Solving Healthcare Funding Together

the possibility

We partner with states to build and run healthcare programs. From our roots in immunization to new frontiers in mental health, children with special needs, and more. SHFT converts bold public policy into sustainable, high-impact systems that serve everyone.

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Why We Exist

Building
Systems That
Work For
Everyone

SHFT partners with states to design, launch, and sustain healthcare funding solutions, including immunization and psychiatry access programs, that make public health work better for everyone. We transform smart policy into operational systems that expand access, stabilize funding without taxpayer dollars, and produce real, equitable outcomes across communities. read more

What We Do

Our Services
That Create
Impact

Program Design & Implementation

We partner with states to design and launch sustainable, self-funded public-health programs that put policy into practice, including immunization, mental-health and specialty-care programs.

Stakeholder Coordination

We engage and align insurers, providers, and state agencies to establish sustainable, transparent collaborations. By bringing together key stakeholders, we create unified ecosystems working towards aligned goals.

Fund Management

We administer multi-payer funding models that minimize reliance on state general funds while reducing costs for payers and reducing financial and administrative burdens for providers.

Governance & Compliance

We support clear governance structures, regulatory alignment and full transparency. Our frameworks ensure accountability, proper oversight and state-level compliance across program operations.

Technology & Operations

We deploy secure, scalable systems and operations that make healthcare-program workflows seamless, from assessment collection to fund remittance. With efficient technology and operations, we deliver durable programs that serve everyone.

Built To Benefit
All.

State Policymakers

State Policymakers

We create cost-effective, compliant systems that make a lasting impact.

Health Departments

Health Departments & Agencies

We reduce administrative burden with real-time solutions and full lifecycle support.

Providers & Communities

Providers & Communities

We remove barriers to care, enabling sustainable access for every eligible patient.

Payers

We simplify participation while ensuring transparency and financial safeguards.

Steps To Implement An SUVP

How SHFT
Works
From Start To
Finish

  • SHFT generally recommends 9–12 months to establish a new entity; however, the process can be accelerated and finalized within 90 days ahead of the program's first operational year.
  • Costs for SHFT's services are embedded within the program and are typically 2%–5% of the total cost of vaccines.

Current Work

What We're
SHFTing Right Now

SHFT is helping states take action - today. Our team is on the ground designing frameworks, navigating legislation, engaging payers and state agencies, and coordinating systems that move quickly and deliver for communities.

Through these programs , SHFT helps states unlock innovation in how healthcare is accessed, funded, and delivered:

Live Program Updates:

Leadership & Team

Led By Experience.
Powered By Purpose.

SHFT is about building efficient, accessible healthcare funding systems that make a lasting difference. We're solving the funding gap so healthcare works for everyone.

Seema Mack

Seema Mack |
President & CEO

Seema Mack serves as the President & CEO of SHFT, where she leads statewide efforts to modernize how essential health services are funded and delivered. read more

Megan Conrad

Megan Conrad | VP of
Finance & Operations

Leads financial strategy, operations, and modeling across all state programs. She brings deep expertise in healthcare finance, actuarial analysis, and cost-savings modeling, read more

Naomi Andrews

Naomi Andrews |
Executive Director of
Programs

A seasoned public-sector and nonprofit leader with more than 15 years of experience in government operations, political strategy, and organizational management. read more

Our Legacy

From KidsVax®
to SHFT

SHFT builds on the legacy of KidsVax®, which helped pioneer statewide vaccine programs across the U.S. As needs evolve, so do we, expanding from immunization into behavioral health, substance recovery, and beyond, always with the same goal: making public health systems that work better for everyone.

SHFT BigArrows

Powered By
Partnership

SHFT is the operational arm of PATH, our nonprofit foundation dedicated to expanding healthcare access. Together, we connect mission with execution, bringing big ideas to life at scale with systems that last.

Let’s SHFT What’s Possible

Let’s SHFT What’s Possible

Partner with us to build smarter, more sustainable public health systems - today and for the future.