PCG's top health trends to look for in 2016

Year end is a time of reflection, and a time to plan for what’s to come. Here at PCG, our Health team has much to be proud of in 2015: we helped more than 40 states develop and implement health care reform and Medicaid policy that will impact millions of Medicaid members nationwide. And so we look ahead to 2016, and PCG Health’s leadership sees a few trends that we are keeping an eye one that we think will impact the Medicaid healthcare system in 2016, and for years to come. [More]

ESSA includes support for public school libraries

According to a December 17, 2015 Special Ed Connection article, the Every Student Succeeds Act (ESSA), signed into law by President Obama on December 10, provides new support for public school libraries. Under ESSA, librarians are added to the definition of specialized instructional support personnel when involved in student assessments, diagnoses, therapy, and other related services as defined by the Individuals with Disabilities Education Act. [More]

Supreme Court hears oral arguments on major health care case

Members of PCG Health’s Health Innovation Policy Information Technology (HIPIT) center of excellence have been keeping a close eye on Gobeille vs Liberty Mutual Insurance Company. Gobeille has the potential to seriously undermine state All-Payer Claims Databases (APCD) that many of PCG’s state clients rely on for data collection. These systems allow states to gather data that is necessary to analyze health care services and impact rising health care costs. [More]

Congress passes ESEA/NCLB rewrite

On December 9, 2015, the U.S. Senate passed the Every Student Succeeds Act (ESSA), which rewrites the Elementary and Secondary Education Act (ESEA)/No Child Left Behind Act (NCLB). The bill was passed by the U.S. House of Representatives on December 2 and President Obama is now expected to sign it into law. [More]

HHS finalizes new rules for eligibility IT systems

The U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) published final rules in the Federal Register on December 4, 2015, authorizing 90 percent Medicaid Federal financial participation (FFP) for the design, development, installation (DDI) or enhancement of Medicaid eligibility and enrollment (E&E) systems. Additionally, the final rules authorize 75 percent Medicaid FFP for the maintenance and operation (M&O) of such systems. [More]

TC wins HIPAA coding contract in California

PCG Technology Consulting (TC) was recently awarded a new contract to provide Health Insurance Portability and Accountability Act (HIPAA) Medical Coding Expertise services to the California Department of Health Care Services (CA DHCS). PCG’s team includes three certified medical coders that will assist CA DHCS in producing medical coding methodologies consistent with the standards required by HIPAA regulations, including International Classification of Diseases, 10th Edition (ICD-10). [More]

Senate Finance Committee releases draft legislation

Earlier this year, in August 2015, Sen. Ron Wyden (D-OR) introduced “The Family Stability and Kinship Care Act of 2015” which marked the first legislative effort to address child welfare finance reform. While the legislation received significant bipartisan support among the Senate, Sen. Orrin Hatch (R-UT) never offered support instead stating that he would introduce additional legislation prior to the end of the year and this week, the Senate Finance Committee staff shared a draft version of child welfare finance reform. The proposed legislation, not yet introduced, is titled “The Family First Act.” The language of the legislation is consistent with Sen. Wyden’s bill on several points, however, additional aspects were added. Examples of the proposed changes include (but are not limited to) amendments to “Subtitle A: Investing in Prevention and Family Services” and “Subtitle B: Ensuring the Necessity of Placement that is not a foster family home.” [More]

CMS proposes ACA Benefits and Payments Parameters Rules for 2017

On December 2, 2015, the U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) officially published its proposed “Notice of Benefits and Payments Parameters” rules for 2017. As in prior years, this annual rules notice proposes adjustments to a wide range of policy, operational, and information technology requirements applicable to health insurance coverage obtained through Exchanges, as well as other related topics under the Affordable Care Act (ACA). [More]

PCG Polska and Perspektywy Education Foundation Recognize 11 Universities with LUMEN 2015 Awards

On November 23 and 24 in Warsaw, Poland, PCG Polska and the Perspektywy Education Foundation held the inaugural “Leaders in University Management – LUMEN 2015” Conference and Awards Gala. The LUMEN awards were established to distinguish persons and teams that manage universities in the most innovative and effective manner. More than 220 participants attended the gala and the accompanying conference, including esteemed government officials and experts in the Polish higher education sector, such as the Vice-Minister of Higher Education, the Head of Polish Accreditation Commission, and the Head of Polish Rectors Foundation, to name a few. [More]