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

723 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

906 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

915 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

928 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

1006 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

1223 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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Keenan Bynum

Director / Technology Consulting

Keenan Bynum joined PCG in 2023 and currently serves as a director for the Technology Consulting team. In this capacity, Keenan oversees Independent Verification & Validation (IV&V) and provides leadership for system integration projects, in addition to spearheading business development efforts...

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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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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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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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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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Gary Garofalo

Chief Operating Officer / Corporate

Mr. Garofalo brings a strong record of leadership in the application of analytics, metrics, and business intelligence. He has more than 35 years of experience managing consulting services operations and facilitating growth in large organizations. As Executive Vice President of MAXIMUS Inc., Garofalo served as leader in strategic direction and executive oversight, and in delivering business solutions for health and human services operations programs. Mr. Garofalo earned his bachelor’s degree in Computer Science from the University of Maryland and his master’s degree in Computer Science from George Washington University. 

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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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Fred Forrer

Vice President / Technology Consulting

Fred Forrer joined PCG in 2010 and serves as a vice president of the Technology Consulting team. In this role, Fred is responsible for evaluating and overseeing large and complex information technology (IT) projects for state and local governments...

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James 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...

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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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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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Joe 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...

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Suresh Nagarajan

Director / Technology Consulting

Suresh Nagarajan joined PCG in 2014 and serves as a Director of the Technology Consulting team. In this role, he is responsible for project and relationship management...

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Rhonda Brinkoeter

Director / Technology Consulting

Rhonda Brinkoeter joined PCG in 2021. As a director of the Technology Consulting team, Rhonda provides project management and oversight of independent verification and validation (IV&V) projects. With over 25 years of experience...

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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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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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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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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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Yvonne De la Rosa

Vice President / Technology Consulting

Yvonne De la Rosa joined PCG in 2008 and serves as a Vice President of the Technology Consulting team. In this role, Yvonne is responsible for providing project management and oversight of independent verification and validation (IV&V) projects...

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Grant Blair

Practice Area Director / Education

Grant Blair directs PCG's Education consulting services for the firm. In the last ten years, he has worked with hundreds of school districts across the nation on information technology, data, operations...

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