Transportation innovations for New Yorkers with disabilities would knock down barriers to communities and jobs, says new study

A statewide, coordinated system for transportation of individuals with disabilities could significantly improve their connections with jobs, community activities and overall quality of life, while delivering more efficient use of government and service-provider resources. That is the key finding from a newly released report developed for the New York State Office for People with Developmental Disabilities (OPWDD) by Public Consulting Group, Inc., (PCG) a leading provider of management-consulting services to public-sector education, health, and human services clients, and subcontractor Nelson\Nygaard. [More]

New Ideas and New Resources: The Benefits of Community Engagement

Other than parents, schools and teachers have more responsibility for raising children than any other part of society. But they can’t do it alone.

Diallo Shabazz, executive director of One Hundred Black Men, Inc. of New York, tells the story of how, several years ago, a school in Queens where the organization works with students experienced a mutiny of sorts in a global history class.

“One of the students stopped the teacher one day and said, ‘I can’t do this anymore,’” Shabazz recalls. “‘As students, we come in here and learn about all the terrible things that have happened. We learn about war and famine and racism and slavery, and we’re taught to recite what happened, but we’re not taught to change things moving forward. And unless you’re going to teach us how to use this information to change the world around us, I’m not studying this.’” [More]

PCG hosts three Chicago high school juniors for Job Shadow Day

For us at Public Consulting Group (PCG), that’s one of the best definitions we’ve ever heard of what it means to work as a consultant. And what makes that definition so especially wonderful: It came from an 11th grader in Chicago, Ahlexuss Lee from Theodore Roosevelt High School, after she and two other students visited us for a recent Job Shadow Day. Ahlexuss is on the Early Education/Teaching Career Path at Roosevelt. [More]

CMS issues final 2018 Marketplace guidance

The Centers for Medicare and Medicaid Services (CMS) finalized its annual Notice of Benefit and Payment Parameters for 2018 (NBPP) and its 2018 Letter to Issuers in the Federally-Facilitated Marketplaces (Letter) on December 16, 2016. As is typical, the NBPP addresses a breadth of issues relative to health plan regulation as well as Marketplace operations. The Letter provides operational and technical guidance for issuers seeking to offer Qualified Health Plans (QHPs) and Standalone Dental Plans (SADPs) on Federally-Facilitated Marketplaces (FFMs) and State-Based Marketplaces on the Federal Platform (SBM-FPs). [More]

Pride and Passion

Since graduating from Bentely College in 2002, Matt Sorrentino has risen from a business analyst in the Boston office to becoming a manager in the Austin office, but always within the Health practice area. The erstwhile finance major helped to establish PCG’s presence in Texas in 2004, and since then has focused on helping state Medicaid programs increase revenue and improve outcomes for patients. [More]

GAO releases report on CMS oversight of Medicaid expenditures

On February 6, 2017, the U.S. Government Accountability Office (GAO) issued a report on the Medicaid program entitled, “Program Oversight Hampered by Data Challenges, Underscoring the Need for Continued Improvement.” Six members of the U.S. Senate and the House of Representatives asked GAO to examine Medicaid data challenges based on estimates that there were about $36.3 billion in improper Medicaid payments in Federal fiscal year 2016. [More]

Hawaii receives approval of 1332 State Innovation Waiver submission

Hawaii requested a 1332 State Innovation Waiver in order to preserve the state’s Prepaid Health Care Act (Prepaid) by exempting the state from requirements related to the Small Business Health Options Program (SHOP). Since the enactment of Prepaid in 1974, employers in Hawaii have been required to provide health insurance coverage that meets the evolving standards of Prepaid to employees working 20 hours or more per week, with some exceptions. In 2011, more than 480,000 non-union employees and their dependents were covered under employer-sponsored Prepaid-compliant plans. [More]

Roundup of federal health policy developments

The debate over the future of the Affordable Care Act (ACA) is well-underway and there are a number of significant developments that warrant a closer look. Here we provide a roundup of recent developments.

Administrative Action
Upon entering office, President Trump signed two Executive Orders. The first, on January 20, entitled... [More]

The House considers health policy bills

As debate continues over the future of the Affordable Care Act (ACA), the House has held hearings on four piecemeal bills aimed at making incremental changes to the ACA:

- The State Age Rating Flexibility Act of 2017 would expand permissible age rating bands to 5:1 (currently 3:1) under the ACA or a different ratio adopted by the state. [More]

The Obamacare Replacement Act

Senator Rand Paul introduced the Obamacare Replacement Act on January 25th, which would repeal much of Title 1 of the Affordable Care Act (ACA), including:

• Most consumer protections (except as outlined below)
• Rating restrictions
• Rate review requirements
• Essential Health Benefits
• Medical loss ratio requirements
• Individual and employer coverage mandates [More]