Found 384 results

Healthcare Access and Markets

States turn to PCG to organize their commercial health insurance regulatory compliance. They work with us to establish managed care procurement and contract oversight. States regulate their private insurance markets and operate Medicaid managed care and fee-for-service programs to assure healthcare ...

/health/for-state-insurance-departments/healthcare-access-and-markets/

Identity and Eligibility Verification Data Broker Service

PCG specializes in designing and deploying creative systems and solutions which allow agencies to replace manual application review activities with data and analytics in order to enhance the integrity of public assistance membership files. PCG currently processes more than 2 million benefits eligibi...

/health/for-state-health-medicaid-agencies/identity-and-eligibility-verification-data-broker-service/

Healthcare Access and Markets

States turn to PCG to organize their commercial health insurance regulatory compliance. They work with us to establish managed care procurement and contract oversight. States regulate their private insurance markets and operate Medicaid managed care and fee-for-service programs to assure healthcare ...

/health/for-state-health-medicaid-agencies/healthcare-access-and-markets/

Health Information Technology (HIT)

PCG's Health Information Technology (HIT) team works with state and government agencies, with a focus on Medicaid, Exchanges and health information technology, to help further the advancement of technology in the world of health care. Services include Electronic Health Records ( EHR) Electronic Heal...

/health/for-state-health-medicaid-agencies/health-information-technology-hit/

Delivery System Reform, Performance Management, And Quality Improvement

PCG provides our clients with clinical quality consulting, including clinical performance improvement, evaluations and assessments, financial modeling, and other technical advisory services. Our staff are expert at understanding the unique challenges that providers and Medicaid agencies face when im...

/health/for-state-health-medicaid-agencies/delivery-system-reform-performance-management-and-quality-improvement/

Medicaid Administrative Claiming

PCG works with agencies to administer standalone Medicaid administrative claiming programs in addition to claiming efforts that are part of wider cost allocation plans. Medicaid administrative reimbursement is available for client-facing activities, including eligibility determinations and care coor...

/health/for-state-health-medicaid-agencies/medicaid-administrative-claiming/

US District Court holds no private right of action under the Health Insurance Portability and Accountability Act (HIPAA)

On June 15, 2018, the U.S. District Court for the District of Columbia ruled that the HIPAA statute does not provide a private cause of action. A patient at a hospital in Washington, District of Columbia, claimed that the medical intake computer station violated HIPAA’s privacy protections. She file...

/news-perspectives/us-district-court-holds-no-private-right-of-action-under-the-health-insurance-portability-and-accountability-act-hipaa/

Florie Wong

Florie Wong is an Associate Manager with PCG's education division and has been working in the education field for over 16 years. She holds a Bachelor of Arts degree in Business Administration from Framingham... Florie Wong Manager Education Florie Wong is an Associate Manager with PCG's education di...

/leadership/education-practice-leadership/florie-wong/

Panel of the U.S. Circuit Court of Appeals denies ACA risk corridor payments for two insurers

On Thursday, June 14, 2018, a three-judge panel of the Federal Circuit Court of Appeals, in a two to one decision, voted against two health insurers in their bid for increased risk corridor payments under the Affordable Care Act (ACA). Section 1342 of the ACA established a temporary risk corridors p...

/news-perspectives/panel-of-the-us-circuit-court-of-appeals-denies-aca-risk-corridor-payments-for-two-insurers/

PCG team takes time out to support the Ronald McDonald House Charities

During the 5th Annual PCG Health Retreat, nearly 100 attendees spent an afternoon at Ronald McDonald House Charities Central Florida (RMHCCF) in a fun-filled race to assemble 500 snack packs and 100 comfort kits for donation. Ronald McDonald House Charities provides a 'home away from home' for famil...

/news-perspectives/pcg-team-takes-time-out-to-support-the-ronald-mcdonald-house-charities/