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COMMUNITY INVESTMENT REPORT 2019
Working together to strengthen our
community
Transforming the health of the community,
one person at a time.
Welcome 4-5
Giving Back 6-7
Sunshine Health in the Community 8-10
Envolve Vision Van 11
Building a Playground 12
Making Strides Against Breast Cancer 14
Orange Bowl Committee 16
Urban League 18
March of Dimes 20
Back to School 22
Children’s Week 24
Children’s Home Network 25
No One Eats Alone 27
Community Resources 28
United Way 29
Provider Programs 30
Telemedicine 31
About Sunshine Health 32
Our Service 33
Our Products 34
Sustainability 43
Community Investment Report 2019 | 5Community Investment Report 2019 | 4
CEO’s Welcome 2019
In 2019, Sunshine Health celebrated 10 years as a Centene Corporation health plan serving Florida. We’ve come a long way.
We started with 90,000 Medicaid members and have grown to serve more than 1 million residents across the state through six different products: Medicaid, Long Term Care, Child Welfare Specialty Plan, Ambetter (Marketplace) and two Allwell (Medicare) plans.
To best serve our members:
• We have 2,400 employees across the state who live in the communities they serve. • We partner with more than 33,000 physicians, specialists, facilities and hospitals to
deliver quality care to our members.
Because so much of what impacts our members’ health happens outside a doctor’s office, we also partner with nearly 300 nonprofit organizations to help connect our members — and the community — with resources to overcome barriers to health. These groups provide transportation, food, education and assistance with other basic needs.
What a great year 2019 was for these partnerships. We came together to strengthen communities and relationships, reaching beyond our 1 million members. A few examples:
• We built a KaBoom! playground for the children of Hialeah (Page 12). • We painted the Children’s Home Network in Tampa, which serves children in foster
care (Page 25).• We stuffed the bus with school supplies in Jacksonville (Page 22).• We marched with March for Babies to fight premature births (Page 20) and with
Making Strides Against Breast Cancer (Page 14).
And much more.
Thank you for 10 amazing years. Together, you have helped us become more than just a company — because of you, we are part of a flourishing community. As Florida continues to grow, we look forward to growing and adapting with you and ensuring that together, we are transforming the health of the community, one person at a time.
Transforming the health of a community starts with moms and babies. Improving birth outcomes is one of our top priorities. That means making sure moms and babies have access to everything they need to be healthy and thrive.
Getting pregnant women to the doctor early and often is crucial. Our Start Smart for Your Baby program supports women through pregnancy, childbirth and postpartum care. It connects them with resources on breastfeeding, childcare and more.
In Florida, the infant mortality rate is 6.1 deaths per 1,000 live births. That’s higher than the national average of 5.8. That’s why we support the March of Dimes Florida Chapter in its March for Babies events across the state (Page 20). It’s why we work with community organizations hosting Early and Periodic Screening, Diagnostic and Treatment (EPSDT) events (Page 19).
And it’s why I’ve served as chair of this board for 11 years — because I know healthier babies today are the foundation for healthier communities tomorrow.
Dr. Adams is also President and CEO of Metro-Miami
OB/GYN Associates and founder of the annual Walk a Mile with a Child
event, top.
Chris Coffey 2019 CEO, Sunshine Health
Board Chair’s WelcomeNelson L. Adams, M.D. Chair of Sunshine Health Board of Directors
Community Investment Report 2019 | 7Community Investment Report 2019 | 6
Guardian Ad Litem
Guardians For New Futures
HANDY NextGen
Hardee County Emergency Management
Head Start of Osceola, Orange, Seminole
Health Care Professionals of North West Florida
Health Council of Southeast Florida
Health Council of South Florida
Health Planning Council of Southwest Florida
Healthy Beginnings of Palm Beach County
Healthy Families
Healthy Start Coalition of Bay, Franklin & Gulf
Healthy Start Coalition of Broward County
Healthy Start Coalition of Escambia County
Healthy Start Coalition of Hardee, Highlands and Polk Counties
Healthy Start Coalition of Hillsborough County
Healthy Start Coalition of Miami-Dade
Healthy Start Coalition of Okaloosa and Walton Counties
Healthy Start Coalition of Osceola, and Brevard
Heart Gallery of Pinellas & Pasco
Heartland for Children
Help Me Grow Orange, Seminole, Osceola, Brevard
Hialeah Gardens Senior Center
Hillsborough County Aging Services
Hillsborough County Sheriff’s Office
His House Children's Home
Hispanic Health Initiatives
Home Care Association of Florida
I’m A Star Foundation
Immigrant Resource Center
Infant Mortality Task Force
Inter-Agency Network of Palm Beach County
International Rescue Committee
Jacksonville Senior Services
Jacksonville Urban League
Jessie Trice Community Health Center
John Hopkins All Children’s Hospital Healthy Start
Juvenile Welfare Board of Pinellas County
Kids Central
Kids First of Florida
Kids Hope Alliance
Kings Point
Kinship Children’s Home Network
Kiwanis Club of North Miami
Latino Center on Aging
