Driving Innovation & Growth
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MEDICAID ADVANTAGE PLUS (MAP) GROWTH
In 2025, Fidelis Care significantly expanded its Medicaid Advantage Plus (MAP) program, known as Wellcare Fidelis Dual Plus, to reach more eligible New Yorkers across 59 counties statewide . This growth reflects Fidelis Care’s commitment to providing coordinated, patient-centered care for individuals who qualify for both Medicare and Medicaid and require long-term support. To support product growth, Fidelis Care established a specialized MAP engagement team to spearhead efforts to help more individuals through the extensive enrollment process. Our increased MAP initiatives resulted in 150% membership growth in 2025. The MAP plan offers comprehensive benefits including home health aides, adult day healthcare, mental health services, dental care, and $0 prescription copays while helping members remain safely in their homes and communities.
ADVANCING HEALTH EQUITY THROUGH VALUE-BASED PARTNERSHIPS
Fidelis Care’s value-based partnerships are a cornerstone of our mission to deliver high-quality, equitable care to members across New York State. By aligning provider incentives with improved health outcomes and cost efficiency, Fidelis Care ensures that care is not only accessible, but also effective and sustainable. These partnerships are designed to reward providers for delivering preventive, coordinated care that keeps patients healthier and reduces unnecessary hospital visits. Through collaborations with Accountable Care Organizations, Independent Physician Associations, hospital systems, community practices, and Social Care Networks, Fidelis Care addresses the full spectrum of member needs: physical, behavioral, and social. These groups leverage Fidelis Care’s robust data tools to identify gaps in care, reduce avoidable hospital visits, and improve access to preventive services. Fidelis Care holds more than 60 unique value-based partnerships across multiple lines of business, including Medicaid, HARP, and the Essential Plan, representing over 90% of Fidelis Care’s Medicaid experience . The savings generated through these partnerships are reinvested directly into the communities that Fidelis Care serves, supporting local providers and expanding care access. As the program evolves, Fidelis Care continues to integrate health equity goals and align with New York State Department of Health initiatives. These efforts ensure that value-based care is not just a financial model, but a pathway to healthier, more resilient communities.
ESSENTIAL PLAN EXPANSION INTO CLINTON COUNTY
In January 2025, Fidelis Care expanded its Essential Plan coverage into Clinton County, extending access to affordable, high-quality health insurance for more residents in Northern New York. Eligible residents now have access to benefits including dental and vision care, free preventive services, and a fitness reimbursement program.
This expansion reflects Fidelis Care’s mission to close coverage gaps and ensure that every New Yorker, regardless of income or location, can access the care they need to live healthier lives.
Health Benefit Representative Viola Munroe with members at the Hometown Health Centers, Schenectady
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