Jamie Swann Msn, Rn Email and Phone Number
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Transformative Healthcare Leader and Consultant | Founder of HealthEquity SolutionsI’m Jamie Swann, a healthcare leader and consultant dedicated to transforming care delivery through innovative value-based payment (VBP) models in Medicaid Managed Care, particularly within Managed Long-Term Services and Supports (LTSS). As Founder and Principal Consultant of HealthEquity Solutions, I focus on enhancing care coordination, improving quality outcomes, and ensuring equitable healthcare access, especially for dual-eligible and Medicaid-only populations.My Mission:HealthEquity Solutions is driven by the belief that everyone deserves high-quality, equitable healthcare. We aim to develop and implement VBP models that improve healthcare delivery, focusing on building robust community support systems and initiatives that ensure universal access to quality care.Strategic Leadership:With a career dedicated to pioneering innovative healthcare models, I’ve overseen a $4.5 billion Medicaid plan and led initiatives to address the complex needs of diverse populations. My strategic leadership is grounded in transparency, accountability, and innovation, and I guide teams to turn challenges into growth opportunities.I have established clinical programs for individuals with dual alignments, including those in need of home and community-based services (HCBS). My work in piloting shared savings models and integrating unconventional provider VBP strategies has set industry benchmarks, particularly in reducing inpatient utilization and increasing provider engagement. Additionally, I have expanded doula services for Virginia Medicaid members, leading to substantial improvements in maternal and child health outcomes.Core Competencies:- Strategic Leadership & Planning- Data-Driven Decision-Making- Program Development & Compliance- Healthcare Operations Management- Stakeholder Relations & Technology IntegrationWho We Serve:HealthEquity Solutions partners with Medicaid Managed Care Organizations, healthcare providers, policymakers, and technology companies to implement VBP strategies that improve care coordination, enhance financial stability, and advance health equity.Let’s connect to explore how we can collaborate to transform healthcare delivery and achieve lasting impacts on population health. Your expertise and insights are integral to this process, and I look forward to our potential collaboration.
Healthequity Solutions
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Chief Executive OfficerHealthequity Solutions Jul 2024 - Present
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Strategy And Program Development Director (Staff Vice President Equivalent)Anthem, Inc. Sep 2019 - Jul 2024Indianapolis, Indiana, UsDirected operations and strategic initiatives for a major Medicaid plan, managing $4.5B+ in revenue. Spearheaded projects that improved service delivery and transparency, Increasing revenue through enhanced services, and cost-effective management. Led cross-functional team of 250+ members.• Pioneered a whole health/population health strategy for maternal and child health. Closed 63% of well-child visit gaps within 15 months, ensuring timely and comprehensive pediatric care. Improved timeliness of prenatal care by 7.29% and postpartum care by 9.33%.• Orchestrated a cohesive bid strategy despite complex requirements and short turnaround times. This resulted in a successful bid award that enhanced service delivery and competitively positioned organization within state healthcare system.• Implemented innovative atypical provider value-based purchasing (VBP) strategies, leading to a 44.5% reduction in overall inpatient utilization and enhanced provider engagement, heralding as company's best practice with planned statewide rollout.• Developed and implemented cohesive framework integrating Utilization Management, Provider Relations, Case Management, Clinical Operations, and Program Development. This resulted in an increased 42% membership growth and decreased IP admissions and nursing facility admissions.• Led implementation of Electronic Visit Verification (EVV) and utilization management software, working with cross-functional teams. Implementation across multiple clinical areas, the only Managed Care Organization (MCO) in state to fully comply with CMS requirement compliance and optimizing operational efficiency. -
Director IAnthem, Inc. May 2017 - Sep 2019Indianapolis, Indiana, UsDesigned and launched state's 1st Managed Long-Term Services and Supports (MLTSS) plan, overseeing all implementation aspects, including policy development, team establishment, and staff training, to ensure operational excellence and regulatory compliance. Designed and deployed data-driven and evidenced-based case management programs, achieving 26.61% reduction in nursing facility utilization per 1K members. Developed and implemented the organization's inaugural LTSS Utilization Management program, emphasizing cost control, fraud mitigation, and efficient utilization practices, leading to zero deficits following thorough case management and utilization audits. Secured a $20M payment from the state by collaborating with a cross-functional team to develop robust, state-mandated reporting, meeting all contractual requirements within 1st year.
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Manager I Hcms, LtssAnthem, Inc. May 2014 - May 2017Indianapolis, Indiana, UsLTSS Manager 2014 - 2017Managed clinical care coordinators and nonclinical medical management personnel to ensure contractual compliance.• Developed and implemented evidence-based policies targeting dual Medicaid and Medicare members, reducing readmission rates from 20.3% to 13.9% over 2 years, significantly closer to our goal of 11%.
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Director Of CertificationDona International 1997 - 2007
Jamie Swann Msn, Rn Skills
Jamie Swann Msn, Rn Education Details
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University Of VirginiaNursing -
Western Governors UniversityNursing
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Western Governors UniversityNursing Administration
Frequently Asked Questions about Jamie Swann Msn, Rn
What company does Jamie Swann Msn, Rn work for?
Jamie Swann Msn, Rn works for Healthequity Solutions
What is Jamie Swann Msn, Rn's role at the current company?
Jamie Swann Msn, Rn's current role is Transformative Healthcare Leader | Advocate for Care Equity & Community Enrichment.
What is Jamie Swann Msn, Rn's email address?
Jamie Swann Msn, Rn's email address is mo****@****ail.com
What schools did Jamie Swann Msn, Rn attend?
Jamie Swann Msn, Rn attended University Of Virginia, Western Governors University, Western Governors University.
What are some of Jamie Swann Msn, Rn's interests?
Jamie Swann Msn, Rn has interest in Human Rights, Poverty Alleviation, Disaster And Humanitarian Relief, Health.
What skills is Jamie Swann Msn, Rn known for?
Jamie Swann Msn, Rn has skills like Healthcare, Nursing, Clinical Research, Hospitals, Emr, Training, Teaching, Case Management, Health Education, Public Speaking, Healthcare Management, Case Managment.
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