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

733 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

916 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

925 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

938 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

1015 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

1233 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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Greg Nadeau

Manager / Education

Greg Nadeau is a writer, speaker, community leader, innovator, and Manager at Public Consulting Group (PCG). He has over twenty-five years of experience leading large-scale education data system projects at the local, state, and national levels, including eight years as Chief Information Officer of the Massachusetts Department of Education...

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Rich Albertoni

Manager / Health

Mr. Albertoni has 16 years of experience working in state public health programming and Medicaid. He has held leadership positions in eligibility, budget and finance, and benefits and waivers.

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Katie 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.

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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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Tom 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...

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Jamey PoVey

Director / Technology Consulting

Jamie PoVey joined PCG in 2023, prior employee 2017-2020, and serves as Director for the Technology Consulting team. In this role, Jamie is responsible for providing project management and oversight of independent verification and validation (IV&V) projects...

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Jim Popp

Manager / Education

Since 1994, Mr. Popp has dedicated his career to helping K-12 students and school leadership “believe and achieve.” Before joining PCG, Mr. Popp was Founder and President of University...

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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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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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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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Dr. Jack McLaughlin

Manager / Education

Dr. McLaughlin comes from a proud family tradition of service in public education. He has served as school teacher and chief administrator in New York and California. In California, he served as...

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Kris Marshall

Director / Technology Consulting

Kris Marshall joined PCG in 2011 and serves as a director within the Technology Consulting team. In this role, Kris is responsible for leading Centers for Medicare and Medicaid Services (CMS) certification management and supporting the firm’s Independent Verification and Validation (IV&V) services across the country...

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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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Dr. Jennifer Meller

Associate Manager / Education

Dr. Jennifer Meller, an Associate Manager in PCG’s Education practice area, leads the firm’s efforts in providing districts with comprehensive special education program evaluations and...

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Christi Jella

Director / Technology Consulting

Christi Jella joined PCG in 2019. As a Director for the Technology Consulting Team, Christi provides project management, organizational change management, and independent verification and validation (IV&V) expertise and project oversight...

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Paul Wertheim

Vice President / Technology Consulting

Paul Wertheim joined PCG in 2011 and serves as a vice president of the Technology Consulting team. In this role, Paul is responsible for project management and delivery of independent verification and validation (IV&V) services to state and local governments...

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Jeff Hellzen

Chief Technologist / Technology Consulting

Jeff Hellzen joined PCG in 2001 and serves as a chief technologist of the Technology Consulting team. In this role, Jeff is responsible for supporting the team’s operations, including technical oversight of proposals and projects, providing subject matter expertise...

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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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Kathy Fallon

Practice Area Director / Human Services

Ms. Fallon has worked in government and government consulting for more than 32 years and has expertise across state and local human service programs. She has been at PCG since 1998 and currently oversees the firm's human services division...

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