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  • October 2025
CRA Financial & Consulting Group: Guiding Puerto Rico’s Health Sector with Vision and Heart

CRA Financial & Consulting Group

Guiding Puerto Rico’s Health Sector with Vision and Heart

In Puerto Rico’s complex healthcare and financial consulting landscape, one firm has emerged as a pillar of integrity and patient-focused innovation when assessing different medical care providers who collectively serve over 500,000 lives. CRA Financial & Consulting Group, founded by Carmen Ramos de Alba, CPA, is a standout organization that has reshaped the way healthcare stakeholders think about operational strategy, compliance, community impact, and the power of data-driven solutions. As CRA approaches its 25th anniversary, supported by a team of over 150 employees, it stands on a legacy of empathy, an unyielding commitment to enhancing health equity and overcoming cost constraints. Ramos de Alba, a veteran health sector consultant, has always taken a patient-first view of the industry in support of the services provided by clients. “Everything I have done as part of my more than 35 years providing assessment to health industry components is geared to solve challenges that govern healthcare delivery, while at the same time promote the full health of the patient,” says Ramos de Alba. Improving Health Literacy and Adherence CRA’s consulting services are comprehensive, encompassing strategic planning, quality control, administrative streamlining, and compliance solutions for hospitals, medical groups, and federally qualified health centers. It is distinguished by the way it addresses the broader context in which healthcare is delivered. Ramos de Alba was among the early voices highlighting the role of social determinants in health outcomes, long before the idea gained traction in public policy discussions. In 2015, this foresight led to the creation of the CRA Call Center, a pioneering initiative designed to help patients overcome barriers to attending medical appointments or adhering to prescriptions. The service educates, engages and provides a human touch modern healthcare systems should have. By anticipating the needs of patients—especially those from vulnerable populations—the call center became a cornerstone of CRA’s approach to improving health literacy and adherence. During 2024, it reached a record high of over one million calls, demonstrating human touch is highly effective to serve the needs of patients over 65 years of age, who are at the time 28% of Puerto Rico’s population, while integrating technology to better serve younger generations.

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CRA Financial & Consulting Group: Guiding Puerto Rico’s Health Sector With Vision and Heart

Top Medical Billing Company 2025

ProMD Medical Billing

The Trusted Medical Billing Partner for Healthcare Providers

Jose Carreras, Vice President and COO

ProMD stands out by customizing services based on the unique needs of each medical practice. Every provider is different, with variations in specialty, patient population and internal processes. The company responds to this diversity with specific, tailored approaches that focus on resolving challenges. Whether it’s revenue slowdowns, coding challenges, or workflow inefficiencies, ProMD applies deep domain expertise to resolve issues and optimize operations. Its services span the entire revenue cycle, beginning with patients scheduling an appointment and continuing till the final payment is received. With a focus on integrating seamlessly into existing workflows, ProMD delivers everything from accurate medical coding and payer credentialing to hands-on consulting that enhances practice management. Proactive denial management and ongoing compliance support help providers stay ahead of regulatory demands, while customized KPI dashboards offer valuable insights that drive smarter financial decisions. A key differentiator is ProMD’s seamless integration with existing EMR/EHR platforms—enhancing workflow efficiency without disrupting systems. Rather than merely addressing issues as they arise, ProMD takes a proactive approach to prevent them. Its certified and experienced coders bring specialized expertise in the nuances of each medical field, while compliance professionals ensure practices stay aligned with evolving regulatory requirements. This preventive mindset positions billing not as a bottleneck, but as a strategic driver of growth for medical organizations.

Surrogacy and Egg Donation Agency of the Year 2025

ACRC Global

Inspired by Family, Built for Yours

Leo Li, CEO

ACRC Global was born from a deeply personal moment that inspired a global mission to make the journey to parenthood more accessible, inclusive and compassionate. Over a decade ago, founder Leo Li witnessed the immense joy his family experienced during his sister’s twin pregnancy, a moment that highlighted how transformative parenthood can be, especially for those facing infertility or navigating family-building as LGBTQ+ individuals. Leaving behind a successful career in finance, Li founded ACRC Global to help others experience that same joy. What began as a small agency has evolved into one of the most trusted global fertility partners for intended parents (IPs), delivering tailored and high-quality fertility care across borders. Comprehensive Fertility Expertise Powered by Global Expertise ACRC Global serves IPs across the United States, Canada, Europe, Australia, Japan, mainland China, and Taiwan. Whether clients need in vitro fertilization (IVF), donor services, surrogacy, or a combination thereof, the company guides them through every step of the process. With headquarters in California and offices in New York, Seattle, Tokyo, Singapore, and Taiwan, ACRC Global’s multidisciplinary team offers expertise in medical coordination, legal compliance, and emotional support, delivering an accurate full-service model. At the core of its services is an IVF concierge program. Through its dedicated website, Global Doctors, the company collaborates with over 35 U.S. physicians and reputable partners in Japan, Korea, Europe, Taiwan, and Canada. This allows IPs to complete IVF procedures in their home countries while ACRC Global manages secure embryo transport to the U.S. for surrogacy. For many families, the only required travel is for the long-awaited trip to meet their baby. Every journey begins with a free consultation and continues with dedicated, one-on-one case management as their single point of contact. These professionals coordinate everything, from embryo creation and milestone tracking to cord blood storage and travel planning for newborn pickup, providing ongoing updates and peace of mind. Clients are matched with surrogates in U.S. states like California, where legal protections and parental rights are clearly defined. Safety and compliance remain paramount. The company adheres strictly to FDA regulations and follows the American Society for Reproductive Medicine (ASRM) guidelines. All screenings, testing panels, and genetic assessments are managed by local clinics, with samples sent to certified American labs for final approval.

