
Third Party Administrator (TPA) Services
PCG is an expert and trusted third party administrator (TPA) providing end to end claims processing services and solutions on behalf of government agencies and health plans.

Solutions that enhance health and public safety services.
Helping fire and emergency medical service agencies improve operational performance, reduce costs, and deliver better outcomes to those in need.

Solutions that lead to healthier communities.
At PCG, we help our clients meet the financial, regulatory, and operational challenges of today’s changing health care landscape so they can provide the best care, most effectively, to the people they serve.
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.
News & Perspectives
National Public Health Week: Celebrating 30 Years of Public Health Progress
10 days agoThis year marks the 30th anniversary of National Public Health Week (NPHW), the theme of which is “It Starts Here.” In honor of this milestone, Public Consulting Group (PCG) celebrates the public health progress made in the last 30 years and reflects upon some key public health topics that are critical to continuing this momentum.
ReadMorePCG hosts “Translating Fire & EMS Operational Challenges into Financial Needs” Webinar
826 days agoAs more fire and EMS departments have been expressing the need for additional funding, countless have struggled through referendums and challenging budget meetings to justify every penny of increase. Public Consulting Group (PCG) is here to provide support to fire and EMS administrators on how to step back from challenges, consider the perspectives of the community, and determine how to communicate operational needs into simple and actionable requests that anyone can understand.
ReadMoreU.S. Supreme Court Ruled That HHS Wrongfully Cut Medicare Reimbursement for Certain Drugs to Hospitals Serving Low-Income Beneficiaries
1009 days agoOn Wednesday, June 15, 2022, the U.S. Supreme Court unanimously held that the U.S. Department of Health and Human Services (HHS) improperly cut more than $1 billion per year since 2018 in Medicare payments for certain drugs to hospitals serving low-income communities.
ReadMoreU.S. Supreme Court Decides That States Can Seek Reimbursement for Future Medical Expenses from Medicaid Beneficiaries’ Injury Settlements
1018 days agoOn June 6, 2022, the U.S. Supreme Court held, in a seven-to-two decision, that the Medicaid statute permits a state to seek reimbursement from settlement payments allocated for future medical care.
ReadMoreU.S. Supreme Court Declines to Hear Appeal by UnitedHealth Group, Inc. Requiring Return of Medicare Overpayments Based on Faulty Diagnoses
1031 days agoOn Tuesday, June 21, 2022, the U.S. Supreme Court rejected an appeal by UnitedHealth Group, Inc., leaving in place a federal rule requiring Medicare Advantage plans to return overpayments based upon wrongful diagnoses.
ReadMorePCG Awarded CMS Quality Improvement Organization-like Recertification
1109 days agoPublic Consulting Group (PCG) is proud to announce its five-year recertification as a Quality Improvement Organization-like (QIO-like) entity by the Centers for Medicare and Medicaid Services (CMS). A QIO-like entity consists of health quality experts, clinicians, and consumers who work together to improve the quality of care delivered to Medicare and Medicaid beneficiaries.
ReadMoreMeet Our Team

