Welcome to Prizm Advisory Consultants
In today’s rapidly evolving healthcare landscape, transitioning to value-based care is no longer optional—it’s essential. At Prizm Advisory Consultants, we specialize in helping healthcare organizations like yours navigate this shift with confidence, ensuring improved patient outcomes, reduced costs, and sustainable growth.
About Us
With over 30 years of combined experience, our consultants are here to help your organization navigate the complexities of value-based care. From risk adjustment and quality/HEDIS improvement to pharmacy optimization and utilization management, we provide tailored solutions that drive measurable results.
Our team brings deep expertise, data-driven strategies, and a commitment to your success. Whether you’re looking to improve patient outcomes, reduce costs, or ensure compliance, we’ll work alongside you every step of the way.
Let’s transform challenges into opportunities and build a healthier future together.
Our Services
Expert solutions in Risk Adjustment, Quality/HEDIS, Pharmacy (Part D), Marketing & Outreach, Utilization Management, and Population Health.
Maximize accuracy in coding and documentation to ensure appropriate reimbursement, reduce financial risk, and improve revenue capture under value-based care models.
Enhance performance on key quality measures, close care gaps, and meet regulatory benchmarks to improve patient outcomes and drive financial success.
Optimize medication management, reduce pharmacy-related costs, and ensure compliance with Medicare Part D requirements for better patient care and financial performance
Streamline care delivery processes, reduce unnecessary utilization, and improve resource allocation to enhance patient outcomes and operational efficiency.
Implement data-driven strategies to improve the health outcomes of your patient population, reduce costs, and enhance care coordination across the continuum.
Develop targeted strategies to engage members, improve retention, and drive enrollment while ensuring compliance with regulatory guidelines.
Ready to transform your healthcare organization? Let’s start the conversation. At PAC (Prizm Advisory Consultants), we’re offering a complimentary consultation to help you identify opportunities for growth, efficiency, and success in value-based care.
30+
Years of combined expertise
6
Core services
1 Goal
Your success
Our Team
“Experts with 30+ years of combined experience, dedicated to your success in value-based care.”
Dr. Julio Perez, MD, AHCCA
Risk Adjustment & Compliance | IPA & Health Plan Support
Dr. Kevin Rodriguez, MD, CRC
Risk Adjustment & Quality Strategies | IPA & Speciality Support
Dr. Kenny Misir, MD, AHCCA
Utlization Management/ Marketing & Outreach | Health Systems & Speciality Support
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FAQ
At PAC, we understand that transitioning to value-based care can raise many questions. That’s why we’ve compiled answers to some of the most common inquiries we receive. Whether you’re curious about risk adjustment, quality improvement, or pharmacy optimization, we’re here to provide clarity and guidance. Our goal is to empower your organization with the knowledge and tools needed to thrive in a value-based care environment. Let’s work together to turn your questions into actionable solutions.
News & Articles
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