Expanding Health Care Coverage

Grantee Name

New York State Catholic Health Plan, Inc., d.b.a. Fidelis Care New York

Funding Area

Expanding Health Care Coverage

Publication Date

July 2011

Grant Amount

$99,820

Grant Date:

January 1, 2009 to December 31, 2009

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Fidelis Care is the business name for the New York State Catholic Health Plan, Inc., a nonprofit 501(c)(3) managed care organization for members who receive health insurance from  Medicaid, Child Health Plus, Family Health Plus, Family Health Plus Employer Buy-in, and some categories of Medicare.

With a planning grant from the New York Health Foundation’s “Expanding Coverage Options in the Small Group and Individual Market in New York State” program, Fidelis Care examined the feasibility of expanding the Family Health Plus Employer Buy-in program to employers outside of those belonging to the Section 1199 Benefit Fund.

This grant was one of five organizations that received a planning grant from the 2008 NYHealth request for proposals (RFP), “Expanding Coverage Options in the Small Group and Individual Market in New York State.” The RFP grew directly out of the Foundation’s desire to generate ideas for expanding health insurance options for small businesses and sole proprietors.

Read an NYHealth special report that contains a summary of findings from this RFP.

Outcomes and Lessons Learned

  • Concluded, “Design changes from the original demonstration have made the expansion program less desirable as a coverage option in the small business community.”
  • Returned its entire grant award to the Foundation because it was unable to promote the expansion of the program as it was originally proposed.
  • Played an important role in further exploring the potential of the Family Health Plus Employer Buy-In program, but viewed its contribution as more of an in-kind effort than one meriting Foundation resources.