Lauderdale Manor Family Resource Center
LeadingAge Florida
Legacy Health and Wellness Ministries
Lifestyles After 50
Light of the World Clinic
Little Havana Activities and Nutrition Centers of Dade County
Love a Senior Day
LSF Duval County Head Start/Early Head Start
Lutheran Services Florida
Lutheran Social Service
Magnolia Project
Malcolm Ross Senior Center
Mandarin Senior Center
March of Dimes
March of Dimes Broward County Chapter
March of Dimes Florida Chapter
Marion County Children’s Alliance
Matthew W. Gilbert Middle School
Metro Mommy Agency
Metropolitan Ministries
Miami Dade College
Miami Gardens Focal Point Senior Center
Mision La Milagrosa Catholic Church
Ministerio Mujeres Restauradas por Dios
NAMI Broward County
NASW Florida Chapter
National Alliance on Mental Illness, Pinellas County
National Latino Peace Officers Association
NEFL Healthy Start Coalition
NEFL Safe Kids Coalition
New Town Success Zone
Northwest Florida Area Agency on Aging
Northwest Focal Point Senior Center
NW Behavioral Health
Northwest Jacksonville Community Development Corporation
OneBlood
One Senior Place
One Voice for Volusia
Opening Doors Northwest Florida
Operation PAR
Orange Bowl Committee
Orange County Government
Orange County Public Schools
Orange Park Medical
Orlando Dream Serve Foundation
Ounce of Prevention Fund of Florida
Pace Center For Girls
Partnership for Strong Families
Pasadena Community Church
Pasco County Commission on Human Trafficking
Pasco County FAPA
Pasco Kids First
Perrine Senior Service Center
Pinellas County Health Department
Polk State College
Prince Hall Shriners
ReDefiners World Languages
Safe Children Coalition
Safe Kids Florida
Safe Kids of Broward County
Safe Kids of Palm Beach County
Safe Kids Orlando
SailFuture Life Skill Centera
Salvation Army
Salvation Army Sharing Center of Central Florida
Selfless Love Foundation
Senior Management Expo
Sharing & Caring of Crestview and Niceville
Sheriff's Foundation of Broward County
Skyway Elementary School
South Miami Senior Center
South West Focal Point Senior Center
Spirit of Life Lutheran Church
St. Augustine Youth Services
St Petersburg College
St. John Bosco Senior Center
Step Up for Children
Sulzbacher Village for Women and Children
Sun Coast Osteopathic Foundation
T.L.C. Association
Tallahassee Senior Centers
Tallahassee Urban League
Tampa Bay Healthcare Collaborative
Teen Challenge
Telemundo
The Journey Institute
The Seventh Mom Project
Title 1 Migrant Education Program
United Way of Florida
United Way of Broward County
United We Stand
University of South Florida
Urban League of Broward County
Urban League of Orange County
Urban Surf 4 Kids
Victory Kids
Vita Nova
Voices for Children of Broward County
Voices Institute
Wealth Watchers
Women In Distress of Broward County
YMCA Orlando
ZERO to THREE
Giving Back
277+community
partners
211 Tampa Bay Cares
4Kids of South Florida
90 Works
Abyssinia Missionary Baptist Church
Action Alliance of Palm Beach County
Adoption Exchange Association
Agape Community Health Center
Agency for Persons with Disabilities
Aging & Disability Resource Center of Broward County
AK Consulting Group
Alliance for Aging
Alzheimer’s Association
American Cancer Society
Anona United Methodist Church
Area Agency on Aging of Pasco-Pinellas
Area Housing Commission
Better Living for Seniors Consortium
Big Bend Community Based Care
Black Infant Health Practice Initiative of Broward County
Boys & Girls Club of Bay County
Boys & Girls Club of Orange County
Boys & Girls Club of the Emerald Coast
Boys and Girls Club in Town ‘N Country
Boys and Girls Club of NEFL
Brevard Family Partnership
Brevard Production
Brevard Public Schools
Bridge A Life
Bridges of Palm Beach County
Broward County Public Schools
Broward Regional Health Planning Council
CAARE Organization
Community Action Program Committee
Capital Area Community Action Agency
Capital Area Healthy Start
Care Giver's Coalition/Community Hospice
Caregiver.com
Caregiver’s Helping Hand
Caribbean Community Connections of Orlando
Caroline Oaks Senior Apartments
Catholic Charities of Northwest Florida
Center for Health Equity
Central Brevard Sharing Center
Central Healthy Start Coalition
ChildNet
Children First
Children with a Vision
Children's Harbor
Children’s Home Network
Children’s Home Society
Children's Network Southwest Florida
Children’s Safety Village of Central Florida
Children’s Services Council of Broward County
Children’s Services Council of Palm Beach County
Christ Community Church
Church World Service Miami Office
Citrus Family Care Network
City of Jacksonville Senior Services
City of Largo
City of North Port
City of Tampa
Clara White Mission
Claude Pepper Senior Center
Coalition for the Homeless of Central Florida
Comunidad Cristiana
Community Action Network
Community Based Care Foundation
Community Partnership for Children
Communities Connected For Kids
Consortium for a Healthier Miami Dade
CVS Pharmacy
Daniel Memorial Institute
De Hostos Senior Center
Department of Children and Families
Department of Juvenile Justice
Devereux Advanced Behavioral Health of Florida
DISC Village
Duval Medical Society
Eagle Landing Sunshine Market
Early Childhood Council of Hillsborough
Early Education and Care (Bay County)
Early Learning Coalition of Big Bend
Early Learning Coalition of Broward County
Early Learning Coalition of Palm Beach County
