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
677 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
860 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
869 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
882 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
960 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
1177 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
Alissa Narode
Associate Manager / Health
An Associate Manager with the firm’s Health Care Financing Solutions team, Alissa Narode has extensive experience overseeing Medicaid rate setting and rate study projects at the state, county, and provider levels.
ReadMorePooja 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.
ReadMoreDale 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...
ReadMoreJamey 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...
ReadMoreJames Dachos
Manager / Health
Mr. Dachos, a Manager in our Healthcare Financing Solutions division, has over 12 years of Medicaid and Healthcare experience with PCG. He leads PCG’s Emergency Medical Services (EMS) division...
ReadMoreSabrina 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.
ReadMoreBeth Osborne
Associate Manager / Human Services
Beth Osborne 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.
ReadMoreDavid 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.
ReadMoreGary 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.
ReadMoreTim Gillespie
Associate Manager / Education
Mr. Gillespie has more than 12 years of experience working with public sector clients and school districts throughout the country. As an Associate Manager with PCG, Mr. Gillespie supervises...
ReadMoreSean Huse
Manager / Health
Mr. Huse (MBA, CHFP), a Manager at Public Consulting Group, is an experienced health management consultant who focuses on financial management, strategic planning, policy analysis, information...
ReadMoreAndrew Heaney
Associate Manager / Health
Andrew Heaney, an Associate Manager at PCG, has extensive experience working with health information technology (HIT), health information exchanges (HIE), health insurance exchanges (HIX), electronic health records (EHR), state...
ReadMoreTamu 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...
ReadMoreJoe Weber
Associate Manager / Health
Mr. Weber, PMP, has been with PCG for 13 years. Mr. Weber helps lead the Health Care Financing Solutions (HCFS) Center of Excellence with over twelve years of public sector consulting...
ReadMoreAftab Mohammed
Director / Technology Consulting
Aftab Mohammed joined PCG in 2013 and serves as a director of the Technology Consulting team.
ReadMoreKendra Carter MBA
Associate Manager / Education
Kendra Carter joined PCG in 2011 as a consultant and currently serves as an Associate Solutions Manager overseeing Operations Management from the Princeton, New Jersey office.
ReadMoreDeborah 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...
ReadMoreSylvia 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.
ReadMoreErin 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...
ReadMorePaul 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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