Top Medical Injury Case Legal Services 2025

Empower Rehabilitation & Case Management

Trusted Partner in the Medical Injury Case Legal Space

Charlene Espritt, CEO

In the complex world of personal injury law, having a reliable and knowledgeable team behind you is essential. Empower Rehabilitation & Case Management, led by CEO Charlene Espritt, has earned a reputation as a trusted partner for law firms navigating the complexities of medical injury cases. With a customer-focused approach, Empower provides a comprehensive range of services designed to meet the varied needs of personal injury clients. At the heart of Empower’s success is its “one-stop shop” philosophy. The company offers a broad spectrum of services, including future care needs assessments, wrongful death evaluations, independent medical evaluations (IMEs), and vocational opinions on loss of earnings. This range allows clients to access credible, objective, and data-driven reports that can strengthen their cases. “Our clients have access to top-tier experts in every area of need,” says Espritt. “Whether it is life care planning, vocational assessments, or physician evaluations, we provide a scientific approach that stands up in court.” Empower’s strength lies in its team of skilled professionals—including physicians, nurses, life care planners, and vocational experts—who collaborate closely with clients. This personalized approach ensures that every aspect of a case is meticulously covered. The company’s expertise extends beyond producing expert reports. Empower also helps other professionals enhance their own work by providing training on how to write reports that are data-driven and scientifically sound. This educational component is a key part of Empower’s commitment to delivering high-quality, reliable services. Empower’s dedication to excellence is reflected in the positive feedback the company regularly receives. One client praised its ability to deliver quality reports, stating, “We are so glad we chose to use Empower! These first two reports we used have been impeccable and extremely helpful to our case.” Such feedback is common, as a large portion of Empower’s business comes from repeat clients who value the consistent quality of its services.

Medication Management Service of the Year 2025

Pharmacy Management Solutions

Clinical Excellence with a Human Pulse

Anthony V. Panici, CEO, Anna Holguin, PharmD, Chief Operating Officer

Pharmacy Management Solutions began in 2007 when Anthony Panici Sr. set out to bring compassion, personal connection, and practical solutions to an industry often focused more on processes than people. What started as a pharmacist’s mission to make care more attentive and effective has evolved into a clinical consulting company that partners with long-term care facilities to improve resident outcomes and strengthen care teams from within. The company offers a broad range of services for long-term care, covering adolescent to geriatric support. These include medication regimen reviews, admission and change-of-condition evaluations, psychotropic medication tracking, medication administration, and more. The team also assists with plans of correction, audits medicine carts, and supports performance improvement initiatives. All services integrate smoothly with major Electronic Medical Record and Electronic Health Record platforms, keeping clinical work closely tied to daily operations. But none of this operates like a checklist. It works because of how the team shows up. ROOTED IN FAMILY AND BUILT ON ACCOUNTABILITY Anthony V. Panici, CEO of Pharmacy Management Solutions, leads the company today, carrying forward his father’s vision. Though it may appear to be a large clinical firm, inside it operates with the warmth and trust of a family business. His cousin, Anna Holguin, PharmD, Chief Operating Officer at the company, oversees clinical operations and helps shape Pharmacy Management Solutions’ culture. Their family-rooted partnership influences every part of the organization and is deeply felt by employees and pharmacy partners. This culture creates an internal rhythm. Say what needs to be said, take ownership, and step up to fix what is broken. Facilities trust the company’s consultants when stakes are high. Whether a resident’s condition changes suddenly or a state survey arrives unexpectedly, the team stays engaged until solutions are found. Every partnership starts without a one-size-fits-all approach. Panici and Holguin often visit facilities in person, walk the halls, meet with staff, and introduce consultants who will be on-site. Listening first ensures support begins with understanding rather than assumption.`