Early Learning Coalition of Pasco and Hernando Counties
East County Community Center
Eckerd Connects
Elder Care
Embrace Families
Episcopal Children Services
Faith Community Nursing
FamiliesFirst Network of Lakeview Center
Family Healthcare Foundation
Family Integrity Program
Family Oriented Concept Unified to Serve (FOCUS)
Family Resources
Family Support Services
Farm Share
Florida Alcohol & Drug Abuse Association
Federation of Families of Florida
Feed and Fortify Community Organization
Fighting Hunger
Florida Alcohol and Drug Abuse Association
Florida Assisted Living Association
Florida Assisted Living Association- Miami Dade
Florida Assisted Living Association of Broward County
Florida City Senior Center
Florida Coalition for Children
Florida Council on Aging
Florida Covering Kids & Families Statewide Coalition
Florida Dept. of Health, Broward County
Florida Dream Center
Florida Faith Symposium
FloridaFAPA
Florida Head Start Association
Florida Health Care Association
Florida Institute For Child Welfare
Florida KidCare Task Force-Broward County
Florida KidCare Miami-Dade
Florida PTA
Florida State Guardianship Association
Florida State University Foundation
Florida’s Children First
Front Porch Community Development Association
Gadsden County Healthy Start
Generation Church
Goulds Park Senior Center
Grace Church of the First Born
Greater Church of God By Faith
Sunshine Health is proud to partner with more than 277 organizations throughout Florida to give back to the communities we call home, including:
Community Investment Report 2019 | 9Community Investment Report 2019 | 8
We Serve in the CommunityAt Sunshine Health, connecting needs with available community resources is central to improving health outcomes. It is this understanding that drives our community partnership strategy. Our Community Affairs team serves as our company ambassadors, supporting community organizations that support people in need.
The members of our Community Affairs team work tirelessly to represent Sunshine Health and its products through sponsorships and events by interacting in person with providers, members and community partners. In 2019, they supported over 280 events throughout the state, including Children’s Week in Tallahassee (Page 24), Feria Telemundo in Tampa and March for Babies walks statewide (Page 20).
Many of our members face socioeconomic challenges that prevent them from being able to prioritize their health — like lack of transportation, food, childcare or education. Our Community Resources database connects members with much needed resources (Page 28). Addressing these Social Determinants of Health by providing education and community resource connections helps us work together to empower individuals and create healthier families and communities.
Orange Bowl Family Fun & Fit Day
Telemundo
265community
events
Community Investment Report 2019 | 11Community Investment Report 2019 | 10
We Volunteer in the CommunityWe are committed to making a difference in the communities where our members and employees live and work. Employee volunteers are an important component of Sunshine Health’s philanthropic strategy and contribute to our mission of transforming the health of our community, one person at a time.
2,487 volunteer hours
897 volunteers
Envolve Vision Van Sunshine Health partnered with the Envolve Vision Van to provide free, accessible eye care to residents in five communities who might not have access to care otherwise. Through the initiative, we provided vision screenings to more than 500 people.
Screenings took place in Jacksonville, Cocoa Beach, Miami, Margate and Tampa. If the screenings identified the need for corrective eyewear, Sunshine Health provided glasses or reading glasses free of charge.
Nearly 400 pairs of prescription eyeglasses and almost 100 pairs of reading glasses were provided.
“Events like these can have a life-changing impact on someone who needs eye care,” said Gail Daley, Vice President of Ambetter Operations at Sunshine Health. “Through our mobile vision clinic, we’re able to meet residents where they are to help ensure they can maintain or correct their vision, regardless of insurance or ability to pay.”
Community Investment Report 2019 | 13Community Investment Report 2019 | 12
Building a PlaygroundAmbetter from Sunshine Health, our Health Insurance Marketplace product, partnered with the City of Hialeah Department of Parks and Recreation, national nonprofit KaBOOM! and volunteers to build a playground at Bucky Dent Park in October.
In just six hours, more than 200 volunteers transformed an empty space into a kid-designed, state-of-the-art play space featuring slides, climbing walls, a jungle gym and more.
“Active play spaces are essential to the development of children. This new playground contributes to the strength of the recreational center that is already a centerpiece in the community,” said
Gail Daley, Vice President of Ambetter Operations for Sunshine Health. “We were thrilled to help build a new playground for children and families to enjoy for years to come.”
In partnership with KaBOOM!, Ambetter and the City of Hialeah worked together to collect input from local families on the playground design, encouraging community interest and involvement to prepare for the build.
volunteers130130 910910
hours
BEFORE
KaBoom! buildCheck out the action at sunhealthfl.com/kaboom.
