News & Perspectives

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Public Consulting Group to Take Part in Four Sessions at SXSWedu

Public Consulting Group (PCG) today announced that it has been selected to present at SXSWedu, the leading education conference in Austin, Texas, in March, for the second year in a row. This year, PCG will lead four innovative sessions, once again bringing together thought leaders and experts from across the country to highlight innovation, best practices, and collaboration across a breadth of fields...

22. January 2018
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    President Signs Bipartisan Budget Act

    On February 9, 2018, President Trump signed H.R. 1892, the Bipartisan Budget Act of 2018.  The new law reauthorizes federal funding for many health programs, modifies scheduled reductions in Medicaid disproportionate share hospital (DSH) allotments to states, tightens third party liability (TPL) billing requirements, and updates requirements affecting Medicare Advantage plans, accountable care organizations (ACOs), and providers’ adoption of telehealth.

    • 15. February 2018
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    Federal District Court in Tennessee invalidates billing threshold for enhanced Medicaid payments to physicians

    On January 24, 2018, a Federal District Court in Tennessee held that the Centers for Medicare and Medicaid Services (CMS) improperly included a billing threshold requirement in a final rule concerning whether physicians received an enhanced Medicaid rate for primary care services under a provision of the Affordable Care Act (ACA). 

    • 6. February 2018
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    The Government Accountability Office issues recommendations on fraud prevention

    On December 5, 2017, the Government Accountability Office (GAO) issued a a report on Centers for Medicare and Medicaid Services (CMS) fraud prevention efforts, recommending that CMS more closely align its approach with the Fraud Risk Framework put forth by the GAO in 2015. Medicaid and Medicare fraud and abuse prevention has been increasingly in the spotlight...

    • 25. January 2018
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    CMS issues guidelines on mandating work and community engagement under Medicaid and approves the first work requirement waiver

    On January 11, 2018, the Centers for Medicare and Medicaid Services (CMS) distributed a State Medicaid Director letter outlining new guidelines for states about mandating work and other community engagement activities for adult Medicaid beneficiaries who are not aged, disabled, or pregnant. CMS defines community engagement broadly, as encompassing activities such as job search, education, skills training, caregiving, volunteer service, and treatment for substance use disorders; and suggests that such activities may be linked to better health outcomes.

    • 19. January 2018