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

677 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

860 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

869 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

882 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

960 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

1177 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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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.

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Pooja 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.

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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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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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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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Sabrina 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.

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Beth 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.

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David 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. 

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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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Tim 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...

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Sean 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...

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Andrew 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...

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Tamu 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...

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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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Aftab Mohammed

Director / Technology Consulting

Aftab Mohammed joined PCG in 2013 and serves as a director of the Technology Consulting team.

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Kendra 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.

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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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Sylvia 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. 

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Erin 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...

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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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