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

742 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

925 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

934 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

947 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

1025 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

1242 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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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...

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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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Megan 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)...

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Evan 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...

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Kelly 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...

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Stephen Rafoul

Vice President of IT Cloud Infrastructure and Operations / Corporate Technology

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Sarah 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...

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Matthew 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.

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Kelly 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...

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Beth 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.

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David 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. 

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Heather 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)...

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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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Dale 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...

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Rachel 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.

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Tracy 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...

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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...

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Jason 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...

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Bret 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...

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Sabrina 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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