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Los Patojos founder Juan Pablo Romero Fuentes sponsored by PCG at this year’s SXSWedu Conference

In a school of 300 students 2,500 miles from Public Consulting Group's headquarters in Boston, Juan Pablo Romero Fuentes demonstrates every day the power of an idea that is core to PCG's mission: Education, health care, and human services such as providing adequate shelter, food, clothing, and family resources are all critical services in the lives of young people. 

2. May 2018
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    Illinois Wins CMS Approval for Medicaid Behavioral Health Services Innovation

    On May 7, 2018, Illinois Governor Bruce Rauner announced that Illinois has won federal approval to launch a 5 year, $2 billion Medicaid behavioral health services initiative.  The initiative will be implemented by the Illinois Department of Healthcare and Family Services in collaboration with the Governor’s office and eleven other Illinois state health and human services agencies.  Objectives of Illinois’ initiative include...

    • 10. May 2018
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    Mitigating the Loss of the Individual Mandate- State Based Health Insurance Mandates

    In December 2017, the federal administration’s tax bill – the Tax Cuts and Jobs Act, phased out the individual mandate requirements, with the penalty for failing to have qualified insurance eliminated starting in 2019. For 2018, the mandate remains, with the penalty set at $695 per adult or 2.5% of household income, whichever is higher.  The individual mandate is cited as one of the tenants of the success of the Affordable Care Act. In order to ensure a healthy risk pool, participation of as many individuals as possible was key.

    • 26. April 2018
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    CMS Proposes Changes to Rules related to Medicaid Access to Care Requirements

    On March 23rd, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that would exempt states from requirements to analyze and monitor access to care in the Medicaid program under certain circumstances. The proposal seeks to amend 42 CFR 447.203(b), which sets forth the process for states to document whether Medicaid payments in fee-for-service (FFS) delivery systems are sufficient to ensure appropriate access to services.

    • 26. April 2018
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    CMS Expands Coverage Flexibility for Medicare Advantage Plans

    On April 2, 2018, the Centers for Medicare and Medicaid Services (CMS) issued instructions to Medicare Advantage plans encouraging more flexible service coverage policies in such plans for 2019. Such capitated plans cover the same services as traditional, fee-for-service Medicare, plus supplemental benefits adopted by the plan with CMS approval. Under the new CMS instructions, any Medicare Advantage plan would have additional flexibility to cover supplemental benefits to compensate for physical impairments, diminish the impact of injuries or health conditions, and/or reduce avoidable emergency room utilization.

    • 6. April 2018