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

810 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

993 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

1002 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

1015 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

1093 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

1310 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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Laura Pieslewicz

Disaster Services Manager / Resilience and Sustainability

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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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Jon Kanter

Chief Financial Officer / Corporate

Jon Kanter joined PCG as CFO in January 2022, with responsibility for ensuring the effective running of the company’s Corporate Finance team and providing strategic thought leadership and counsel to the company’s executive leadership and shareholders. Prior to joining PCG Jon spent the prior five years as CFO of a rapidly growing global law firm, where he had previously spent four years as the Firm’s Managing Director of Financial Planning & Analysis. Prior to that Jon spent over a decade working at a global management consultancy as their Head of Consulting Commercial Finance, where he honed his business partnering and strategic analytical skills. A chartered accountant by training, Jon initially worked is way up to Audit Manager for an international accountancy firm. Over his career Jon has lived and worked in four cities across three continents (London, Sydney, Washington D.C. and Boston).

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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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Jeff Hellzen

Chief Technologist / Technology Consulting

Jeff Hellzen joined PCG in 2001 and serves as a chief technologist of the Technology Consulting team. In this role, Jeff is responsible for supporting the team’s operations, including technical oversight of proposals and projects, providing subject matter expertise...

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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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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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Dr. Jennifer Meller

Associate Manager / Education

Dr. Jennifer Meller, an Associate Manager in PCG’s Education practice area, leads the firm’s efforts in providing districts with comprehensive special education program evaluations and...

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Michelle Simmons

Manager / Education

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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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Ezra Sykes

Associate Manager / Human Services

Mr. Sykes has led numerous complex projects in the public sector that include elements of process improvement, organizational effectiveness, and change...

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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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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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Jessica Rod

Associate Manager / Education

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Tracy Bell

Senior Advisor / Human Services

Mr. Bell joined PCG in November 2018 with over 15 years of experience in human services. He currently serves as a senior advisor for employment and income maintenance services within Human Services.  In this role, he focuses on health and human services strategies and solutions for state and local governments...

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Thomas Aldridge

Manager / Health

Mr. Aldridge is a Manager with Public Consulting Group (PCG) and has been with the firm for more than 20 years. Throughout his tenure, he has managed dozens of engagements within...

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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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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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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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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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