AFTER
Community Investment Report 2019 | 15Community Investment Report 2019 | 14
Making Strides Against Breast CancerAmbetter from Sunshine Health was proud to be part of the Making Strides Against Breast Cancer National Partners Program. The sponsorship supports awareness and prevention of breast cancer.
Making Strides Against Breast Cancer was founded by the American Cancer Society (ACS), raising money for breast cancer research and patient services such as free rides to chemo, accommodations near treatment centers and a 24/7 cancer helpline.
Moses Allen, Sunshine Health’s Vice President of Pharmacy Operations, serves on the ACS Volunteer Leadership Board and has been involved with the society since college. He also served as an Ambassador of the Sunshine Health team for the Making Strides
Against Breast Cancer walk in Tampa.
“I’m proud to be a member of my community’s ACS Volunteer Leadership Board and even more proud that Sunshine Health has elected to partner with ACS,” said Allen. “Because cancer has affected individuals close to me, I am glad to be part of a company that plays a role in cancer prevention. Our partnership helps to advance ACS’s mission of providing funding in critical areas of cancer research, advocacy and education.”
Over 200 members of the Sunshine Health team and their families took part in walks in Miami, Fort Lauderdale, Tampa, Maitland, Jacksonville and Pensacola. That’s more than 500 hours of walking!
volunteers202202 501501
hours
Community Investment Report 2019 | 17Community Investment Report 2019 | 16
Orange Bowl CommitteeSunshine Health has partnered with the Orange Bowl Committee for nearly a decade, helping instill healthy habits in children and families through youth sports and health and wellness events.
The Orange Bowl Family Fun & Fit Day Presented by Sunshine Health is always a highlight of summer. The August event featured activities for the entire family, including food trucks, music, games, bounce houses, caricaturists and face painting.
To help families prepare kids to go back to school, children received free haircuts and backpacks filled with school supplies. In all, more than 40 organizations provided products, services and essentials for families.
2019 Highlights
• Sunshine Health supports the Orange Bowl’s youth football and cheerleading program, which included sports leagues and instructional clinics.
• The 2019 Orange Bowl Cheer Championship drew more than 1,000 cheerleaders.
• The Optimist Youth Football and the Basketball Classic were held at the BB&T Center in December.
• The Orange Bowl Downtown Countdown helped families ring in the new year in Fort Lauderdale.
Community Investment Report 2019 | 19Community Investment Report 2019 | 18
Urban League Sunshine Health partners with Urban League affiliates across the state on initiatives ranging from job training to community safety. In 2019, the Urban League of Broward County helped us present four programs for new and expecting moms and families. The baby showers offered education on nutrition and breastfeeding and connections to community resources, such as childcare and more.
• The Shower to Empower event in May offered cooking demonstrations, breastfeeding education and workshops for new dads. More than 200 people attended.
• Two baby showers in the fall, one catering to Hispanic families and the other catering to Haitian families, offered workshops in the families’ native languages.
• We also participated in the Urban League of Broward County’s Black Infant Health Practice Initiative, a community action group dedicated to improving access to preventive services and health education.
“Giving expectant moms the education and resources they need to keep themselves and their babies healthy is the number one thing we can do to make our communities stronger and healthier. That’s why we are so grateful for our longstanding partnership with the Urban League of Broward County.”
Debra Smyers, Sunshine Health Senior Vice President of Strategic Initiatives
2019 EPSDT EVENTS Early and Periodic Screening, Diagnostic and Treatment (EPSDT) puts an emphasis on prevention and early intervention for babies and children through age 21 with Medicaid health coverage. It is key to making sure children receive appropriate mental and physical preventive services and has been proven to improve health outcomes.
But not every parent knows of these free services, or is able to get their child to them, which is why we partner with Community Based Organizations (CBOs) throughout the state on EPSDT/Team Baby events.
Four EPSDT/Team Baby events were held in Orlando, Tampa, Jacksonville and Miami-Dade. With the help of the CB0s listed below, new and pregnant moms learned about everything from behavioral health screenings to affordable resources for childcare.
Thank you to the following CBOs for partnering with us on these EPSDT events:
• Behavioral Aid
• Breast Feeding Task Force
• Federation of Families
• Florida Kid Care
• Healthy Start
• Healthy Start Coalition Miami-Dade
• Help Me Grow
• Jacksonville Urban League
• Johns Hopkins All Children’s Hospital
• Metro Mommy Agency
• NEFL Healthy Start Coalition
• Orlando Health Department
• Pinellas County Department of Health
• Safe Kids Coalition
• Urban League of Broward County
• WIC Miami-Dade County
TE
AM BABY
Community Investment Report 2019 | 21Community Investment Report 2019 | 20
March of Dimes Recognizing the importance of preventing premature births, Sunshine Health teamed with the March of Dimes for the eighth year to support March for Babies events across the state.
In Florida, approximately 10 percent of babies are born prematurely. March for Babies raises money to treat infants in the neonatal intensive care unit (NICU), to fund programs that support mothers and families, and to pay for research to prevent premature births.
“Every child deserves a healthy start in life,” said Debra Smyers, Sunshine Health’s Senior Vice President of Strategic Initiatives and a board member of the Broward March of Dimes. “That’s why we support these marches and walk alongside families whose
lives have been touched by the March of Dimes.”
