CMS announces steps to protect ACA risk pools


On June 8, 2016, the Centers for Medicare and Medicaid Services (CMS) announced new steps to protect the integrity of health insurance “risk pools.” The integrity of those pools directly affects the accuracy and stability of health insurance premiums under the Affordable Care Act (ACA). CMS has outlined new steps pertaining to: controlling the abuse of “short-term” health plans, improving the accuracy of risk adjustments, reducing abuse of Exchanges’ special enrollment periods, improving Exchanges’ data matches, and transitioning consumers to Medicare as they approach age 65. [More]

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Categories:Health and Human Services


PCG’s Medford office completes first 30 for 30


Staff from PCG’s Medford office recently organized their first “30…for Thirty Years” donation effort to support the Animal Rescue League of NH by collecting at least 30 wish list items in 30 days. The drive kicked off on Monday, April 25, and after 30 days, Medford employees collected nearly double their ‘30’ goal, collecting 56 items from the Rescue League’s wish list. [More]

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Categories:PCG Cares


Denver office perfects the PB&J for a good cause


Last month, staff from PCG’s Denver office spent a Saturday afternoon making peanut butter and jelly (PB&J) sandwiches to support Mile High United Way’s grant partner, Senior Support Services (SSS). This non-profit provides a day shelter as well as other services to low-income and homeless seniors in Denver. [More]


Chalkbeat article highlights one NYC Renewal School’s efforts to adopt EngageNY curriculum


Throughout the last school year, PCG has worked with teachers and administrators at Juan Morel Campos Secondary School in Brooklyn—one of 94 schools participating in the New York City Department of Education’s (NYCDOE) “Renewal” turnaround program—to support the school’s implementation of EngageNY curriculum. [More]

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CMS finalizes changes to Medicare ACO rules


On June 6, 2016, the Centers for Medicare and Medicaid Services (CMS) issued final regulations on payment methods for accountable care organizations (ACOs) under the Medicare “shared savings” program (MSSP), which includes 434 ACOs serving 7.7 million Medicare beneficiaries in 49 states and the District of Columbia. Medicare Part A and Part B fiscal intermediaries and carriers pay ACOs on a fee-for-service (FFS) basis under the MSSP, but an ACO may qualify for a “shared savings” bonus if the ACO achieves CMS-specified Medicare savings targets while meeting CMS-specified quality of care performance metrics. Medicare ACOs achieved $411 million in Medicare savings in 2014; savings calculations for 2015 will be released this summer. [More]

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Categories:Health and Human Services


Lawsuits filed by health insurers over shortfalls in risk corridor payments under the ACA


On June 1, 2016, MODA Health Plan, Inc., one of the largest health insurers in the Pacific Northwest, filed a claim in the U.S. Court of Federal Claims, alleging that the Plan was entitled to risk corridor payments from the Federal Government of more than $89 million in 2014 and $102 million in 2015. [More]


Online PD must be job-embedded according to Education SME


On June 3, Michael Weinraub, a blended learning subject matter expert (SME) within PCG Education, shared insights into effective online learning for teachers in an article he authored for Education Week’s blog, “Education Futures: Emerging Trends in K-12.” In the piece, Michael argues that digital learning--whether blended or fully online--must be job-embedded to be effective for teachers’ development. [More]


#PCGCares: Chicago staff run to impact youth violence


On May 26, 2016, members of PCG's Chicago office participated in the 35th annual J.P. Morgan Chase Corporate Challenge, running the 3.5 mile course through downtown Chicago alongside a record-breaking 27,000+ entrants. Chicago's Chase Corporate Challenge benefitted Get IN Chicago, a non-profit organization dedicated to reducing youth violence through evidence-based programs to create stronger, safer communities. [More]

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Categories:PCG Cares


#PCGCares in Phoenix!


Public Partnerships' Amy Sayler, Shane Moodyman and Cheryl Marsh are spearheading the Phoenix office's volunteer efforts to celebrate PCG's 30-year anniversary. As part of the firm wide "30...for Thirty Years" community service initiative, Phoenix staff have set the impressive goal of rallying 30 volunteers for each of the office's upcoming volunteer activities. [More]


Louisiana implements Medicaid expansion


On June 1, 2016, Louisiana became the 31st state to implement Medicaid expansion under the Affordable Care Act (ACA). Louisiana has obtained federal approval to use pre-existing data from its Supplemental Nutrition Assistance Program (SNAP) to adjudicate Medicaid eligibility in real time, both at initial Medicaid enrollment and upon re-enrollment; it is the first State to have won such approval via a Medicaid plan amendment rather than time-limited federal waivers. [More]