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

708 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

891 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

900 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

913 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

991 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

1208 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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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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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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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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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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Joseph Frasca

Director / Technology Consulting

Joe Frasca joined PCG in 2021 and serves as Director for the Technology Consulting team. He is responsible for service delivery and staff development and is working to build PCG’s Independent Verification and Validation (IV&V) and System Integration (SI) service lines...

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Jim McGlynn

Manager / Education

Mr. McGlynn is a Manager in PCG's education practice, leading the firm’s statewide longitudinal data system (SLDS) service line and serving as a member of PCG’s Revenue Services and Case Management service line executive team. Jim joined the firm in 2010, bringing to PCG more than a decade of experience working a science teacher and non-profit executive in the education sector.

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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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Alicia Stewart

Manager / Education

Alicia Stewart, a manager in PCG’s Nashville office, has over 20 years of experience in the education field including six statewide implementations. Her focus at PCG, for the past 16 years...

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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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Louise Eichman

Senior Vice President of Technology Strategy, Administration, and Governance / Corporate Technology

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Dan Wistman

Manager / Education

Mr. Wistman has more than 25 years of information systems experience, including extensive experience in software development and project management of enterprise application implementations...

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Peter Cheesman

Manager / Health

Mr. Cheesman directs PCG’s Member Eligibility Management group. In this capacity, Peter designs and deploys creative technical solutions connecting government agencies...

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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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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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Edward Forth

Chief Information Officer / Corporate Technology

Mr. Forth has more than 27 years of technology and management experience. He joined PCG in 2012 and currently provides transformational technology leadership for PCG's corporate services...

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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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Tobi Russell

Chief People Officer (CPO) / Human Capital Management

Ms. Russell has more than 30 years of Human Resources (HR) experience working in various industries, including financial services, retail, consulting, high tech, and insurance.

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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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Gary Reimers

Vice President / Technology Consulting

Gary Reimers joined PCG in 2008 and serves as a vice president of the Technology Consulting team. In this role, Gary is responsible for independent verification and validation (IV&V), quality assurance (QA), and security services provided by the firm nationally.

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Heather Baker

Manager / Human Services

Heather Baker leads PCG's child welfare and youth services practice, helping state, county, and community-based agencies invest in programs, people, and technologies that improve the lives of children and families. She leads a team of individuals with vast experience in delivering and managing child and family services and programs.

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