PROGRAM GOALS
The Fidelis Care concierge program was created to enhance and extend the care provided to NY Medicaid members with specific conditions, empowering them to better self-manage, adhere to treatment, and take a more proactive approach in condition management while enabling the case management team to more effectively and efficiently support them.
Enhance member service quality
Increase service referral connections
Improve HEDIS measures
Improve joy in practice
Reduce PM/PM costs
Increase member utilization of resources
Increase adherence and activation levels in members
Decrease anxiety, depression, and other mental health challenges
Key Program Outcomes and Results
6-7% closure of gaps in care for engaged members in multiple categories
4% reduction in ED visits with engaged members vs. non- engaged members
206% increase in case manager efficiency due to improved workflows that minimized staff burnout (measured by caseload per manager)
95% program retention rate
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