Supreme Court hears oral arguments on major health care case


Members of PCG Health’s Health Innovation Policy Information Technology (HIPIT) center of excellence have been keeping a close eye on Gobeille vs Liberty Mutual Insurance Company. Gobeille has the potential to seriously undermine state All-Payer Claims Databases (APCD) that many of PCG’s state clients rely on for data collection. These systems allow states to gather data that is necessary to analyze health care services and impact rising health care costs. [More]


Congress passes ESEA/NCLB rewrite


On December 9, 2015, the U.S. Senate passed the Every Student Succeeds Act (ESSA), which rewrites the Elementary and Secondary Education Act (ESEA)/No Child Left Behind Act (NCLB). The bill was passed by the U.S. House of Representatives on December 2 and President Obama is now expected to sign it into law. [More]

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HHS finalizes new rules for eligibility IT systems


The U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) published final rules in the Federal Register on December 4, 2015, authorizing 90 percent Medicaid Federal financial participation (FFP) for the design, development, installation (DDI) or enhancement of Medicaid eligibility and enrollment (E&E) systems. Additionally, the final rules authorize 75 percent Medicaid FFP for the maintenance and operation (M&O) of such systems. [More]

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Categories:Health and Human Services


TC wins HIPAA coding contract in California


PCG Technology Consulting (TC) was recently awarded a new contract to provide Health Insurance Portability and Accountability Act (HIPAA) Medical Coding Expertise services to the California Department of Health Care Services (CA DHCS). PCG’s team includes three certified medical coders that will assist CA DHCS in producing medical coding methodologies consistent with the standards required by HIPAA regulations, including International Classification of Diseases, 10th Edition (ICD-10). [More]


Senate Finance Committee releases draft legislation


Earlier this year, in August 2015, Sen. Ron Wyden (D-OR) introduced “The Family Stability and Kinship Care Act of 2015” which marked the first legislative effort to address child welfare finance reform. While the legislation received significant bipartisan support among the Senate, Sen. Orrin Hatch (R-UT) never offered support instead stating that he would introduce additional legislation prior to the end of the year and this week, the Senate Finance Committee staff shared a draft version of child welfare finance reform. The proposed legislation, not yet introduced, is titled “The Family First Act.” The language of the legislation is consistent with Sen. Wyden’s bill on several points, however, additional aspects were added. Examples of the proposed changes include (but are not limited to) amendments to “Subtitle A: Investing in Prevention and Family Services” and “Subtitle B: Ensuring the Necessity of Placement that is not a foster family home.” [More]


CMS proposes ACA Benefits and Payments Parameters Rules for 2017


On December 2, 2015, the U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) officially published its proposed “Notice of Benefits and Payments Parameters” rules for 2017. As in prior years, this annual rules notice proposes adjustments to a wide range of policy, operational, and information technology requirements applicable to health insurance coverage obtained through Exchanges, as well as other related topics under the Affordable Care Act (ACA). [More]


PCG Polska and Perspektywy Education Foundation Recognize 11 Universities with LUMEN 2015 Awards


On November 23 and 24 in Warsaw, Poland, PCG Polska and the Perspektywy Education Foundation held the inaugural “Leaders in University Management – LUMEN 2015” Conference and Awards Gala. The LUMEN awards were established to distinguish persons and teams that manage universities in the most innovative and effective manner. More than 220 participants attended the gala and the accompanying conference, including esteemed government officials and experts in the Polish higher education sector, such as the Vice-Minister of Higher Education, the Head of Polish Accreditation Commission, and the Head of Polish Rectors Foundation, to name a few. [More]


TC wins IV&V contract in California


PCG Technology Consulting (TC) was recently awarded a twenty-eight month contract to provide Independent Verification & Validation (IV&V) services to the California Department of Social Services (CDSS) for the California Appeals Case Management System (ACMS) project. The ACMS supports the CDSS State Hearings Division (SHD), which is responsible for ensuring due process for individuals who wish to appeal administrative decisions pertaining to benefits for California public assistance programs, including Child Welfare, Covered California (Affordable Care Act), and Medi-Cal. [More]


HHS issues 2016 Exchange enrollment data


On November 12, 2015, the U.S. Department of Health and Human Services (HHS) issued data on the first week of the 2016 open enrollment period (November 1, 2015 – November 7, 2015) for qualified health plans (QHPs) under the Affordable Care Act (ACA). This initial “snapshot” shows that 3,180,777 persons visited the website, 1,153,270 persons completed their eligibility applications, and 543,098 eligible persons selected a QHP in the first week. [More]


Conference committee begins negotiations for ESEA rewrite


On November 18, 2015, Education Week reported that U.S. Senators and House members participated in a conference committee meeting on that date to begin reconciliation of two bills aimed at rewriting the Elementary and Secondary Education Act (ESEA). [More]

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