Found 390 results

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/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/

CMS issues new guidance on using Medicaid health IT to reduce opioid risks

On June 11, 2018, the Centers for Medicare and Medicaid Services (CMS) issued new guidance to state Medicaid directors about how states can harness Medicaid health information technology to combat the opioid crisis. CMS encourages states to pursue strategies such as enhanced prescription drug monito...

/news-perspectives/cms-issues-new-guidance-on-using-medicaid-health-it-to-reduce-opioid-risks/

Privacy Shield Policy

This Privacy Shield Policy (“ Privacy Shield Policy ”) describes how Public Consulting Group, Inc. (“ PCG ,” “ we ,” or “ us ”) collects, uses, and discloses certain personally identifiable information that PCG receives in the United States (“ U.S. ”) from the European Economic Area (“ EEA Personal ...

/privacy-shield-policy/

Maine Superior Court Justice orders state administration to carry out voter-approved Medicaid Expansion

On Monday, June 4, 2018, Superior Court Justice Michaela Murphy ordered the Commissioner of the Maine Department of Health and Human Services to submit by June 11, 2018 a state plan to the U.S. Department of Health and Human Services (DHHS) Center for Medicare and Medicaid Services (CMS)to provide e...

/news-perspectives/maine-superior-court-justice-orders-state-administration-to-carry-out-voter-approved-medicaid-expansion/

CMS launches Medicaid/CHIP performance scorecard

On June 4, 2018, the Centers for Medicare and Medicaid Services (CMS) unveiled a new performance scorecard offering critical metrics on state health system performance, state administrative performance, and federal administrative performance under Medicaid and the Children’s Health Insurance Program...

/news-perspectives/cms-launches-medicaidchip-performance-scorecard/

Rich Albertoni

Mr. Albertoni has 16 years of experience working in state public health programming and Medicaid. He has held leadership positions in eligibility, budget and finance, and benefits and waivers. Rich Albertoni Manager Health Mr. Albertoni has 16 years of experience working in state public health progr...

/leadership/health/rich-albertoni/