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 COVID-19 Health Services

Together, we can implement the innovative solutions necessary to help public health systems rise to the challenges of COVID-19.

For Health Plans

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

For Fire and EMS Provider Organizations

Helping fire and emergency medical service agencies improve operational performance, reduce costs, and deliver better outcomes to those in need.

News & Perspectives

National Public Health Week: Celebrating 30 Years of Public Health Progress

10 days ago

This 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.

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PCG hosts “Translating Fire & EMS Operational Challenges into Financial Needs” Webinar

826 days ago

As 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.

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U.S. Supreme Court Ruled That HHS Wrongfully Cut Medicare Reimbursement for Certain Drugs to Hospitals Serving Low-Income Beneficiaries

1009 days ago

On 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.

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U.S. Supreme Court Decides That States Can Seek Reimbursement for Future Medical Expenses from Medicaid Beneficiaries’ Injury Settlements

1018 days ago

On 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.

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U.S. Supreme Court Declines to Hear Appeal by UnitedHealth Group, Inc. Requiring Return of Medicare Overpayments Based on Faulty Diagnoses

1031 days ago

On 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.

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PCG Awarded CMS Quality Improvement Organization-like Recertification

1109 days ago

Public 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.

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Meet Our Team

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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...

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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. 

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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.

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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...

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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...

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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...

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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...

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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...

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Stephen Rafoul

Vice President of IT Cloud Infrastructure and Operations / Corporate Technology

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Beth 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.

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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. 

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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...

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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...

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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...

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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.

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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.

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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...

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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...

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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™...

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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.

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