This year, the event was personal for Sunshine Health Program Coordinator John Cledor. His son Jax was born in March of 2018 weighing just 3 pounds. Now, Jax is happy and healthy. He joined his first March for Babies event. John, his wife Dominique, and Jax served as 2019’s Sunshine Health Broward March for Babies Ambassador Family.
Sunshine Health was the presenting sponsor of the Broward March for Babies and supported walks in Tampa, Orlando, Pensacola and Jacksonville. More than 175 employees participated in walks statewide, raising $38,434 in addition to our corporate support.
volunteers177177 708708
hours
employee fundraising$38,434 $38,434 $
Community Investment Report 2019 | 23Community Investment Report 2019 | 22
We know the importance of kids arriving prepared and excited on the first day of school. Having the needed school supplies in-hand is critical to build their confidence and support their success.
That’s why Sunshine Health supports Back to School drives throughout the state every year. During our 2019 Back to School campaign, we partnered with 23 community organizations in 11 counties to deliver school supplies to underserved kids. More than 21,000 supplies were distributed in July and August.
In addition, Sunshine Health employees in our Jacksonville office collected more than 4,000 school supplies during a two-week Stuff the Bus donation blitz.
items donated40,000+40,000+
Back to School
Community Investment Report 2019 | 25Community Investment Report 2019 | 24
Children’s WeekChildren’s Week is one of our favorite events of the year. In April, Sunshine Health joined dozens of community partners, educators, corporate supporters, parents, teachers and, of course, children in this annual series of events to remind lawmakers to keep Florida’s children at the forefront of their minds with every decision they make.
The week kicked off with the Sunday “Celebration of Hands,” where we joined other volunteers in the state Capitol Rotunda in Tallahassee hanging the tens of thousands of hands sent in by children from schools and childcare centers
across the state. On Monday, we joined the Florida Coalition for Children and One Voice IMPAACT in hosting a full day of workshops to guide foster children as they transition to independent living. We also enjoyed the annual Children’s Week Awards Dinner with United Way.
But the main event was Tuesday in the Capitol Courtyard. There was dancing, singing, storytelling, information, workshops and the main reason we go: watching the kids swap their big smiles for Sunshine Health swag, reminding us of why we do what we do.
Children’s Home Network The Children’s Home Network (CHN) celebrated 127 years of service in 2019, helping over 21,000 families and at-risk children through various programs that give them the skills they need to succeed in life. Sunshine Health is proud to support several of the organization’s programs.
Two dozen Sunshine Health volunteers spent a morning in May painting a building at CHN’s Kids Village main campus in Tampa. Kids Village is a residential
program for children ages 6 to 17 in the foster system who are victims of abuse, neglect and abandonment. The program provides on-site therapy, medical needs management, athletic programs and more.
We also were proud to donate $5,000 to CHN’s Supporting and Empowering Educational and Developmental Services, or SEEDS program. The program works with families of children who face learning challenges to ensure children are ready for kindergarten, advance at the end of the school year and read on level by third grade. SEEDS staff works together with the child, family and teachers to find learning methods that best fit the child’s developmental needs. Kindergartners in the SEEDS program have a 92 percent success rate of advancing to the next grade level with their peer group.
Community Investment Report 2019 | 27Community Investment Report 2019 | 26
No One Eats Alone Sunshine Health hosted assemblies at Matthew W. Gilbert Middle School in Jacksonville and Skyway Elementary in Miami Gardens in honor of National No One Eats Alone® Day, created by the nonprofit Beyond Differences™. Students participated in activities designed to teach them about social isolation and the negative impact it can have on a student’s health and academic performance. They demonstrated inclusion and sat with students at lunch who they didn’t know, or who may have felt left out.
Social isolation affects millions of students and has been identified as a precursor to bullying, self-harm and community violence. Students have shown that if they are given tools, they will stand up for others as empathetic and caring activists, not passive bystanders.
The Centene Charitable Foundation sponsored No One Eats Alone Day in more than 2,250 schools in the communities we serve. The initiative reached more than one million students in all 50 states.
of young people say they have seen bullying
in their schools
71%71%
of the time, bullying will stop when a bystander
intervenes
57%57%
of bullying occurs in the cafeteria
Source: stopbullying.gov
24%24%
TELEMUNDO: Sunshine Health sponsored the Feria Telemundo 31 in Kissimmee in October. Local families enjoyed games, entertainment, food, a job fair and more. Telemundo’s social responsibility initiative supports education, civic engagement and more among U.S. Hispanics.
MIAMI DOLPHINS: We enjoyed having an Ambetter from Sunshine Health table at the Miami Dolphins game at Hard Rock Stadium during Open Enrollment Period in October. We handed out more than 1,500 rally towels, hand sanitizers and sunglasses to Dolphins fans that day.
GET THE LEAD OUT: Sunshine Health is proud to support Tampa State Sen. Janet Cruz’s “Get the Lead Out Hillsborough” initiative, which has raised over $100,000 to install water filters on water fountains in Hillsborough County schools built before 1986. This important initiative ensures that students at 136 schools have access to clean and safe drinking water.
