PCG’s Health practice offers in-depth programmatic knowledge and regulatory expertise to help state and municipal health agencies respond to regulatory change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Using industry best practices, PCG’s Health team helps organizations deliver quality services with constrained resources to promote improved client outcomes.

What We Do

For State Health & Medicaid Agencies

See how we can help you increase program revenue, cut costs, and improve compliance with state and federal regulations.

For State Insurance Departments

Let us help you navigate the regulatory landscape, including the Affordable Care Act (ACA), and implement changes and new requirements with confidence.

For Provider Organizations

Boost your financial performance and compliance with our proven approach to improving claiming practices and operations management.

For Health Plans

Optimize your plan’s performance and compliance without sacrificing patient outcomes with our program integrity services.

News & Perspectives

Maryland Attorney General sues federal government to protect the ACA

2 days ago

On Thursday, September 13, 2018, Maryland Attorney General Brian Frosh filed a lawsuit in federal district court in Maryland requesting a declaratory judgment that the Affordable Care Act (ACA) is constitutional, and a court order preventing the federal government from taking any action is inconsistent with that conclusion.

ReadMore

Federal Departments finalize rule to expand access to short-term health plans that are not ACA-Compliant

44 days ago

On August 1, 2018, the Department of the Treasury, the Department of Labor, and the Department of Health and Human Services jointly promulgated a final rule on Short-Term, Limited-Duration Insurance (STLDI). The final rule further amends the proposed rule released in February and seeks to carry out the directions given in Executive Order 13813...

ReadMore

Four cities file a federal lawsuit against the Trump Administration for allegedly attempting to undermine the ACA

44 days ago

On August 2, 2018, the cities of Columbus, OH, Cincinnati, OH, Baltimore, MD, and Chicago, IL filed a lawsuit in the U.S. District Court for the District of Maryland claiming that the Trump Administration has persistently attempted “to undermine the Affordable Care Act (ACA).”

ReadMore

Lawsuit challenges U.S. Department of Labor regulation allowing small businesses to offer health plans that violate protections of the Affordable Care Act (ACA)

51 days ago

On July 26, 2018, 11 states (led by the attorneys general of New York and Massachusetts) and the District of Columbia filed a lawsuit in the U.S. District Court for the District of Columbia challenging a Department of Labor final rule that would allow small businesses to offer health plans providing lesser benefits than those required under the ACA.

ReadMore

Federal District Court Judge invalidates Kentucky’s work requirement in its approved Medicaid expansion program

73 days ago

On June 29, 2018, U.S. District Court Judge James Boasberg of the District of Columbia rejected Kentucky’s work requirement imposed as part of the state’s Medicaid expansion program under the Affordable Care Act (ACA).

ReadMore

US District Court holds no private right of action under the Health Insurance Portability and Accountability Act (HIPAA)

86 days ago

On June 15, 2018, the U.S. District Court for the District of Columbia ruled that the HIPAA statute does not provide a private cause of action. A patient at a hospital in Washington, District of Columbia, claimed that the medical intake computer station violated HIPAA’s privacy protections. She filed a complaint with the Office for Civil Rights (OCR) and the District of Columbia’s Office of Human Rights, but neither would pursue her claims.

ReadMore

Meet Our Team

team-member

Amy Ferraro

Manager / Health, Human Services

Ms. Ferraro has over 22 years of public sector consulting experience and has worked on a variety of revenue management, revenue optimization, and consulting engagements in more than 35 states across a variety of different agencies. She has also worked with...

ReadMore
team-member

Peter Cheesman

Associate Manager / Health

Mr. Cheesman leads PCG Health's Member Eligibility Solutions group. In this capacity, he has overseen the implementation and operation of high-profile benefits eligibility verification systems and data broker solutions for health and human services...

ReadMore
team-member

Rich Albertoni

Manager / Health

Mr. Albertoni has 16 years of experience working in state public health programming and Medicaid. He has held leadership positions in eligibility, budget and finance, and benefits and waivers.

ReadMore
team-member

James Dachos

Associate Manager / Health

Mr. Dachos, an Associate Manager in our Healthcare Financing Solutions division, has 12 years of Medicaid and Healthcare experience with PCG. He leads PCG’s Emergency Medical Services (EMS) division...

ReadMore
team-member

Sean Huse

Manager / Health

Mr. Huse (MBA, CHFP), a Manager at Public Consulting Group, is an experienced health management consultant who focuses on financial management, strategic planning, policy analysis, information...

