SwiftCurrent's team has very broad yet deep knowledge about the Healthcare industry, a result of the team literally having experience in nearly every function within a health plan, as well as industry knowledge about CMS' programs Medicaid and MAPD and community based programs.
Strategy & Organization
We have assisted MAPD, Managed Medicaid, Commerciall Private health plans, community clinics, and even the CMS Innovations center with developing strategic plans. These strategies required knowledge across the spectrum of considerations, from benefit plan design, operational improvements, system selection and implementation, compliance strategies and more.
Health Plan Operations
Our clients rely on our expertise and practical solutions and recommendations to improve their help plan operations, as well as assisting them with creation of workflows and desk top procedures. We are able to create or enhance existing policies to ensure they meet the needs of internal and external entity requirements.
All of our partners have led and/or assisted plans with assessing current state compliance with their governing regulatory agencies, designing and implementing compliant actions. Because we also audit on behalf of regulatory agencies, we know what clients will experience during audits, and can help them achieve readiness pre audit.
SwiftCurrent's engagements have included assessments of many health plan IT organizations to identify improvement opportunities, staffing ratio appropriateness, skill set assessment, and mentoring needs. We are also skilled at assisting with core software, and enterprise data warehouse solution selection and implementation management.
SwiftCurrent leadership is often asked to fill C -Suite level positions when plans must or have made changes in those roles. We have served as interim CIOs Compliance Officers, VP of Health Plan Operations, many times. Plans know they can count on us to quickly assimilate their culture, and provide effective interim leadership, dimissing the chaos of vacant critical roles, while allowing them to find the new candidates for the permanent role.
Community Based Health
We wear our hearts on our sleeves at SwiftCurrent.
In addition to providing top-notch professional services to health plans, we share a commitment to make health outcomes better for rural and unserved populations. We have assisted with grant writing, specialty benefit program creation, PBM contracting and claims management for critical access entities.