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American Hospital Association files lawsuit against the Department of Health and Human Services

On November 13, 2017, the American Hospital Association (AHS) and associated entities filed a lawsuit in the U.S. District Court for the District of Columbia challenging certain provisions of a final rule issued on November 1, 2017... On November 13, 2017, the American Hospital Association (AHS) and...

/news-perspectives/american-hospital-association-files-lawsuit-against-the-department-of-health-and-human-services/

CHIP funding crisis remains unresolved

Congressional authorization of Federal funds for CHIP expired on September 30, 2017. Nine million children depend on this program. States are now operating CHIP on carryover and redistribution payments from prior years. Congressional authorization of Federal funds for CHIP expired on September 30, 2...

/news-perspectives/chip-funding-crisis-remains-unresolved/

CMS releases several major policy changes and expanded roles for states in its Proposed NBPP for 2019

At the end of October, the Centers for Medicare & Medicaid Services (CMS) released its annual Proposed Notice of Benefit and Payment Parameters (NBPP) for 2019 (along with accompanying guidance... At the end of October, the Centers for Medicare & Medicaid Services (CMS) released its annual P...

/news-perspectives/cms-releases-several-major-policy-changes-and-expanded-roles-for-states-in-its-proposed-nbpp-for-2019/

Impact of recent federal policy changes on open enrollment

The fifth open enrollment period (OEP 5) kicked off on November 1, 2017, with a shortened enrollment window compared to previous years. With only until December 15th to make eligibility and enrollment changes, states have been urging consumers to make selections early and seek assistance from applic...

/news-perspectives/impact-of-recent-federal-policy-changes-on-open-enrollment/

Transportation

PCG serves transportation and tolling system clients with services including independent verification and validation (IV&V), technical assessments, project management, and quality assurance. Our goal is to help our clients make a positive impact, supporting them in the progression and implementa...

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Program Consulting

We all want to live in our own homes, in communities where we participate fully, this includes access to employment. PCG works with states and providers to design, develop, refine and oversee programs that support people with disabilities and elders, working with states to be inclusive of and respon...

/human-services/aging-disability-services/program-consulting/

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...

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Financial Solutions

To get the best results for every student, your district needs to maximize its financial resources and reimbursement. PCG can help—whether it’s claiming data for compliance, processing claims data for reimbursement, assisting with audits or advising on program and policy decisions. Services include ...

/education/financial-solutions/

Project Assurance

PCG can provide independent and objective oversight for major projects, typically based on assessments of their likely future performance. Our services include Independent Verification and Validation (IV&V), Independent Project Oversight (IPO), Independent Technical Assessments, and Quality Assu...

/technology-consulting/what-we-do/project-assurance/

Business Solutions

Our Business Solutions help our clients develop and implement the technology they need to meet the demands of their business. These services are designed to be complementary to services within our other major business lines. Project Management Using our proprietary ManageIT™ project management metho...

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