Join the National Association of State Human Services Finance Officers (HSFo) and Public Consulting Group, Inc. (PCG) for a two and a half day Intermediate Medicaid course in May in Raleigh, NC. Topics will include Medicaid financing and the impact of health care reform on states and state agencies. Details are located at www.hsfo.com under “dates.” Spots are limited so please sign up soon! The course is open to HSFo member and non-member state agencies. [More]
On July 31, 2012, the Massachusetts legislature, at the end of its current session, passed a first-of its kind overall health care cost control measure in the hope of saving billions of dollars over the next 15 years. Governor Deval Patrick is expected to sign the bill into law. [More]
On May 17, the Massachusetts Senate passed S. 2260, which seeks to improve quality of care and reduce overall health costs in the Commonwealth through increased transparency, efficiency and innovation. The legislation aims to reduce Massachusetts health costs by $150 billion over 15 years. It passed the Senate on a 35-2 vote. It contains wellness, preventive care, care coordination, global payment, and medical malpractice reform provisions comparable but not identical to the House bill (H. 4070) introduced on May 4. [More]
The Massachusetts Taxpayers Foundation, a nationally recognized non-profit research organization, has released an excellent report that analyses the financial impact on the Commonwealth of the 2006 Massachusetts health care reform law, Chapter 58 of the Acts of 2006. As a result of Chapter 58, over 98 percent of Massachusetts residents have health coverage, access to needed care has improved, and the percentage of Massachusetts employers offering coverage to their workers has increased. [More]
Boston, MA, January, 2012 – PCG Health was recently selected as the state of California’s Health Care Options (HCO) Program consultant. HCO coordinates activities in the managed care counties that include outreach, oversight of beneficiary education, and processing plan enrollment and disenrollments. PCG will help the program to define a business model to ensure that its Enrollment Broker contract has the ability to accommodate health care reform changes to Medi-Cal over the coming years. For more information, contact email@example.com.
Governor John Kasich’s Office of Health Transformation announced on January 9 that it is launching an initiative in partnership with Ohio stakeholders to change Ohio’s public and private health care business models from those based on volume of services to those based on value and performance. As part of that effort, the Ohio Department of Job and Family Services announced that Ohio’s Medicaid program is considering, in order to more effectively drive reforms in Ohio’s health care delivery system, pay-for-performance standards aligned with those of other major health care purchasers such as the Ohio Public Employees Retirement System (OPERS), GE, Xerox, 3M, FedEx, and eBay. [More]
Boston, MA, January, 2012 – The Hawaii Department of Human Services MedQuest Division (Medicaid) has awarded a contract to PCG to assist the state in obtaining a new Medicaid eligibility system that is compliant with the requirements of the Affordable Care Act. The scope of work includes gathering and documenting Medicaid eligibility business processes and systems requirements, with an initial goal of replacing the legacy Medicaid eligibility system. PCG was also recently selected as Hawai’I’s Health Benefits Exchange consultant in a separate procurement. For more information, contact firstname.lastname@example.org.
Boston, MA, December, 2011 – The state of Alaska has chosen PCG Health as its health benefit exchange (HBE) planning consultant. PCG Health will provide Alaska with consulting and recommendations regarding the design options for its HBE, recommendations for financial sustainability, and integration of the Exchange with Medicaid and CHIP. For more information, contact email@example.com.
The Institute of Medicine (IOM) released a report on October 6 offering recommendations to the U.S. Department of Health and Human Services (HHS) on developing the definitions of “essential health benefits” that qualified health plans will offer through Exchanges under section 1302 of the Affordable Care Act (ACA). The ACA requires such plans to cover at least ten categories of diagnostic, preventive, and therapeutic services. HHS must further define each of those ten categories and periodically update its definitions. [More]
On Wednesday, September 27, 2011, the plaintiffs in the 26-state challenge to the health care reform law formally asked the U.S. Supreme Court to take up the review of the decision by the 11th U.S. Circuit Court of Appeals, which held the mandate to be unconstitutional but upheld the balance of the reform law. Most legal scholars expect the U.S. Supreme Court to weigh in on the issues, especially since there is now a split between Circuit Court decisions. If the case is reviewed, the decision would be expected in June, 2012, with potential impact upon the next presidential election. [More]