Community Investment Report 2019 | 29Community Investment Report 2019 | 28
2019 CENTENE UNITED
WA
Y CAMPAIGN | LET’S GIVE | S
EPTEMBE
R 1
9–N
OVE
MBER 1,
2019 |
“ I believe everyone has a responsibility to give back, and I appreciate working for a company like Centene that shares United Way’s mission of caring for and transforming our communities.”
HOLLY MAYER, COLUMBUS, OH Buckeye Community Health Plan
LET’S GIVE!
Free Community Resources DatabaseThe Sunshine Health Community Resources database helps people overcome Social Determinants of Health by connecting them with community resources.
Our free, online database at CommunityResources.SunshineHealth.com, connects members, providers and the public with more than 5,190 community organizations and 9,190 programs that provide free and reduced-cost food, healthcare, housing, job training programs and more.
In 2019, we had one-on-one technical sessions with providers at the Florida Association of Community Health Centers Annual Conference to show them how to use the database to help their patients. Reggie
Dokes, Outreach Manager for Feeding Northeast Florida, came to one of those workshops.
“It helped me learn how residents with food insecurities can use the database to find food distribution centers in the area,” said Dokes. “It also has helped me point our clients to other resources. It’s an easy way to direct people toward the help they need.”
We also met with dozens of community-based organizations to show them how to join the network, connect people and programs, and make and receive referrals — all at no cost to them.
If you would like to learn more about our community resource database and available workshops, email [email protected].
Check out our free, online database at
CommunityResources.SunshineHealth.com.
United Way It was another successful year for our United Way annual giving campaign! Nearly 1,700 Sunshine Health employees contributed to United Way, demonstrating our commitment to the neighborhoods and communities where we live, work and serve our members. The $80,500 donated will help change the odds for families who need it most.
“This was Centene’s biggest fundraiser of the year, and I’m very glad we stepped up and did our part,” said Chris Coffey, 2019 Sunshine Health President and CEO. “We all benefit from living and working in a healthier, happier community.”
Whether employees are interested in making sure more youth succeed in school, making our community healthier, or helping our residents become more financially stable, United Way is a chance for us to be part of the solution.
Did you know that United Way of Broward County supports 57 vital community programs? We are proud to help them change stories for local families.
Workplace giving supports local United Ways to improve:
• Health: 43 percent of Floridians skipped needed healthcare, due to cost.
• Education: ▪ By 18 months, toddlers from low-
income families are already several months behind more advantaged children in language proficiency.
▪ By age 3, children from higher-income families have heard 30 million more words than children from low-income families.
• Financial Stability: Earned Income Tax Credits boost family income, but one in five don’t claim them.
Source: United Way of Florida
1,682 employee donors
employee fundraising$80,500$80,500 $
Community Investment Report 2019 | 31Community Investment Report 2019 | 30
Provider ProgramsWe are grateful for the quality care that our network providers deliver to our members to help them get well and stay healthy.
To recognize and support their efforts, we launched a series of provider trainings, grants and programs in 2019.
Our Barrier Relief Program allowed us to partner with the National Council on Independent Living (NCIL) to award grants to 21 providers to help members with disabilities better access healthcare. Providers across the state used these grants for things like accessible exam tables that look a bit like a reclining chair, but lower to the height of a wheelchair for easy patient transfer, then recline and go back up for examination. One provider in the Panhandle whose office was damaged by Hurricane Michael in 2018 used the grant to build a new handicapped accessible bathroom.
We were also able to offer two Telemedicine grants in 2019. This support helped members in rural areas have virtual visits with children’s specialists, that would sometimes be hours away by car.
We also invested in new tools to help providers proactively care for their patients. Our Availity Portal includes recommended screenings and services for their Sunshine Health patients, with
additional features coming soon that will notify them of a patient’s hospital admission and make medical record exchanges less cumbersome.
On the training front, Sunshine Health was proud to offer several free continuing education opportunities for providers on topics such as Opioid Use Disorder and Maternal Health. In all, more than 11,500 trainings were taken by providers in 2019.
TelemedicineFamilies in two rural counties and surrounding areas no longer have to travel up to two hours to see a pediatric specialist, thanks to telemedicine equipment donated by Sunshine Health.
The equipment includes diagnostic tools and cameras that connect to the Nemours CareConnect platform, enabling children to have face-to-face video appointments with specialists. With the equipment, a specialist can listen to the child’s heart, look in their ears and perform other examinations.
One practice that received the equipment was the Children’s Medical Center in Lake City, Columbia County. The equipment connected the office of pediatrician Andres Villar, M.D., to specialists with Nemours Children’s Health System.
This gave children with complex medical needs access to the same specialty care available in large cities like Jacksonville and Orlando, without traveling over an hour. Pinnacles Pediatrics, Palm Coast in Flagler
County, also received the equipment. There, patients of pediatrician Vincent Verdeflor, M.D., also use the equipment to connect with Nemours specialists.
