CG Moneta Consulting

The Truth Behind PBM Practices—and How We Can Help Prescription Benefit Managers (PBMs) like CVS Health’s Caremark Rx, UnitedHealth Group’s OptumRx, and Cigna’s Express Scripts wield substantial control over the prescription drug market, often operating with limited transparency. Their practices—such as spread pricing, formulary manipulation, and opaque rebate structures—frequently inflate costs for healthcare providers and patients alike. Recent investigations have exposed monopolistic behaviors and questionable practices within the PBM industry, revealing a system that prioritizes profit over fair pricing. These issues result in skyrocketing medication costs, restricted access to essential prescriptions, and undue financial strain on organizations. At CG Moneta Consulting, we’ve developed the Prescription Benefit Manager Forensic Audit to address these concerns and hold PBMs accountable. Our audit identifies: * Hidden fees and overcharges. * Irregularities in rebate distributions. * Compliance issues within PBM contracts. Why Choose Us? With decades of industry expertise and state-of-the-art forensic auditing techniques, we deliver actionable insights that help organizations uncover hidden revenue and reduce prescription-related costs. Our modified contingency-based approach ensures no financial risk—only measurable results. Take Action Today Don’t let unchecked PBM practices erode your bottom line. Schedule a complimentary consultation to discover how our Prescription Benefit Manager Forensic Audit can empower your organization to regain control over prescription costs. Learn More About the PBM Forensic Audit CG Moneta Consulting Empowering Organizations Through Accountability

I've been doing much reflecting lately. What a ride it's been. My business partner and I started CG Moneta Consulting "officially" in May 2019, right before the pandemic. Both of us are from the financial services industry; I am a financial advisor, and he is a retired banker. We launched CG Moneta to help small and mid-size businesses reduce costs, enhance efficiencies, and optimize cash flow. This was a need we were constantly seeing throughout the years spent in our primary profession. The attached video was created during our initial launch. Since then, we've grown to over 140 Consultants and Strategic Partners nationwide. We have added additional services, including a business development division that partners with new, innovative, and cutting-edge companies looking to commercialize their services. In short, we've become a one-stop shop, offering cost remediation, technology procurement, intelligent automation, tax incentives, energy efficiency, hospitality commercial renovations, and many additional offerings. We've had the privilege to work with fantastic business owners and executives we now call friends and long-term associates. We've partnered with private equity, professional sports executives, family offices, and consulting firms to leverage networks and establish solid reciprocal relationships. We've also had our ups and downs and many moments of doubt, especially throughout the first few years we were trying to get off the ground. And we had our share of mistakes and wrong moves. However, if we could go back in time, we wouldn't change a thing. So, thank you to everyone who has helped us get where we are today. And thank you to the best affiliates, partners, consultants, and now friends that two middle-aged schmucks could ever hope for. #gratitude #partnership #whatsamoneta

An audit that all medical practices, including dentists, nursing homes, and a wide range of specialties, should have. 🔍 Elevate Medical Resources, in partnership with CG Moneta Consulting, offers a complimentary 30-day Billing & Coding Forensic Audit to help you put your revenue cycle under the microscope. Our audit delivers a full breakdown of any inefficiencies, lost revenue, compliance issues, and more—giving your practice the actionable insights it needs to optimize revenue, enhance compliance, and increase operational efficiency. 💡 With our expert-driven approach, you'll uncover hidden growth opportunities and ensure your billing and coding processes are fully optimized. No cost. No obligation. Just results. #HealthcareFinance #RevenueCycleManagement #MedicalBilling #CodingAudit #HealthcareCompliance #ElevateYourPractice

In the fast world of business, it's easy to get caught up in the day-to-day operations and overlook opportunities for financial optimization. It takes less than 20 minutes to kick off a cost-reduction project that can save significant cash flow and optimize margins. In addition, we've noticed that most businesses we work with have yet to utilize the full suite of specialized tax incentives available today. Add the fact that most telecom, cloud & I.T. services can be procured at a 30-40% discount by leveraging companies like CG Moneta Consulting, and the value proposition of a cost reduction engagement surges. #cashflow #taxincentives #costreduction https://lnkd.in/enSCZ2b9

"MultiPlan, a data analytics firm, is under Congressional scrutiny for its role in reducing payments to medical providers, often leaving patients and employers with large bills." - Daily News Flash. Over the last year, I've worked with hospitals, surgical centers, and physician groups and met some of the best people I've had the pleasure of working with. I've also noticed the level of nonsense and the hurdles that they have to face daily, from insurance underpayments to ransomware attacks, understaffed billing departments, lack of visibility as to their insurance payer contract terms, and now a data analytics firm that has been reducing payments to medical providers. We've seen medical practices afraid of going after clear underpaid zero balances because they don't want to upset the insurance companies. How does this get fixed... or can it be fixed? #healthcare #medical #whatsamoneta https://lnkd.in/g6T3unsC

I am excited about our growth, particularly in healthcare and hospitality. I really enjoy engaging both verticals, as our service is a no-risk proposition for significantly increasing cash flow. We are your go-to for a portfolio of valuable services for hotel, motel, and resort owners, including commercial renovations, technology procurement, and a wide range of services designed to increase revenue. With over 130 Consultants nationwide, we now have a presence in most states in the Union... a fact that we are incredibly proud of. If you are a property manager, hotel owner, or someone in the hospitality space, check out the deck below for additional context on our value-add. And, a big thank you to everyone who has contributed to our success. We can't thank you enough! #hotels #restaurants #hospitality

With tax deadlines approaching, you can still reduce your company's tax burden. However, the clock is ticking. If you haven't explored the many incentives and credits available, you are doing your company a disservice. #taxes #revenue #whatsamoneta https://lnkd.in/eRwwSmm9

We recently announced our new service, the Elevate Medical Billing and Coding Forensic Audit. As such, I wanted to share a recent blog on the importance of auditing your medical practice's revenue cycle. #medical #healthcare #revenuecycle https://lnkd.in/eMqCRih4

CG Moneta is proud to announce a new service for the healthcare industry! This service is designed to increase overall revenue by 25% or more... and provides significant actionable data for medical practices of all specialties. #healthcare #medical #revenue

The recent CDK Global breach caused a shutdown of their Autodealer software solutions and led many dealerships to look at their own Cybersecurity posture. We can work with you, offering the crucial insights to properly assess your Network, Data, and Systems current Cybersecurity posture, and understand your resilience in the event of an attack. Cyber attacks are increasing, being prepared is vital. Key considerations include understanding which of your activities would be compromised, identifying new vulnerabilities before attackers do, and having a response/recovery plan in place. Let's discuss how my team can help evaluate your Cybersecurity strategy, recommend options from our 200+ strong Provider portfolio, and implement solutions like Penetration testing or CISO services. We offer a vendor-agnostic approach tailored to your needs, helping you maintain the IT tools that allow you to focus on your core business. I'm eager to help eliminate vulnerabilities from your network before a breach occurs. Let’s talk today!