Welcome
Where Strategy Meets the System
SWAY Strategy helps all sectors of healthcare navigate managed care, build payer partnerships, and expand into new markets
Who We Serve
Health Plans
Provider Organizations
Provider Organizations
From market entry strategy to network adequacy, we partner with managed care organizations to strengthen provider networks, optimize reimbursement structures, and expand into new populations and geographies.
Provider Organizations
Provider Organizations
Provider Organizations
We help primary care, specialty care, behavioral health and ancillary service providers build sustainable payer relationships, navigate multi-state credentialing, Medicaid licensing and develop the network and operational strategies that drive growth and revenue.
Government Agencies
Health Tech Companies
Health Tech Companies
We support state agencies and managed care programs with strategic planning for specialty populations, including child welfare systems, foster care, and Medicaid behavioral health carve-outs.
Health Tech Companies
Health Tech Companies
Health Tech Companies
We help health tech organizations translate complex payer, provider, and regulatory requirements into system architecture that actually works. From EHR integrations and claims data flows to credentialing automation, we bridge the gap between business strategy and engineering so your platform scales without breaking.
What We Do
Network Strategy & Market Expansion
Entering a new state or expanding into new counties requires more than a business case — it requires understanding the regulatory landscape, identifying the right managed care partners, and building a credentialing and licensing roadmap that gets you to market faster. We conduct state-by-state analysis of Medicaid managed care structures, telehealth parity laws, licensure compacts, and competitive dynamics to build your expansion playbook.
Payer Partnership Development
The right payer relationships are the foundation of sustainable growth. We help you identify which MCOs, specialty plans, and carve-out programs align with your clinical model and patient populations. From initial outreach and rate negotiation to contract execution, we manage the partnership lifecycle so you can focus on delivering care.
Revenue Cycle & Claims Strategy
Denied claims and missed billing opportunities leave real money on the table. We analyze your remittance data, identify denial patterns, and build corrective action plans that recover revenue and prevent future losses. From coordination of benefits issues to rate discrepancies, we turn claims problems into cash flow.
Regulatory & Market Intelligence
Healthcare regulations shift constantly across states, and staying current is a competitive advantage. We provide targeted research on Medicaid fee schedules, telehealth regulations, licensure requirements, interstate compacts like the Counseling Compact, and state-specific program structures so you can make informed, timely decisions.
Child Welfare & Behavioral Health Strategy
Serving children in state custody and foster care requires deep knowledge of specialty managed care plans, behavioral health carve-outs, and the unique regulatory environment surrounding child welfare populations. We bring firsthand experience navigating these systems across 20+ states to help you build programs that serve the most vulnerable children and families effectively.
Health Tech Systems & Interoperability Strategy
Scaling a health tech platform means your systems have to talk to each other — and talk to the payers, providers, and state agencies you serve. We bridge the gap between business strategy and engineering execution, translating clinical workflows, billing logic, and regulatory requirements into the technical language your product and development teams need. From EHR integrations and claims data pipelines to credentialing automation and payer connectivity, we help health tech companies build system architectures that drive scalability, reduce operational friction, and protect revenue as you grow into new markets.
Meet Your Strategist
Stephany Sylverain Founder & Principal Consultant
With over a decade of experience spanning both payer and provider organizations, Stephany brings a rare 360-degree perspective to healthcare strategy. Her career has taken her through leadership roles at Humana, Oscar Health, Centene, VillageMD, and Hazel Health — giving her firsthand insight into how health plans think, how provider networks are built, and where the real opportunities for growth live.
Stephany specializes in Medicaid managed care strategy, with deep expertise in behavioral health, child welfare populations, and multi-state expansion. She has helped organizations navigate contracting across 20+ states, build payer partnerships from the ground up, and recover revenue through smarter claims and billing strategies.
Based in Tampa, Florida, Stephany founded SWAY Strategy to bring enterprise-level strategic consulting to health plans, provider organizations, and government agencies nationwide — with the responsiveness and personal investment that only an independent consultancy can offer.