Researchers have acknowledged disparities in healthcare access, outcomes and life expectancy between rural populations in the United States and the general population. One in five Americans live in rural communities, far away from large U.S. cities, but only 11 percent of physicians practice in rural areas, according to the U.S. Health Resources & Services Administration. This provider shortage can be especially damaging for children with complex diseases who require specialists.
Learn moreRead how telemedicine increases access to care at sunhealthfl.com/telemedicine.
Community Investment Report 2019 | 33Community Investment Report 2019 | 32
AboutSunshineHealth
We Serve On Community BoardsMembers of the Sunshine Health leadership team serve on the boards of numerous organizations. A sampling:
Moses Allen VP Pharmacy OperationsAmerican Cancer SocietyMarch of Dimes
Mark Barrett SVP Network Development & ContractingChildren’s Home Network
Ray Bautista VP FinanceHealthy Start Coalition
Chris Coffey 2019 CEO Orange Bowl Committee
William Kruegel SVP OperationsUnicorn Children’s Foundation
Sophie Lamisere VP Medical ManagementMiami-Dade Chamber of Commerce
Jeff Martorana VP Medical AffairsJuvenile Diabetes Research Foundation
Tamela Perdue SVP Government Relations & ComplianceVolunteer Florida
Neiko Shea VP Child WelfareStatewide Guardian ad Litem Foundation Broward Children & Families AssociationBroward Healthy Start Coalition
Debra Smyers SVP Strategic InitiativesBroward March of Dimes
Charlene Zein SVP Plan ProductAmerican Cancer Society
Gail Daley VP OperationsHabitat for Humanity
Community Investment Report 2019 | 35Community Investment Report 2019 | 34
MedicaidMedicaid is the government benefits program for people whose income is insufficient to pay for private health insurance. Most of our Medicaid members are people with disabilities or chronic medical conditions, children under the age of 21 and pregnant women.
Sunshine Health works to connect children with needed care, including regular well-child visits, immunizations and preventive screenings.
We work to engage our pregnant members in prenatal care as soon as possible to improve birth outcomes, and offer a variety of programs that provide extra supports and services for women with high-risk pregnancies.
Our case management program provides members with disabilities or complex medical conditions personalized care and services to help them achieve and maintain optimal health. This program also supports recently hospitalized members to ensure they transition home smoothly and understand their medications and treatment plans.
Sunshine Health serves more than 490,000 Medicaid members.
FLORIDA
0
0
50
50
100 kilometers
100 miles
We Serve Our Members Through Six ProductsSunshine Health is one of Florida’s largest health plans and a wholly-owned subsidiary of Centene, a leading multi-line healthcare enterprise offering Medicaid, Marketplace, Medicare Advantage and specialty health plans.
1 million+ members
9 officesJacksonville, Orlando (Maitland), Pensacola,
Tallahassee, Tampa and Sunrise
75.8% overall provider
satisfaction
statewideAt least one product in each of Florida’s 67 counties
Office locations
Sunshine Health supported dozens of educational, fundraising and just-plain-fun events in 2019 like Reeling in for the Kids in Tarpon Springs.members received personalized care
plans from care managers in 2019.
94,094
Community Investment Report 2019 | 37Community Investment Report 2019 | 36
Child Welfare Specialty PlanSunshine Health is proud to offer Florida’s only Child Welfare Specialty Plan designed for children in and adopted from the state’s child welfare system.
We provide physical and behavioral healthcare to more than 41,000 children who have experienced life-altering trauma. By coordinating with state agencies, community based care providers and other critical child welfare system partners, we provide unique, high-touch care so these children have consistent, quality healthcare even as their living situations fluctuate.
Our integrated care coordination approach involves partnering closely with Community Based Care Integrated Health (CBCIH), the organization that represents the 19 Community Based Care lead agencies that manage the state’s child protection services. These lead agencies have care coordinators that help us serve our members at a local level. CBCIH enables us to share critical health and child welfare information among the many organizations involved to ensure every person making decisions for children has all the necessary information.
Sunshine Health’s Child Welfare Specialty Plan
members41,000
99% 12-24
months
Children visit a primary care physician each year
Well-child visits in the 3rd, 4th, 5th
and 6th years of life
5-Star rated health plan on state report card for children’s dental care
(Services received in 2018)
91% 25 months-
6 years
Source: FloridaHealthFinder.gov
In addition to serving Florida’s most vulnerable children, we enjoy taking part in dozens of fundraisers, conferences and events supporting Florida’s children. It gives us a chance to interact with and learn from the many other groups that support Florida’s children. We went to the Hillsborough Adoption Day, distributed school supplies at Communities Connected for Kids, supported the Brevard Family Picnic, and bowled at the Eckerd Bowl-a-Thon!
86% 7-11
years
82% 12-19 years
84%
Community Investment Report 2019 | 39Community Investment Report 2019 | 38
Long Term CareSunshine Health’s Long Term Care (LTC) plan is designed for seniors and people with disabilities and/or complex medical needs who also qualify for Medicaid.
Sunshine Health is Florida’s largest LTC provider, serving more than 40,000 members.
We strive to help members live — and thrive — in their communities by offering care management and supportive services tailored to each member’s unique needs.