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...
ReadMore
Tony Curatola
Manager / Health
Mr. Curatola, a 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.
ReadMore
Gary Reimers
Vice President / Technology Consulting
Gary Reimers joined PCG in 2008 and serves as a vice president of the Technology Consulting team. In this role, Gary is responsible for independent verification and validation (IV&V), quality assurance (QA), and security services provided by the firm nationally.
ReadMore
Jill Reynolds
Associate Practice Area Director / Human Services
Ms. Reynolds leads PCG’s Aging and Disability Services Center of Excellence. She provides strategic leadership and support for human services projects involving Home and Community Services, Vocational Rehabilitation, disability services, employment support programs, and other programs serving elders and people with disabilities...
ReadMore
Paul Wertheim
Vice President / Technology Consulting
Paul Wertheim joined PCG in 2011 and serves as a vice president of the Technology Consulting team. In this role, Paul is responsible for project management and delivery of independent verification and validation (IV&V) services to state and local governments...
ReadMore
Kathy Fallon
Practice Area Director / Human Services
Ms. Fallon has worked in government and government consulting for more than 32 years and has expertise across state and local human service programs. She has been at PCG since 1998 and currently oversees the firm's human services division...
ReadMore
Gwyn Jackson
Vice President / Technology Consulting
Gwyn Jackson joined PCG in 2014 and serves as a director of the Technology Consulting team. In this role, Gwyn is responsible for project management and oversight of technical teams providing software development...
ReadMore
Dr. Jack McLaughlin
Manager / Education
Dr. McLaughlin comes from a proud family tradition of service in public education. He has served as school teacher and chief administrator in New York and California. In California, he served as...
ReadMore
Stephen Rafoul
Vice President of IT Cloud Infrastructure and Operations / Corporate Technology
ReadMoreBeth Maxcy
Associate Manager / Human Services
Beth Maxcy is an associate manager in PCG’s Boston office. Since 2005, she has worked with child welfare and human service agencies across the U.S. to implement fiscal and policy solutions to help improve outcomes for children, youth, and families. Beth has also worked with a variety of states to deliver financial consulting, strategic planning, project management, and sustainable change services.
ReadMore
Rich Talaber
Chief Technology Officer / Corporate Technology
Rich Talaber joined PCG in 2012 with responsibility for all PCG Infrastructure including Data Centers, Office Connectivity, PCG Cloud Infrastructure, Telecom, Email, and Personnel Productivity Tools.
ReadMore
Cameron Lackey
Associate Manager / Education
Cameron Lackey is an associate manager in Education. He joined PCG in 2016 and brings strategic and programmatic planning expertise in the areas of system and service implementation and program and project management...
ReadMore
Sarah Salisbury
Associate Manager / Human Services
Sarah Salisbury has over 14 years of experience in a vast array of health and human services programs with specific focus on aging and disability services...
ReadMore
Yvonne De la Rosa
Vice President / Technology Consulting
Yvonne De la Rosa joined PCG in 2008 and serves as a Vice President of the Technology Consulting team. In this role, Yvonne is responsible for providing project management and oversight of independent verification and validation (IV&V) projects...
ReadMore
Kendra Carter MBA
Associate Manager / Education
Kendra Carter joined PCG in 2011 as a consultant and currently serves as an Associate Solutions Manager overseeing Operations Management from the Princeton, New Jersey office.
ReadMore
Robbie Ammons
Manager / Education
Mr. Ammons has worked for the past 15 years on IEP and Medicaid school-based projects for North Carolina, Georgia, Tennessee, South Carolina, Minnesota, Illinois, Florida and Virginia.
ReadMore
Jason Kelly
Director / Technology Consulting
Jason Kelly joined PCG in 2021 and serves as Director for the Technology Consulting team. In this role, Jason is responsible for client relations, practice growth, and service delivery. Jason’s focus is on CMS Certification and compliance, MITA, and Medicaid Transformation...
ReadMore
Tracy Bell
Senior Advisor / Human Services
Mr. Bell joined PCG in November 2018 with over 15 years of experience in human services. He currently serves as a senior advisor for employment and income maintenance services within Human Services. In this role, he focuses on health and human services strategies and solutions for state and local governments...
Dave O’Leary
Associate Manager / Education
Dave O’Leary is an associate manager in Education and currently leads the Pacific Northwest region. He joined PCG in 2003. Dave manages projects related to education technology, including the implementation of PCG’s special education data management systems, EDPlan™, IEP Online™, and EasyTRAC™...
ReadMore
Heather Baker
Manager / Human Services
Heather Baker leads PCG's child welfare and youth services practice, helping state, county, and community-based agencies invest in programs, people, and technologies that improve the lives of children and families. She leads a team of individuals with vast experience in delivering and managing child and family services and programs.
ReadMore