D.C. Circuit Decides Not to Proceed with En Banc Review of ACA Subsidies Case Pending U.S. Supreme Court Decision in KING V. BURWELL

On November 10, 2014, the D.C Circuit Court of Appeals agreed not to proceed with its en banc review of HALBIG v. BURWELL, 758 F.3d 390 (D.C. Cir. 2014), which had held that subsidies provided for under the Affordable Care Act (ACA) were to be restricted to states which opted to establish their own Health Benefit Exchanges. [More]

ED Promotes Technology in Personalized Learning

A November 19, 2014 U.S. Department of Education (ED) Dear Colleague Letter provides states and local education agencies with guidance on the use of federal funds to support digital personalized learning. Personalized learning can be described as shifting education from a teacher-centered model to a student-centered model that the teacher facilitates, often through the use of technology. [More]

Kaiser Reports on 2015 QHP Premium Changes

The Henry J. Kaiser Family Foundation (Kaiser) released on November 17, 2014 a report on changes in premiums for qualified health plans (QHPs) offered through Health Benefit Exchanges (Exchanges) in all 50 states and the District of Columbia. The report shows modest increases in 2015 premiums, as compared with 2014, on average for all QHPs across all geographic rating areas in the United States. Premiums for “silver” level coverage (medium cost-sharing, medium premiums) will increase about two percent on average, while premiums for “bronze” level coverage (higher cost-sharing, lower premiums) will increase about four percent on average. [More]

GAO Issues Report on Transparency of CMS Websites for Consumers

The U.S. Government Accountability Office (GAO) released a report on November 18, 2014 entitled, “Health Care Transparency: Actions Needed to Improve Cost and Quality Information for Consumers.” GAO found that five Centers for Medicare and Medicaid Services (CMS) websites launched over 12 years – Nursing Home Compare (1998), Dialysis Compare (2001), Home Health Compare (2005), Hospital Compare (2005), and Physician Compare (2010) – do not use language consumers understand, do not present data in ways meaningful to consumers, and do not help consumers collect information they need to make informed, value-based decisions about their care. While the CMS websites can motivate providers to improve quality of care, research shows that providers and consumers look at data differently. [More]

FL AHCA Approves PCG Education for Medicaid Administrative Claiming

PCG Education’s MAC system for School District Administrative Claiming (SDAC) is a fully integrated system that incorporates all activities for the Medicaid Administrative Claim process from start to finish. The system allows for additions and modifications of allowable staff, entry of district and school specific calendars as well as multiple shifts for full and part time staff. The system also captures moment responses from staff, collection of quarterly financial expenditure data as well as quarterly claim calculation and completion of the Certification of Public Expenditures.
“As a leading national vendor for school-based Medicaid program services for more than two decades, we’ve developed an approach that makes programs efficient and compliant in order to recover the maximum amount of allowable revenue,” said Natalie Foster, Associate Manager, PCG Education. “We’re pleased to be providing our successful, results-driven methodology and technology to Florida districts.”

HHS OIG Releases Work Plan for Federal Fiscal Year 2015

As the new Federal Fiscal Year began on October 1, 2014, a work plan was released that outlines the engagements planned throughout the year. The Office of Inspector General (OIG) was created was created “to protect the integrity of US Department of Health and Human Services (HHS) programs and operations and the well-being of beneficiaries by detecting and preventing fraud, waste, and abuse; identifying opportunities to improve program economy, efficiency, and effectiveness; and holding accountable those who do not meet program requirements or who violate Federal health care laws.” [More]

HHS Revises Exchange Enrollment Projections for Upcoming Enrollment Period

The U.S. Department of Health and Human Services (HHS), Assistant Secretary for Planning and Evaluation (ASPE) released an analysis on November 10, 2014 projecting that 9.0 – 9.9 million persons will have coverage through Exchanges by the end of the upcoming November 15, 2014 – February 15, 2015 open enrollment period. The Congressional Budget Office (CBO) had estimated in April 2014 that the number of persons covered through Exchanges would reach 13 million persons in 2015, 24 million persons in 2016, and a plateau of 25 million persons by 2017. [More]

US Supreme Court to Review ACA Tax Credit Authority

The U.S. Supreme Court announced on November 7, 2014 that it will review King v. Burwell, in which the U.S. Court of Appeals for the Fourth Circuit upheld an Internal Revenue Service regulation allowing advance premium tax credits (APTCs) for low-income individuals and families enrolling in qualified health plans (QHPs) through “Federally-facilitated Exchanges (FFEs).” [More]

Destination Imagination Partners with PCG Education to Advance Student Success

CHERRY HILL, N.J., November 13, 2014 ─ Destination Imagination (DI), an educational non-profit organization dedicated to teaching students the creative process through hands-on STEM (science, technology, engineering and mathematics), the arts and service learning Challenges, today announced its partnership with PCG Education to advance project-based learning opportunities for students and teachers throughout the U.S. [More]

PCG Partnership with Stewards of Change Leads to California Mental Health Services Oversight Project Win

PCG Technology Consulting (TC) has teamed with Stewards of Change (SOC) to conduct a feasibility study for the California Mental Health Services Oversight and Accountability Commission (MHSOAC). MHSOAC's charge is to determine whether California's implementation of the Mental Health Services Act (MHSA) is meeting the legislation's goals of improving the mental health of California residents through effective prevention, intervention, and treatment of mental illness and, if not, to recommend solutions.

Beginning in early November, the joint PCG TC / SOC project team will focus on reviewing the current state of the existing MHSA client and services data-collection and analysis systems; clearly define stakeholder information needs; present recommendations for improving the current systems and data infrastructure; and initiate the state and federal funding process required to implement those recommendations.