
第三方管理员(TPA)服务
PCG is an expert and trusted third party administrator (TPA) providing end to end claims processing services and solutions on behalf of government agencies and health plans.

加强卫生和公共安全服务的解决方案.
Helping fire and emergency medical service agencies improve operational performance, 降低成本, 并为有需要的人提供更好的结果.

带来更健康社区的解决方案.
在PCG, 我们帮助客户解决财务问题, 监管, and operational challenges of today’s changing health care landscape so they can provide the best care, 最有效地, 对他们所服务的人民.
PCG’s 健康 practice offers in-depth programmatic knowledge and 监管 expertise to help 状态 and municipal health agencies respond to 监管 change, 改善获得保健的机会, 项目收入最大化, 改善业务流程, 并达到法规遵从性. 使用行业最佳实践, PCG’s 健康 team helps organizations deliver quality services with constrained resources to promote improved client outcomes.
新闻 & 视角
PCG获得CMS质量改进组织样的再认证
39天前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). 类似qio的实体由卫生质量专家组成, 临床医生, 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
257天前2021年8月13日,星期五,一个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.
ReadMore密苏里州最高法院下令扩大医疗补助
265天前周四, 7月22日, 2021, the Missouri 最高法院 reversed a lower court decision and ruled unanimously that the 状态 legislature is required to fund the new Medicaid expansion program. 柯南道尔,等.,巴伯和切尼v. Tidball等. (SC 99185).
ReadMoreU.S. 最高法院 Rejects Challenge to the Affordable Care Act (ACA) for the Third Time
307天前2021年6月17日,星期四,美国.S. 最高法院, 7票对2票, held that the plaintiffs in a lawsuit challenging the constitutionality of the ACA lacked standing to bring the action and ordered the case to be dismissed (California et al v. 德克萨斯等人,不. 19-840).
ReadMore联系人跟踪:在最重要的时候提供解决方案
312天前在大流行, PCG has established itself as a recognized leader across multiple 状态s—including New York, 威斯康辛州, 新泽西, 俄亥俄州, and Arkansas—in developing contact tracing solutions that have helped public health systems track thousands of exposures and mitigate the spread of COVID-19. We have partnered with these 状态s and worked with them on the ground to hire, train, 并管理当地的联系跟踪团队.
ReadMore满足快乐8网站团队

安德鲁·希尼
副经理/健康
安德鲁·希尼, PCG的副经理, has extensive experience working with health 信息 technology (HIT), 卫生信息交流, 健康保险交易所(HIX), 电子健康纪录(EHR), 状态...
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丰富的阿尔贝特尼
经理/健康
Mr. Albertoni has 16 years of experience working in 状态 public health programming and Medicaid. He has held leadership positions in eligibility, budget and finance, and benefits and waivers.
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汤姆Kapusta
副经理/健康
是公司健康创新部门的副经理, 政策, 和信息技术(HIPIT)团队, Tom在卫生信息技术(HIT)方面有丰富的经验。, 尤其是在医疗补助资格方面...
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Peter Cheesman
经理/健康
Mr. 芝士曼负责管理盈科会员资格管理小组. 在这种能力, Peter designs and deploys creative technical solutions connecting government agencies...
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詹姆斯Waldinger
经理/健康
Mr. Waldinger, 盈科经理, is an experienced Medicaid policy and reimbursement professional who focuses on healthcare operations and reimbursement transformation...
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托尼Curatola
经理/健康
Mr. Curatola, 具有PCG和PMP认证的经理, has more than 29 years of experience in the Information Systems industry with over 22 years in project management and 18 years in Medicaid.
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里克•德怀尔
经理/健康
Mr. 德怀尔, 自1993年起担任我们波士顿办事处的经理, has over thirty years of experience in financial and operations management in corporate and healthcare provider and payer...
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希瑟·考德威尔
副经理/健康
希瑟·考德威尔是PCG健康部门的副经理. 在这个角色, she works with the cost allocation team to help government health agencies claim reimbursement from the federal government for administrative activities...
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乔•韦伯
副经理/健康
Mr. 韦伯,PMP,在PCG工作了13年. Mr. Weber helps lead the 健康 Care Financing Solutions (HCFS) Center of Excellence with over twelve years of public sector consulting...
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肖恩·休斯
经理/健康
Mr. 休斯(MBA, CHFP), 公共咨询集团的经理, is an experienced health management consultant who focuses on financial management, 战略规划, 政策分析, 信息...
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马修Sorrentino
经理/健康
Mr. Sorrentino, a Manager and Center of Excellence (COE) lead for our 健康care Financing Solutions division, is a management consultant with 15 plus years of extensive Medicaid and healthcare experience.
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Marc Staubley
实践区域主任/卫生
Mr. Staubley is Practice Area Director (PAD) of PCG’s 健康 division and a PCG shareholder. 在这个角色, he provides executive leadership to over 400 staff who manage a portfolio of over...
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加勒特亚伯拉罕森
副经理/健康
Mr. 加勒特·亚伯拉罕森(加勒特亚伯拉罕森)是一名医疗顾问, delivering impactful financial deliverables with a client-centric approach. 卫生保健融资解决方案的副经理...
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梅根·莫里斯
副经理/健康
Ms. 莫里斯, 该公司医疗保健融资解决方案团队的副经理, is an experienced project manager primarily focused on health and Medicaid-based programs. 认证项目管理专业人员(PMP)...
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亚伦霍尔曼
副经理/健康
Mr. 在过去的十年里,霍尔曼一直从事卫生政策方面的工作, 从美国参议院开始,致力于医疗保险, 参议员Debbie Stabenow(密歇根州民主党)的芯片和医疗IT领域...
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托马斯·奥尔德里奇
经理/健康
Mr. Aldridge is a Manager with Public Consulting Group (PCG) and has been with the firm for more than 20 years. 在他的任期内,他处理了数十个内部事务...
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凯文·卡尔森
首席技术干事/卫生
Mr. Carlson has more than 20 years of experience in the health care technology sector. He has overseen the development and implementation of numerous electronic health record, 收入循环...
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戴尔•麦考特
副经理/健康
Mr. McCourt,副经理,自2011年以来一直是PCG团队的成员. Dale brings over 25 years of experience spanning many industries where he has served in a variety of roles...
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