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.

What We Do

For State Health & Medicaid Agencies

See how we can help you increase program revenue, cut costs, and improve compliance with state and federal regulations.

For State Insurance Departments

Let us help you navigate the regulatory landscape, including the Affordable Care Act (ACA), and implement changes and new requirements with confidence.

For Provider Organizations

Boost your financial performance and compliance with our proven approach to improving claiming practices and operations management.

For COVID-19 Health Services

Together, we can implement the innovative solutions necessary to help public health systems rise to the challenges of COVID-19.

For Health Plans

Optimize your plan’s performance and compliance without sacrificing patient outcomes with our program integrity services.

For Fire and EMS Provider Organizations

Helping fire and emergency medical service agencies improve operational performance, reduce costs, and deliver better outcomes to those in need.

News & Perspectives

PCG hosts “Translating Fire & EMS Operational Challenges into Financial Needs” Webinar

772 days ago

As 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.

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U.S. Supreme Court Ruled That HHS Wrongfully Cut Medicare Reimbursement for Certain Drugs to Hospitals Serving Low-Income Beneficiaries

955 days ago

On 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.

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U.S. Supreme Court Decides That States Can Seek Reimbursement for Future Medical Expenses from Medicaid Beneficiaries’ Injury Settlements

964 days ago

On 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.

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U.S. Supreme Court Declines to Hear Appeal by UnitedHealth Group, Inc. Requiring Return of Medicare Overpayments Based on Faulty Diagnoses

977 days ago

On 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.

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PCG Awarded CMS Quality Improvement Organization-like Recertification

1055 days ago

Public 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.

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District of Columbia Court of Appeals Panel Requires Medicare Advantage Plans to Return Medicare Overpayments

1272 days ago

On 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. 

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Meet Our Team

team-member

Nicole Alonzo

Director / Technology Consulting

Nicole Alonzo joined PCG in 2022 and serves as a director on the Technology Consulting team. In this role, Nicole is responsible for Certification and Independent Verification and Validation (IV&V) project leadership and helping clients manage projects...

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Christopher Connor

Associate Practice Area Director / Education

Mr. Connor is a shareholder at PCG and assists with management of the Education practice area. He has been with PCG for more than 25 years and brings a wealth of experience in Medicaid reimbursement, case management solutions, technical implementations, and consulting engagements.

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Sean Huse

Manager / Health

Mr. Huse (MBA, CHFP), a Manager at Public Consulting Group, is an experienced health management consultant who focuses on financial management, strategic planning, policy analysis, information...

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William S. "Bill" Mosakowski

President / CEO / Corporate

William S. “Bill” Mosakowski is Founder, President, and Chief Executive Officer of Public Consulting Group (PCG), a management consulting, operations and technology firm serving government clients across the US and abroad in health care, human services, and education sectors.

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Patti Irgens

Director / Technology Consulting

Patti Irgens joined PCG in 2022 and serves as Director for the Technology Consulting team. In this role, Patti is responsible for project management and oversight of independent verification and validation (IV&V) as well as, business development with the system integration team...

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Keenan Bynum

Director / Technology Consulting

Keenan Bynum joined PCG in 2023 and currently serves as a director for the Technology Consulting team. In this capacity, Keenan oversees Independent Verification & Validation (IV&V) and provides leadership for system integration projects, in addition to spearheading business development efforts...

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Mitch Dobbins

Practice Area Director / Technology Consulting

Mitch Dobbins joined PCG in 2008 and serves as practice area director of the Technology Consulting team. In this role, Mitch is responsible for providing strategic direction, oversight of operations and business development, and client delivery. 

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Alicia Stewart

Manager / Education

Alicia Stewart, a manager in PCG’s Nashville office, has over 20 years of experience in the education field including six statewide implementations. Her focus at PCG, for the past 16 years...

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Gerry Stefhon

Associate Manager / Education

Mr. Stefhon is an Associate Manager in PCG's education division overseeing large scale MTSS/RTI implementations. Currently, he is leading extensive communications planning projects for Dallas ISD and...

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Jennifer MacBlane

Associate Manager / Human Services

Jennifer MacBlane is an associate manager at PCG. She has over 20 years of experience in human services, government, and government consulting. Jennifer began her career at PCG in 2006 and works with child welfare and human services agencies across the U.S. to further their goals of improving lives.

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Suresh Nagarajan

Director / Technology Consulting

Suresh Nagarajan joined PCG in 2014 and serves as a Director of the Technology Consulting team. In this role, he is responsible for project and relationship management...

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Tobi 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.

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Thomas Aldridge

Manager / Health

Mr. Aldridge is a Manager with Public Consulting Group (PCG) and has been with the firm for more than 20 years. Throughout his tenure, he has managed dozens of engagements within...

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Stephanie Hack

Director / Resilience and Sustainability

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Brian Nagy

Vice President / Technology Consulting

Brian Nagy joined PCG in 2011 and serves as a Vice President of the Technology Consulting team. In this role, Brian is responsible for project management, oversight, and delivery, primarily for independent verification and validation (IV&V) projects for state government clients.

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Peter 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...

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Mark Kmetz

General Counsel / Legal

Mark Kmetz has more than 30 years of experience as an attorney in the private and public sectors. As the PCG General Counsel, Mr. Kmetz reports to the CEO and leads PCG’s Legal Department. He previously headed a Massachusetts state agency, served as an Assistant Attorney General for the Commonwealth of Massachusetts...

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Brian Howells

Manager / Human Services

Mr. Howells has been working in government and public sector consulting for more than 11 years. Focused on employment and public assistance programs, Mr. Howells has led a number...

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Anna d’Entremont

Associate Manager / Education

Anna d’Entremont is an associate manager in Education. She joined PCG in 2008 and has dedicated the last 20 years to improving outcomes for young people and the communities in which they live. She is deeply committed to the belief that every child deserves success...

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Marc Staubley

Practice Area Director / Health

Mr. Staubley is Practice Area Director (PAD) of PCG’s Health division and a PCG shareholder. In this role, he provides executive leadership to over 400 staff who manage a portfolio of over...

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