PCG’s Health practice offers in-depth programmatic knowledge and regulatory expertise to help state and municipal health agencies respond to regulatory change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Using industry best practices, PCG’s Health team helps organizations deliver quality services with constrained resources to promote improved client outcomes.
News & Perspectives
PCG hosts “Translating Fire & EMS Operational Challenges into Financial Needs” Webinar
655 days agoAs more fire and EMS departments have been expressing the need for additional funding, countless have struggled through referendums and challenging budget meetings to justify every penny of increase. Public Consulting Group (PCG) is here to provide support to fire and EMS administrators on how to step back from challenges, consider the perspectives of the community, and determine how to communicate operational needs into simple and actionable requests that anyone can understand.
ReadMoreU.S. Supreme Court Ruled That HHS Wrongfully Cut Medicare Reimbursement for Certain Drugs to Hospitals Serving Low-Income Beneficiaries
837 days agoOn Wednesday, June 15, 2022, the U.S. Supreme Court unanimously held that the U.S. Department of Health and Human Services (HHS) improperly cut more than $1 billion per year since 2018 in Medicare payments for certain drugs to hospitals serving low-income communities.
ReadMoreU.S. Supreme Court Decides That States Can Seek Reimbursement for Future Medical Expenses from Medicaid Beneficiaries’ Injury Settlements
846 days agoOn June 6, 2022, the U.S. Supreme Court held, in a seven-to-two decision, that the Medicaid statute permits a state to seek reimbursement from settlement payments allocated for future medical care.
ReadMoreU.S. Supreme Court Declines to Hear Appeal by UnitedHealth Group, Inc. Requiring Return of Medicare Overpayments Based on Faulty Diagnoses
859 days agoOn Tuesday, June 21, 2022, the U.S. Supreme Court rejected an appeal by UnitedHealth Group, Inc., leaving in place a federal rule requiring Medicare Advantage plans to return overpayments based upon wrongful diagnoses.
ReadMorePCG Awarded CMS Quality Improvement Organization-like Recertification
937 days agoPublic Consulting Group (PCG) is proud to announce its five-year recertification as a Quality Improvement Organization-like (QIO-like) entity by the Centers for Medicare and Medicaid Services (CMS). A QIO-like entity consists of health quality experts, clinicians, and consumers who work together to improve the quality of care delivered to Medicare and Medicaid beneficiaries.
ReadMoreDistrict of Columbia Court of Appeals Panel Requires Medicare Advantage Plans to Return Medicare Overpayments
1154 days agoOn Friday, August 13, 2021, a panel of the D.C. Court of Appeals held that Medicare Advantage private insurers must return potentially billions of dollars in overpayments they receive based on incorrect diagnoses.
ReadMoreMeet Our Team
Dave O’Leary
Associate Manager / Education
Dave O’Leary is an associate manager in Education and currently leads the Pacific Northwest region. He joined PCG in 2003. Dave manages projects related to education technology, including the implementation of PCG’s special education data management systems, EDPlan™, IEP Online™, and EasyTRAC™...
ReadMoreEvan Lefsky
Manager / Education
Evan Lefsky (Ph.D.) is Director of Education Consulting within PCG's education division. Dr. Lefsky has worked in the education field for more than 20 years. He taught at both the K–12 and college levels and...
ReadMoreTony Curatola
Manager / Health
Mr. Curatola, a Manager with PCG and certified PMP, has more than 29 years of experience in the Information Systems industry with over 22 years in project management and 18 years in Medicaid.
ReadMoreFlorie Wong
Manager / Education
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...
ReadMoreTim Gillespie
Associate Manager / Education
Mr. Gillespie has more than 12 years of experience working with public sector clients and school districts throughout the country. As an Associate Manager with PCG, Mr. Gillespie supervises...
ReadMoreNick Loret de Mola
Director / Technology Consulting
Nick Loret de Mola joined PCG in 2023 and serves as a Director for the Technology Consulting team. In this role, Nick is responsible for managing multiple contracts with the state of California and driving growth for PCG’s Project Assurance Major Business Line and Project Management Office (PMO) Service Line...
ReadMoreTracy Bell
Senior Advisor / Human Services
Mr. Bell joined PCG in November 2018 with over 15 years of experience in human services. He currently serves as a senior advisor for employment and income maintenance services within Human Services. In this role, he focuses on health and human services strategies and solutions for state and local governments...
Natasha Newman
Associate Manager / Education
Natasha Newman is an Associate Manager in Education. In this role, she collaborates with client teams across the U.S. who specialize in school-based Medicaid fee for service. Natasha provides leadership in the areas of project management, reimbursement optimization, and policy and program compliance.
ReadMoreHeather Gann
Associate Manager / Human Services
Heather Gann is an associate manager for Early Childhood Education (ECE) in Human Services. She joined PCG in 2014 with over 15 years of experience in the field. In her current role, Heather manages all sectors of early childhood—from home visitation to state-funded pre-kindergarten (Pre-K)...
ReadMoreHeather Baker
Manager / Human Services
Heather Baker leads PCG's child welfare and youth services practice, helping state, county, and community-based agencies invest in programs, people, and technologies that improve the lives of children and families. She leads a team of individuals with vast experience in delivering and managing child and family services and programs.
ReadMoreAngelene Willetts-Carvi
Associate Solutions Manager / Health
Angelene Willetts-Carvi is an Associate Solutions Manager in Health Payer Services at Public Consulting Group. With over 20 years of experience in Home and Community Based Services...
ReadMoreTobi Russell
Chief People Officer (CPO) / Human Capital Management
Ms. Russell has more than 30 years of Human Resources (HR) experience working in various industries, including financial services, retail, consulting, high tech, and insurance.
ReadMoreAlissa Narode
Associate Manager / Health
An Associate Manager with the firm’s Health Care Financing Solutions team, Alissa Narode has extensive experience overseeing Medicaid rate setting and rate study projects at the state, county, and provider levels.
ReadMoreSteve Haverstock
Senior IT Director / Corporate Technology
Mr. Haverstock has over 30 years' experience in information technology. His has significant experience building and managing large infrastructure environments. He was responsible for the delivery...
ReadMoreTom Kapusta
Associate Manager / Health
An Associate Manager within the firm’s Health Innovation, Policy, and Information Technology (HIPIT) team, Tom has extensive experience in health information technology (HIT), particularly in the areas of Medicaid eligibility...
ReadMorePeter Gilles
Manager / Education
As a Manager within PCG's Education division, Peter Gilles works out of the Chicago office, overseeing large scale and statewide projects focused on special education and school-based Medicaid reimbursement...
ReadMoreChy Davidson
Manager / Education
Chy Davidson has enjoyed a 23-year career in the field of education. He currently serves as Manager for Public Consulting Group, assisting educators with effective educational programs to impact student learning. He was brought onto...
ReadMoreKatie Bright
Associate Manager / Human Services
Katie Bright is an associate manager within the Human Services’ Child Welfare and Youth Services team. Katie’s career at PCG began in 2002 when she started working within the Massachusetts Department of Children and Families (DCF) revenue management unit. Her role has since expanded to include work with child welfare agencies across the U.S.
ReadMoreErin MacIntire
Manager / Education
Erin MacIntire is an Associate Manager based in Portsmouth, New Hampshire. She has more than 18 years of experience designing and managing projects for state and local education agencies and non-profit organizations. Ms. MacIntire leads a team of subject matter experts and project managers...
ReadMoreHeather Caldwell
Associate Manager / Health
Heather Caldwell is an associate manager in Health at PCG. In this role, she works with the cost allocation team to help government health agencies claim reimbursement from the federal government for administrative activities...
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