Found 384 results

Provider Management and Program Integrity

Each year, hundreds of millions of Medicaid dollars go to personal care services, home health, community behavioral health, hospice, non-emergency transportation, and other in-home care services. Managing these services – and their providers – requires a unique and innovative approach that is not tr...

/health/for-state-health-medicaid-agencies/provider-management-and-program-integrity/

For Health Plans

Managed care plans are under more regulatory scrutiny than ever before. Meanwhile, they face the business challenge of controlling Medicaid costs without sacrificing patient outcomes. At PCG, we’ve worked in the Medicaid program integrity environment for more than three decades. Our team will work w...

/health/for-health-plans/

Benefits

PCG's benefits package reflects our commitment to our staff as well as the communities we serve. We offer a comprehensive selection of programs and resources to support the well being and individual growth of every employee. Health Coverage Benefit eligible employees are offered medical, dental and ...

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Recently proposed JOBS Act could signal coming TANF reforms

Momentum has been building for several years to reform the Temporary Assistance for Needy Families (TANF) program, and many consider the recently proposed Jobs and Opportunity with Benefits and Services for Success (JOBS) Act to be an indicator of coming reforms. The House Ways and Means committee r...

/news-perspectives/recently-proposed-jobs-act-could-signal-coming-tanf-reforms/

Section 1332 State Innovation Waiver – Recent developments and the newly-released checklist

In follow-up to its letter to Governors regarding the Section 1332 Waiver opportunity, the Centers for Medicare and Medicaid Services (CMS) and the Department of Treasury released a Section 1332 checklist on May 16 designed to help states pursue ACA State Innovation Waivers. Section 1332 of the ACA ...

/news-perspectives/section-1332-state-innovation-waiver-recent-developments-and-the-newly-released-checklist/

Developments in Section 1332 State Innovation Waivers

Progress has continued on state efforts to secure Section 1332 State Innovation Waivers. Oregon submitted a waiver application at the end of August, seeking support for a state-based reinsurance program, and that application has since been determined complete. Iowa submitted two recent updates to it...

/news-perspectives/developments-in-section-1332-state-innovation-waivers/

The latest news from D.C.

Following the failure in the Senate to pass various legislative proposals – the Better Care Reconciliation Act (the Senate version of repeal and replace), the straight repeal option , or the “skinny repeal” bill – last week, Senate leadership has continued to say that they are moving on to other age...

/news-perspectives/the-latest-news-from-dc/

A look back at major developments in health policy during 2017, and a preview of 2018

In the following roundup, PCG health policy subject matter experts reflect upon major policy shifts and changes that have occurred in 2017, as well as preview policy developments expected in 2018. With major announcements that will affect 2018 just within the past couple of months, our subject matte...

/news-perspectives/a-look-back-at-major-developments-in-health-policy-during-2017-and-a-preview-of-2018/

Outsourcing (Operations)

Do you seek a vendor who can provide high quality services to your clients? Are you looking for a partner you can trust to help you serve your families using innovative approaches that will help move them toward self-sufficiency? PCG provides effective outsourcing services, including: Employment cas...

/human-services/public-assistance/outsourcing-operations/

CMS Releases Final Exchange Guidance

On April 9, 2018, the Centers for Medicare & Medicaid Services (CMS) released the long-awaited final Exchange guidance for the 2019 plan year – the final Notice of Benefit and Payment Parameters for 2019 (NBPP) and the final Letter to Issuers in the Federally-facilitated Exchanges (Letter). Toge...

/news-perspectives/cms-releases-final-exchange-guidance/