News & Perspectives

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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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    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
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    GAO recommends improved Medicaid waiver evaluations

    On February 20, 2018, the Government Accountability Office (GAO) released a report recommending changes in federal policies and procedures governing state-operated Medicaid demonstration waiver projects.  These projects represent the leading edge in state Medicaid innovation as well as over $109 billion in federal Medicaid spending annually. GAO found in its review of these projects that the Centers for Medicare and Medicaid Services (CMS) has not always demanded thorough, scientifically valid, and timely data evaluations as to whether the projects achieved state-specified, CMS-approved goals to improve care and to contain costs.  

    • 2. March 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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    CHIP funding becomes critical issue for many states

    States continue to face uncertainty as of December 15, 2017 about Federal funding for the Children’s Health Insurance Program (CHIP). Congressional authorization of new Federal funds for CHIP expired on September 30, 2017.

    • 13. December 2017