Top Local And Long Distance Medical Transportation Service in Florida 2025

AllCare Medical Transport

Reliability When It Matters Most

Ryan Gebhard, President and Owner

Reliability under pressure is everything in medical transport. Hospitals, care facilities, and families need more than a ride. They need a team that shows up on time every time with steady hands and a caring heart. AllCare Medical Transport is that partner, shaping the experience for patients and their loved ones when emotions run high and the stakes are greatest. The company ensures patients are never left waiting and families never left wondering. With skilled, compassionate staff and gentle attention to every situation, it delivers comfort, safety, dignity, and peace of mind when it matters most. “We are a calm, capable presence during some of the most stressful times in a patient’s life,” says Ryan Gebhard, president and owner. Providing ambulatory, wheelchair, stretcher, and ambulance transport (BLS and ALS) for local and long-distance needs, AllCare Medical Transport serves clients primarily in Florida and to destinations across the country. As one of the few regional providers offering every level of care under one roof, it gives hospitals, facilities, and families a trusted single partner for any patient, condition, or destination. Supporting Patients and Families through Emotional Journeys The non-emergency medical transportation space is defined by its unpredictability. Most requests are not made days in advance but come in the same day, often with minimal notice. AllCare Medical Transport has structured its operations to meet this challenge directly. With round-the-clock availability every day of the year, the company is able to respond quickly and efficiently, even in the most time-sensitive scenarios. Through a proactive approach, the company anticipates and resolves challenges before they even arise. To minimize complications before they happen, AllCare Medical Transport has built both systems and a culture focused on prevention. Dispatchers are trained to communicate clearly, drivers and medics receive guidance on compassionate bedside manner, and vehicles and schedules are monitored in real time to avoid delays or confusion. That commitment is personal for the founder, who experienced the medical transport process firsthand while caring for his own father. That journey left a lasting mark, inspiring a business built on purpose, where even brief moments with patients and families are treated as opportunities to leave a positive and lasting impact.

CXO INSIGHTS

Importance of Proper Protocol in Hospital Patient Transportation

Ernest Verdecia, Associate Director of Centralized Transportation, Jackson Health System

Trends Impacting Medical Billing Space

Tami McMasters Gomez, Executive Director, Mid Revenue Cycle, UC Davis Health

The Opioid Pandemic and Enhanced Recovery after Surgery: Eliminating Opioids from Routine Surgical Practice

Dr. Carlos Sandoval-Herrera, Director of Gynecology and Chief of the Division of Minimally Invasive Gynecology, Sinai Chicago

Catalyzing Change in Asset Management

Arthur Kurland, Director of Capital and Asset Management, University Health

How well do you know your business partners?

Sarah Ginnetti, Chief Revenue Cycle Officer and Vice President of Clinical Revenue, UConn Health

Automating Medication Management for Better Outcomes

James Trumble, Vice President of Clinical Integration, Peninsula Regional Medical Center

Ways to Avoid Sports Injury

Julio Martinez, Medical Director, Baystate Health

IN MY OPINION

Automating Professional Billing

Candace Omija, Manager, Professional Billing and Coding, The Queen’s Health System

LAST WORD

The Role of AI, Data, and Engagement in Modern Healthcare

Gary Lester, Director, Patient Experience, Regional One Health

IN FOCUS

Building Tomorrow's Families: Surrogacy and Egg Donation in a Changing World

Learn more

Health and Financial Consulting Expertise Empowering Growth

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EDITORIAL

Improving Patient Outcomes

The healthcare services industry in Florida is experiencing rapid growth, fueled by rising demand for specialized support in areas such as local and long-distance medical transportation, medication management, medical injury legal services, medical billing and surrogacy and egg donation. Patients and families are seeking more convenient, reliable and comprehensive solutions, creating opportunities for providers to expand and innovate. Technology is driving much of this expansion, transforming how services are delivered and managed. Digital scheduling and route optimization tools make medical transportation more efficient, while telehealth platforms simplify medication tracking and patient monitoring. Advanced medical billing systems reduce errors and speed reimbursements and legal case management software streamlines medical injury claims. Even in surrogacy and egg donation, technology enhances communication, matching and tracking, providing a smoother experience for families and professionals alike. This edition of Healthcare Business Review highlights the latest developments transforming healthcare services, from technology-driven patient care to streamlined operational solutions. It features thought leadership articles from industry experts, including Candace Omija, manager, professional billing and coding at The Queen’s Health System, who emphasizes why leveraging technology, automation and practice management systems to make billing more efficient. Sarah Ginnetti, chief revenue cycle officer and vice president of clinical revenue at UConn Health, shares insights on optimizing vendor partnerships and outsourced services to ensure peak performance across all segments of the revenue cycle. The edition also features CRA Financial & Consulting Group, a healthcare consulting firm improving provider operations, patient outcomes and health equity through analytics, strategy and patient-centered solutions. We hope this edition inspires healthcare leaders to embrace innovation, optimize operations and deliver more efficient, patient-focused care across the continuum of services.

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