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

681 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

864 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

873 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

886 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

964 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

1181 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

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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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Jill Reynolds

Associate Practice Area Director / Human Services

Ms. Reynolds leads PCG’s Aging and Disability Services Center of Excellence. She provides strategic leadership and support for human services projects involving Home and Community Services, Vocational Rehabilitation, disability services, employment support programs, and other programs serving elders and people with disabilities...

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Rick Purcell

Associate Manager / Corporate Marketing

Rick Purcell came to PCG after the acquisition of eWorker Technologies in November, 2001. In his 32 years of experience in the Information Technology industry, he has developed...

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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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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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Sophia Thwaites

Director of Diversity and Inclusion / Human Capital Management

Sophia Thwaites leads PCG’s work in diversity, equity, and inclusion (DEI). As the first Corporate Director of Diversity and Inclusion at PCG, Ms. Thwaites is dedicated to creating an inclusive workplace culture, promoting equitable systems, and fostering an environment that inspires connection and belonging.

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Tony 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. 

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Heather 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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Robbie Ammons

Manager / Education

Mr. Ammons has worked for the past 15 years on IEP and Medicaid school-based projects for North Carolina, Georgia, Tennessee, South Carolina, Minnesota, Illinois, Florida and Virginia.

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Rick Dwyer

Manager / Health

Mr. Dwyer, a Manager located in our Boston office since 1993, has over thirty years of experience in financial and operations management in corporate and healthcare provider and payer...

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Erin 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...

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Michael Fors

Director / Technology Consulting

Michael Fors joined PCG in 2011 and serves as a Director for the Technology Consulting team. In this role, he is responsible for project and relationship management and delivery of independent verification and validation (IV&V) services to various state agencies...

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Deborah Joffe

Associate Manager / Human Services

Deborah Joffe, PMP, is an Associate Manager at PCG. Ms. Joffe has extensive experience leading consulting jobs for human services agencies around the country, including engagements providing... 

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Robert Higgins

Corporate Director / Corporate Technology Compliance

Robert Higgins joined PCG in 2008. He was hired as the Corporate Director of Project Management, became the Corporate Director for PCG's Enterprise Solutions Team, and he is now Corporate Technology's internal Risk and Compliance Director. Robert reports directly to PCG’s Chief Information Officer.

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Sylvia Mitchem

Director / Technology Consulting

Sylvia Mitchem joined PCG in 2020 and serves as a director of the Technology Consulting team. In this role, Sylvia is responsible for project management and business development activities, primarily in the public health and healthcare domains. 

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Pooja Khatri

Director of Enterprise Solutions / Corporate Technology

Pooja Khatri joined PCG in 2018 and is currently the Director of Enterprise Solutions.  Her focus is on advanced delivery of back office solutions to PCG’s Practice Areas.  She has over 20 years of experience spanning multiple industries including pharmaceutical and technology manufacturing, strategy, consulting, and health insurance.   Her functional expertise includes project management, process improvement, service delivery, and technology product management.  Pooja’s interests include corporate growth strategies developed with a focus on synergy and data/intelligence based decisions.

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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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Gwyn Jackson

Vice President / Technology Consulting

Gwyn Jackson joined PCG in 2014 and serves as a director of the Technology Consulting team. In this role, Gwyn is responsible for project management and oversight of technical teams providing software development...

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Rupam Chokshi

Associate Solutions Manager / Human Services

Rupam Chokshi is a seasoned product leader accomplished in managing a portfolio of digital products spread across all stages of the product lifecycle.

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Tamu Thomas Walker

Associate Solutions Manager / Education

Tamu Thomas Walker serves as Associate Solutions Manager for Public Consulting Group (PCG), as well as Vice President of University Instructors (UI). For nearly two decades, the Virginia Union University graduate...

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