Leveraging more than 30 years of experience working across the public sector, our colleagues and subject matter experts often share insights, guidance, and best practices through a variety of channels—case studies, presentations, white papers, thought leadership pieces, and more.
Here is a collection of those materials, including information on our featured subject matter experts.
Health Care Reform
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Arkansas Health Insurance Marketplace Board
Analysis of the state’s opportunities under the Affordable Care Act (ACA) Section 1332 State Innovation Waivers, including those relative to the state’s Health Care Independence Program (HCIP)
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New Hampshire Insurance Department (NHID)
Consultation services related to the development, negotiation and implementation of a Marketplace premium assistance program via 1115 waiver for coverage of the Medicaid expansion population
Long Term Care
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Alaska Department of Health and Social Services
Comprehensive review and evaluation of Alaska’s long-term care system.
Medicaid Provider Screening, Enrollment and Oversight
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Ohio Department of Medicaid
Home and Community Based Services Provider Oversight and Investigations
Program Integrity Audit
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North Carolina Division of Medical Assistance (NC DMA), Program Integrity Office
Post-payment Medicaid claims review, February 2010 - present
Health Policy and Regulatory Support Services
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Federal Partnerships Health Insurance Marketplace: State of New Hampshire, Insurance Department
Consulting for federal partnership health insurance marketplace
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Health Insurance Marketplace Plan Management: Arkansas Insurance Department (AID)
Development of guidelines and requirements for Qualified Health Plan (QHP) certification; QHP strategy and operational support; health insurance rate review
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Federal Partnerships Health Insurance Marketplace: State of Delaware, Department of Health and Social Services (DHSS)
Consulting for federal partnership health insurance marketplace support; health insurance rate review
Health Policy
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PCG Memorandum on HHS Proposed Benefit and Payment Parameters and Draft Letter to Issuers for 2019.pdf
Margot Thistle, JD, Lisa Kaplan Howe, JD
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Rising Prescription Drug Costs - State and Federal Efforts to Contain Costs
Margot Thistle, JD, Lisa Kaplan Howe, JD
QHP Certification
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Draft 2017 Letter to Issuers in the Federally-Facilitated Marketplaces Summary of Key Changes Related to QHP Certification
Margot Thistle, JD, Lisa Kaplan Howe, JD, Blair Kennedy
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Draft 2017 Letter to Proposed Notice of Benefit & Payment Parameters for 2017
Margot Thistle, JD, Lisa Kaplan Howe, JD, Blair Kennedy
Health
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Rich Albertoni
Expertise: Health Insurance Exchange and Medicaid Policy and Program Management
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Sam Fish
Expertise: Health & Human Services Law
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Lisa Kaplan Howe
Expertise: Health Insurance Marketplaces, Medicare, Medicaid
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Charles Hurley
Expertise: Fire & EMS operations, planning, and training, Urban Search & Rescue; Swift/Flood Water Rescue, Hazardous Material handling and safety protocols, Emergency management operations (state and local levels), Project consulting using CAD analytics and geographic information system (GIS) mapping
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Tim Nowak
Expertise: EMS-specific and combination fire/EMS projects related to feasibility studies, operational analysis, combined services reviews, and program evaluations
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Ken Riddle
Expertise: Fire & EMS operations, planning, and training, Proposal guidance, Creating & implementing new strategic programs, Data-driven consulting, Business leadership
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Margot Thistle
Expertise; Health Insurance Marketplaces, Medicare, Medicaid
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Jim Waldinger
Expertise: Health Care Reform, Medicare, Medicaid
COVID-19 Health Services
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Strategically Addressing States’ Contact Tracing and Workforce Needs During the COVID-19 Pandemic
Rawson Pino, Margot Thistle, Esq.
Health Care Reform
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Health Insurance Exchanges: Key Issues for State Implementation
Prepared for State Coverage Initiatives by Public Consulting Group