What is your state doing to expand health care coverage and implement the Patient Protection and Affordable Care Act?

 

In the coming months, every state will need to plan and establish a Health Insurance Exchange and will need to decide:

  • What will the Exchange’s governance structure look like?
  • Who will be responsible for planning, designing, implementing, and operating the Exchange?
  • In what ways can the Exchange support the state’s health care reform priorities?
  • How will the Exchange fit into the commercial health insurance market?

PCG Services

PCG, a national, results-driven leader in consulting to state health and human services agencies for nearly 25 years, has assembled a seasoned team with experience in the design and implementation of state
health insurance programs.

We offer a variety of services, including

  • strategic consulting that encompasses all facets of health care reform.
  • market research, data collection, and analytics.
  • Medicaid expansion and integration with the Exchange.
  • planning, design, and development of the Exchange.
  • planning, development and implementation of IT support systems for Exchange.
  • insurance market reform strategy.
  • evaluation of your eligibility processes and systems.
  • design and development of a streamlined, simplified eligibility engine for all medical assistance programs.
  • actuarial assistance and cost modeling.
  • development of a financial dashboard.
  • preparation of RFPs that integrate and support the broader goals of health reform.

PCG Experience

In a multi-year project, PCG is providing consulting and technical assistance to help the Nevada Department of Health and Human Services, Division of Health Care Financing and Policy assess health care reform requirements. Ultimately, the team will help Nevada to complete a major expansion of publicly subsidized health coverage programs, health delivery system reform, and significant changes to the commercial health insurance market.

 

PCG continues to assist Massachusetts in its groundbreaking effort to provide health insurance for nearly all Massachusetts residents. PCG is responsible for directing key components of Commonwealth Care operations on behalf of the Massachusetts Health Connector. PCG oversees operational reporting, quality assurance, training, and program integrity. The firm also provides supervisory and operational support.

More Information

For more information on how we can help your state to build and manage a comprehensive and effective Health Insurance Exchange, please contact us at info@publicconsultinggroup.com or 1-800-210-6113.