swift health plan has announced that it has acquired a major competitor that currently serves the county. Swift will significantly expand from 8,000 to 12,000 members, with total covered lives approximating 45,000. Swift has asked us to revise our current per member per month rate for ambulatory services provided swift has asked us to revise our current per member per month PMPM rate for ambulatory services provided (excludes ambulatory surgery) note our current PMPM rate is equal to our average gross revenue per visit with at 15% discount times 7 visits per member per year paid in monthly installments. Should we consider we need a SWOT analysis