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Fidelis Care serves more than 1.7 million children and adults of all ages, making us one of the largest health insurance plans in New York State. We were founded on the belief that all New Yorkers should have access to quality, affordable health insurance, and our mission to help others informs everything that we do. 

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Get Credit for the Care You Provide: Meet the Clinical Quality Optimization Team
2026/9/25 • Posted by Provider Relations in Provider News, Provider Quality

Your practice is already doing the work: screenings, chronic condition management, follow-up care, and documentation. The key is making sure that work is captured accurately, so it reflects the quality of care your team provides.

The Fidelis Care Clinical Quality Optimization Team partners with providers and office staff to strengthen documentation, improve workflows, close care gaps, and support performance in HEDIS®, QARR, Medicare Star Ratings, and other quality measures.

Why Providers Partner with Us

Support is tailored to each practice and may include:

  • Workflow, EHR, documentation, and coding optimization
  • Care gap closure and quality measure strategies
  • Provider and staff education based on practice priorities

Best Practices Assessment: A Practical Look Inside the Workflow

The Best Practices Assessment (BPA), offered virtually or onsite, is a consultative review—not an audit. It helps identify what is working, where barriers exist, and which practical changes can support stronger quality outcomes.

  • Workflow and process reviews 
  • Quality performance analysis 
  • Medical record and documentation review support 
  • Real-time feedback and education 
  • Targeted recommendations for improvement 

After the assessment, practices receive clear, actionable recommendations that can be built into existing workflows.

Small Workflow Changes Can Make a Big Difference

Small changes in documentation, coding, referral follow-up, or EHR workflow can make a meaningful difference in care gap closure and quality performance.

Ready to Strengthen Your Quality Performance?

Explore Clinical Quality Optimization services   To request support, contact your assigned Fidelis Care Provider Performance Specialist. If you do not have one, email NYQualityImprovement@fideliscare.org.

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