
Third Party Administrator (TPA) Services
PCG is an expert and trusted third party administrator (TPA) providing end to end claims processing services and solutions on behalf of government agencies and health plans.

Solutions that enhance health and public safety services.
Helping fire and emergency medical service agencies improve operational performance, reduce costs, and deliver better outcomes to those in need.

Solutions that lead to healthier communities.
At PCG, we help our clients meet the financial, regulatory, and operational challenges of today’s changing health care landscape so they can provide the best care, most effectively, to the people they serve.
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
790 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
973 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
982 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
995 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
1073 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
1290 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

Selvi Dorairaj
Director / Technology Consulting
Kalaichelvi (Selvi) Dorairaj joined PCG in 2011 and serves as a Director of the Technology Consulting team. In this role, Selvi is responsible for providing project management and technical oversight of independent verification and validation (IV&V) projects as well as business analysis services for systems development projects...
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Peter Marshall
Manager / Education
Mr. Marshall has more than 20 years of experience at PCG. Based in Boston, he currently manages multiple school-based consulting, operational and Medicaid projects across...
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Kristin Hunter
Manager / Education
Ms. Hunter has more than 20 years of experience in Medicaid reimbursement optimization projects and the implementation of EDPlan™ in state education agencies (SEAs) and districts across the country.
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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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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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Cameron Lackey
Associate Manager / Education
Cameron Lackey is an associate manager in Education. He joined PCG in 2016 and brings strategic and programmatic planning expertise in the areas of system and service implementation and program and project management...
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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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Natasha Newman
Associate Manager / Education
Natasha Newman is an Associate Manager in Education. In this role, she collaborates with client teams across the U.S. who specialize in school-based Medicaid fee for service. Natasha provides leadership in the areas of project management, reimbursement optimization, and policy and program compliance.
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Rich Talaber
Chief Technology Officer / Corporate Technology
Rich Talaber joined PCG in 2012 with responsibility for all PCG Infrastructure including Data Centers, Office Connectivity, PCG Cloud Infrastructure, Telecom, Email, and Personnel Productivity Tools.
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Alyssa Brown
Director of Communications & Public Relations / Corporate Marketing
As PCG’s Corporate Director of Communications & Public Relations, Alyssa is building and leading a comprehensive internal and external strategy to tell the story of PCG as an industry-leading consulting, operations and technology firm with unparalleled depth in its areas of core competency.
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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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Stephen Skinner
Principal, Director of Marketing / Marketing
Stephen Skinner currently directs marketing efforts for PCG. The PCG Marketing Department provides strategy, social media, communications, and administrative infrastructure support to PCG's...
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Debra Clark
Corporate Facilities Director / Corporate | Facilities
With 25 years of experience at PCG, Ms. Clark has been instrumental in project operations for PCG clients of all sizes and projects of varying scope. Ms. Clark is responsible for compiling data, negotiating...
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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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John Matthews
Chief Technology Officer / Education
John Matthews serves as the CTO for PCG's education's division. John's career in IT spans 33+ years, and includes experience working in education, defense, utilities, distribution, media...
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Jay Peck
Associate Manager / Health
Mr. Peck has been with PCG for over 13 years, specializing in Medicaid Program Integrity, Quality Improvement, and Beneficiary Due Process. He has successfully led the implementation of...
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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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