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
742 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
925 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
934 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
947 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
1025 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
1242 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
Florie 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...
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...
ReadMoreMegan Morris
Associate Manager / Health
Ms. Morris, an Associate Manager with the firm’s Health Care Financing Solutions team, is an experienced project manager primarily focused on health and Medicaid-based programs. A certified Project Management Professional (PMP)...
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...
ReadMoreKelly Gallagher
Associate Manager / Health
Ms. Gallagher has been with PCG for 10 years. Ms. Gallagher helps lead the Cost Allocation Center of Excellence, specializing in cost allocation, time studies, Medicaid and Title IV-E claiming...
ReadMoreStephen Rafoul
Vice President of IT Cloud Infrastructure and Operations / Corporate Technology
ReadMoreSarah Salisbury
Associate Manager / Human Services
Sarah Salisbury has over 14 years of experience in a vast array of health and human services programs with specific focus on aging and disability services...
ReadMoreMatthew Sorrentino
Manager / Health
Mr. Sorrentino, a Manager and Center of Excellence (COE) lead for our Healthcare Financing Solutions division, is a management consultant with 15 plus years of extensive Medicaid and healthcare experience.
ReadMoreKelly Pinion
Director / Technology Consulting
Kelly Pinion joined PCG in 2021 and serves as a Director in the Technology Consulting team. In this role, she is responsible for project management and oversight of independent verification and validation...
ReadMoreBeth Maxcy
Associate Manager / Human Services
Beth Maxcy is an associate manager in PCG’s Boston office. Since 2005, she has worked with child welfare and human service agencies across the U.S. to implement fiscal and policy solutions to help improve outcomes for children, youth, and families. Beth has also worked with a variety of states to deliver financial consulting, strategic planning, project management, and sustainable change services.
ReadMoreDavid Flores
Chief Technology Officer / Human Services
As the Chief Technology Officer (CTO) for the firm’s Human Services practice, David Flores oversees the development and implementation of the software systems and technical processes used in service of PCG’s human services clients.
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)...
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...
ReadMoreDale McCourt
Associate Manager / Health
Mr. McCourt, Associate Manager, has been a member of the PCG team since 2011. Dale brings over 25 years of experience spanning many industries where he has served in a variety of roles...
ReadMoreRachel Rosenberg-White
Director / Technology Consulting
Rachel Rosenberg-White joined PCG in 2024 and serves as a Director for the Technology Consulting team. She is responsible for business and staff development, client relationship management, and service delivery of technology consulting services across California’s public sector. With over 25 years of experience, Rachel has helped clients achieve operational excellence through strategic technology solutions, managing large-scale and complex IT projects in both the public and private sectors.
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...
Amy Howie
Associate Manager / Education
Amy Howie joined PCG in 2013 after 16 years in public education where she served as a special education teacher and building level administrator. As an Associate Manager, Amy consults...
ReadMoreJason Kelly
Director / Technology Consulting
Jason Kelly joined PCG in 2021 and serves as Director for the Technology Consulting team. In this role, Jason is responsible for client relations, practice growth, and service delivery. Jason’s focus is on CMS Certification and compliance, MITA, and Medicaid Transformation...
ReadMoreBret Mohninger
Vice President / Technology Consulting
Bret Mohninger joined PCG in 2008 and serves as a vice president of the Technology Consulting team. In this role, Bret is responsible for providing direction and leadership for business development activities conducted in multiple states...
ReadMoreSabrina Wiley
Director of Compensation and Human Resources Information Systems (HRIS) / Human Capital Management (HCM)
Sabrina is responsible for managing PCG’s Total Rewards Program. She creates competitive compensation and benefits packages, including 401K plans, for staff. The program focuses on offering total rewards that align with PCG’s values, as our organization strives to find the best talent to join our team.
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