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HomeAbout usHealth EquityHealth Equity Alt

Health Equity

At Fidelis Care, we believe everyone should have the opportunity to live a healthy life. It’s our mission to ensure New Yorkers have access to high-quality healthcare, so they can get the care they need when they need it.

But many other factors contribute to an individual’s health and wellness beyond access to healthcare. Socioeconomic conditions can influence health risks and outcomes. Poverty, food insecurity, housing instability, education, employment, access to transportation and other circumstances contribute to health disparities among underserved and vulnerable populations.

Fidelis Care is committed to removing those barriers to health to improve access, quality, and affordability. It is an ongoing process that requires working together with our members, providers, and community-based organizations to support fair and just opportunities to equal access to healthcare.

Learn more about our different approaches to improve health equity:


Key partnerships

Wellness commitment to Buffalo Urban League

To nurture social entrepreneurship, facilitate wellness, and strengthen organizations focused on Black, Indigenous and People of Color in Buffalo’s East Side, Fidelis Care and the Centene Foundation donated $1.1 million to the Buffalo Urban League (BUL) to help establish its new headquarters and develop a Wellness and Entrepreneurial Center.

In addition, Fidelis Care partners with BUL through community programs and at events held in the city focused on health, family support and stabilization services, foster care, adoption, education, job training, employment, scholarships, and more.

Buffalo-Urban-League

Mental health alliance with The Jed Foundation

As part of our behavioral health efforts, Fidelis Care and the Centene Foundation awarded $1.1 million to The Jed Foundation (JED) to protect the mental health of New York State’s youth.

Through the funding, JED will expand its current services, providing at least five youth-serving community-based organizations (CBOs) with consultation or strategic planning services, including expert guidance, educational workshops, and training programs, equipping young people with life skills and connecting them to mental healthcare when they are in distress.

Fidelis-JED-Social


More Health Equity News


RxEffect Bonus Incentive for Participating Providers Treating Wellcare and Wellcare By Fidelis Care Members
8/19/2024 • Posted by Provider Relations in Provider News, Provider Quality

As part of a year-end push to improve medication adherence, WellCare and WellCare By Fidelis Care are offering an additional financial incentive (Incentive Payment Program) to its providers who use RxEffect® to identify and take action in the following Star ratings medication therapy areas in the treatment of their Wellcare and Wellcare By Fidelis Care members:



- Diabetes



- Blood Pressure



- Cholesterol



Incentive Payment Program Criteria:



This Incentive Payment Program offers $200  per Qualifying Member Therapy (max of $600  per member depending on number of therapy areas) between August 8 , 2024  through December 31, 2024 . The Bonus is based on Eligible Members getting their last medication fill for end of year adherence, and is broken into two categories:




  1. “90-Day Conversion” – The Bonus icon will appear for member therapies converted from a 30-day fill to a 90-day fill that makes the Eligible Member adherent for that therapy in 2024.



 




  1. “Last Fill” – The Bonus icon will appear for Eligible Member therapies that need one fill to meet the Eligible Member’s adherence goals for that therapy in 2024 .



 



Bonus eligibility is dynamic and will be updated weekly. Please note: While a Qualifying Member Therapy may be eligible for each of the Bonus types through year-end, only one Bonus will be active at a time and therefore only one Bonus will be paid per therapy.



 



Incentive Payment Program Eligibility:



To receive your Bonus, you must take the following steps:




  1. Visit www.RxEffect.com to review the Qualifying Member Therapies eligible to receive a Bonus.



- The patient list must be viewed while the therapy is eligible to receive a payment.



 




  1. Help ensure the Eligible Member meets adherence criteria by filling a pharmacy claim through their WellCare prescription benefit (without a claim reversal) for that therapy area while eligible for the Bonus (displaying the Bonus icon).



 



Incentive Payment Program Payout:



Incentive Payment Program payout will be included as a separate line item for 2025 supplemental payments distributed in May 2025.



 



For a more detailed description of the Incentive Program, including how to identify bonus opportunities in RxEffect, please click here for more details.



 



If you do not currently have access to RxEffect, please contact help@RxEffect.com. If you have questions about the bonus program, please contact your Provider Partnership Associate.  To find your designated representative, please visit Contact Provider Relations on our website.