ReadMore
team-member

Joe Weber

Associate Manager / Health

Mr. Weber, PMP, has been with PCG for 13 years. Mr. Weber helps lead the Health Care Financing Solutions (HCFS) Center of Excellence with over twelve years of public sector consulting focusing on publicly funded healthcare programs including Medicaid...

ReadMore
team-member

Tony Curatola

Associate Manager / Health

Mr. Curatola, an Associate Manager with PCG and certified PMP, has more than 29 years of experience in the Information Systems industry with over 22 years in project management and 18 years in Medicaid.  He has extensive project management experience in both the public and private sectors including: state government, property and casualty Insurance, healthcare insurance, and banking.

ReadMore
team-member

Matthew Sorrentino

Manager / Health

Mr. Sorrentino, a Manager and Center of Excellence (COE) lead for our Healthcare Financing Solutions division, is a management consultant with 15 plus years of extensive Medicaid and healthcare experience.

ReadMore
team-member

Thomas Aldridge

Manager / Health

Mr. Aldridge is a Manager with Public Consulting Group (PCG) and has been with the firm for more than 20 years. Throughout his tenure, he has managed dozens of engagements within Health and Human Service agencies across the country...

ReadMore
team-member

Aaron Holman

Associate Manager / Health

Mr. Holman has been working in health policy for the past decade, starting in the United States Senate working on Medicare, CHIP and Health IT areas for Senator Debbie Stabenow (D-Michigan) and the Finance Committee. Mr. Holman also worked as a lobbyist in Washington focusing on health IT financing and standards development...

ReadMore
team-member

John Blowers

Associate Manager / Health

Mr. Blowers leads the newest PCG Health Center of Excellence known as Staffing Solutions Organization (SSO). While SSO just celebrated its one-year anniversary on May 1st, Mr. Blowers has over 25 years of HR experience...

ReadMore
team-member

Shawn Kotoske

Director of Internal Administration / Health

Mr. Kotoske has significant experience in leadership, project management, policy analysis, application development, and data analysis. In 2014 he created the Health Project Management Office (PMO), and now directs the PCG Health Internal Administration Office...

ReadMore
team-member

Kevin Hutchinson

Manager / Health

Mr. Hutchinson oversees PCG's Program Integrity and Provider Management solutions, advising and aiding Medicaid agencies and healthcare care plans in improving compliance and quality, while preventing fraud, waste, and abuse. He leads a team that provides...

ReadMore
team-member

Dale McCourt

Associate Manager / Health

Mr. McCourt, Associate Manager, has been a member of the PCG team since 2011. Dale brings over 25 years of experience spanning many industries where he has served in a variety of roles including Chief Operating Officer, Project Manager, Manager...

ReadMore
team-member

Kelly Gallagher

Associate Manager / Health

Ms. Gallagher has been with PCG for 10 years. Ms. Gallagher helps lead the Cost Allocation Center of Excellence, specializing in cost allocation, time studies, Medicaid and Title IV-E claiming programs, business process review, Targeted Case Management (TCM)...

ReadMore
team-member

Rick Dwyer

Manager / Health

Mr. Dwyer, a Manager located in our Boston office since 1993, has over thirty years of experience in financial and operations management in corporate and healthcare provider and payer environments.  For providers, Mr. Dwyer has been actively involved...

ReadMore
team-member

Marc Staubley

Practice Area Director / Health

Mr. Staubley is PCG Health’s Associate Practice Area Director (APAD) and a PCG shareholder.  In this role, he provides executive leadership to over 400 staff who manage a portfolio of over 200 projects that span across more than 35 states...

ReadMore
team-member

Jay Peck

Associate Manager / Health

Mr. Peck has been with PCG for over 13 years, specializing in Medicaid Program Integrity, Quality Improvement, and Beneficiary Due Process. He has successfully led the implementation of large-scale projects, such as a Provider Oversight effort in Ohio...

ReadMore
team-member

Lisa Lee

Associate Manager / Health

Ms. Lee has been with PCG for 1 year and helps lead the Health Innovation, Policy and Information Technology Center of Excellence, specializing in Medicaid, CHIP, and ACA policy. Project accomplishments include the creation of Mississippi’s 1115 Waiver Application...

ReadMore
team-member

James Waldinger

Associate Manager / Health

Mr. Waldinger, an Associate Manager at PCG, is an experienced Medicaid policy and reimbursement professional who focuses on healthcare operations, mental health and substance abuse policy and integration, and health care reform and its impact on Medicaid programs and providers.

ReadMore