead organization, CBOs, health care organizations, and social service providers
  • Includes multiple evidence-based programs
  • Centralizes administrative and operational functions, including payer contracting and billing
  • Receives funding through multiple blended and braided funding streams, including payer reimbursement
  • Advances access to social services to resolve HRSN
  • Consists of multi-sectoral partners (CBOs, health care organizations, institutions, employers, payers, and community representatives)
  • Focuses on organizations working together to achieve a common goal for population or systems level change
  • Coordinated by a backbone organization
  • Aims to promote health for all and serve populations at greatest risk for diabetes and its complications
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Umbrella Hub Arrangements

Information in this section includes: UHA Roadmap | UHA Overview | UHA Business Model | UHA Reimbursement | UHA Sustainability | UHA Spotlights

UHAs connect CBOs with health care payment systems to pursue sustainable reimbursement for the National DPP lifestyle change program. Featured in this section are an overview page as well as pages focused on the business model, reimbursement, and sustainability of a UHA. These pages provide information on the key steps to operationalizing a UHA, the objectives of these types of arrangements, the key participants and partners, considerations for establishing a UHA, the role of public health and Medicaid, and spotlights on existing UHAs.

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Community Care Hubs

This page describes the functions of a CCH and the benefits of participating in one. Additionally, the page highlights several examples of CCHs that offer the National DPP lifestyle change program, among other evidence-based programs, and discusses how CCHs can address the health-related social needs of the participants they serve.

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Collective Impact & Partner Networks

A partner network is a group of organizations and representatives of different communities that team up to advance a common goal or vision (collective impact). In the context of type 2 diabetes prevention, partners leverage each other’s expertise and reach to maximize their capacity and capabilities. This page highlights how partners can affect population and systems-level changes to increase enrollment into the National DPP lifestyle change program.

Content Updated: June 15, 2025
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