We provide person-centered care planning that focuses on the member’s goals — whether that’s transitioning out of a nursing home, being able to use a walker instead of a wheelchair, or enjoying activities outside of their home more often.
Our LTC plan is nationally recognized for its success in transitioning our members from nursing homes back to the community to live more independently. In 2019, Sunshine Health earned NCQA LTSS distinction with a 100 percent score.
In 2019, Sunshine Health assisted 1,857 members in transitioning from nursing homes to family homes and other community options.
Sunshine Health is Florida’s largest LTC provider, serving more than 40,000 members. We also support many groups and activities supporting Florida’s aging population, such as the Latino Center on Aging in Miami-Dade.
Sunshine Health’s Long Term Care Plan
LTC members transitioned from nursing homes to family homes and other community options with support
from Sunshine Health care managers.
1,8571,857
93.5%93.5%
Rated satisfaction with their case manager and Long Term Care services
with the health plan
Source: 2019 LTC CAHPS survey
98%98%
LTC members stated they would tell friends and family
to join Sunshine Health
Source: Post call survey
LONG-TERM SERVICES & SUPPORTS
Community Investment Report 2019 | 41Community Investment Report 2019 | 40
Ambetter from Sunshine Health enjoys spending time supporting community events and informing people of our services and other community resources. We enjoyed the Safe Kids Lookout Cookout in Jacksonville, the Northeast Florida Healthy Start Coalition’s Baby Buggy Walk and Making Strides Against Breast Cancer races across the state (Page 14).
Ambetter
Ambetter from Sunshine Health is one of the largest Marketplace health plans in Florida, with more than 450,000 members in 2019. Ambetter offers several coverage options designed to fit different needs and budgets.
Ambetter provides targeted care management to support members with complex health needs, such as diabetes, heart disease or cancer. These programs provide personalized care and support services to help them achieve the best health possible.
We also provide our members with access to telehealth services through Teladoc to make it more convenient for them to access care when they need it.
To promote preventive screenings and well visits, we also offer a member incentive program that rewards members for taking a more active role in their health. Our Member Services team calls with reminders and schedules appointments for members who have missed recommended screenings.
Current service area:
Alachua, Broward, Charlotte, Citrus, Clay, Duval, Flagler, Hernando, Highlands, Hillsborough, Lake, Manatee, Marion, Miami-Dade, Okeechobee, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Putnam, Sarasota,
Seminole, St. Lucie, Volusia
450,000+members
3-Star overall rating
3-Star rating for clinical quality management
4-Star rating for plan efficiency, affordability and management
2019 service area
Community Investment Report 2019 | 43Community Investment Report 2019 | 42
Current service area:
Baker, Broward, Duval, Hardee, Hernando, Hillsborough, Lake, Manatee, Marion, Martin, Miami-Dade, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Seminole, St. Lucie, Volusia
Allwell Allwell from Sunshine Health provides Medicare Advantage plans with robust benefits at competitive prices.
We offer Medicare Advantage plans for seniors 65 and older, and other people eligible for Medicare with certain disabilities, and at any age with End-Stage Renal Diseases (ESRD).
2019 service area
In Margate, Allwell from Sunshine Health joined with Ambetter from Sunshine Health and the Envolve Vision Van to provide glasses for those needing them (Page 11).
3,500+members
Healthy Kids Sunshine Health was proud to provide managed care services for roughly 10,000 Florida Healthy Kids members in 2019. Sunshine Health’s contract with the Florida Healthy Kids Corporation to offer the Sunshine Health Stars Plan for children between ages 5 and 18 who are not eligible for Medicaid ended Dec. 31, 2019.
Sunshine Health employees’ efforts eliminated use of 31,000 single-use cups, plates and plastic utensils.
Compostable cups ...
Take anywhere from 1 to 100+ years to break down when sent to a landfill.
Can contaminate other recyclables when mixed in with normal recycling.
Must be sent to an industrial-scale composting facility, sorted and treated properly in order to break down in two months.
Sustainability We Pledge to be Cup-Pliant Sunshine Health employees across the state pledged to be #Cup-Pliant in 2019 by giving up single-use coffee cups, plates and plastic utensils in all their offices. Employees brought their own reusable coffee cups with lids — making them desk-side compliant — and signed the pledge. In turn, for every employee who made the promise, the company gave $5 to the nonprofit Keep Tampa Bay Beautiful.
The pledge keeps 12,500 cups, 6,000 plates and 13,000 plastic utensils out of landfills yearly and raised $7,500 for Keep Tampa Bay Beautiful. The environmental nonprofit used the donation to purchase an Augmented Reality Sandbox for their new environmental
classroom on the Hillsborough River in Tampa. The sandbox is a different experience for students every time they use it.
“The funds donated by Sunshine Health have given us the opportunity to build a hands-on AR Sandbox so that youth will be able to create the Hillsborough River, starting with the Green Swamp and ending with Tampa Bay, to better understand the flow of water and how it affects our surroundings,” said Debbie Evenson, Executive Director of Keep Tampa Bay Beautiful. “Because of sponsors like Sunshine Health, we are able to bring a fun, educational opportunity to our Environmental Education Center.”
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