Pan American Risk Management, LLC (PARMA) is a healthcare industry advisory and consulting firm. PARMA brings its clients a unique blend of perspectives. Its principals have served as leaders of health regulatory agencies at the federal and state level and have guided the successful development of a broad spectrum of healthcare firms. PARMA focuses its resources on assisting healthcare companies develop and implement their overall business models. PARMA provides government relations counsel to healthcare enterprises interacting with both federal and state health care agencies. Additionally, PARMA has been engaged in health system improvement, development and transformation projects for the public and private sectors in North America, Latin America and The Caribbean. PARMA is active as a policy advisor to both governors and state health care agencies on Medicaid reform initiatives. In the Caribbean, PARMA has worked closely with governments as well as the Pan American Health Organization to improve healthcare system performance across the region.