PCG’s Health practice offers in-depth programmatic knowledge and regulatory expertise to help state and municipal health agencies respond to regulatory change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Using industry best practices, PCG’s Health team helps organizations deliver quality services with constrained resources to promote improved client outcomes.

What We Do

For State Health & Medicaid Agencies

See how we can help you increase program revenue, cut costs, and improve compliance with state and federal regulations.

For State Insurance Departments

Let us help you navigate the regulatory landscape, including the Affordable Care Act (ACA), and implement changes and new requirements with confidence.

For Provider Organizations

Boost your financial performance and compliance with our proven approach to improving claiming practices and operations management.

For Health Plans

Optimize your plan’s performance and compliance without sacrificing patient outcomes with our program integrity services.

For Fire and EMS Provider Organizations

Helping fire and emergency medical service agencies improve operational performance, reduce costs, and deliver better outcomes to those in need.

News & Perspectives

U.S. Supreme Court to Hear Oral Arguments on ACA Case One Week After November Election

31 days ago

On Wednesday, August 19, 2020, the U.S. Supreme Court announced that it has scheduled oral arguments for the major lawsuit concerning the continued viability of the Affordable Care Act (ACA) on November 10, 2020, one week after the November 3rd election. 

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U.S. Court of Appeals Holds That the Trump Administration Violated the ACA by Withholding Certain Subsidy Payments

33 days ago

On Friday, August 14, 2020, the U.S. Federal Court of Appeals held that the Trump Administration violated the Affordable Care Act (ACA) when it suddenly stopped paying for subsidies intended to reduce healthcare costs for low-income individuals who buy coverage on the exchanges.

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5th Circuit Court of Appeals Upholds Provider Fee That States Pay Under the Affordable Care Act (ACA) to Receive Federal Reimbursement for Managed Care Organization (MCO) Payments

52 days ago

On Friday, July 31, 2020, the U.S. Court of Appeals for the Fifth Circuit overturned a lower court decision and upheld the provider fee that states are required to pay under Section 9010 of the ACA, on behalf of MCOs, in order for the states to receive federal reimbursement for payments to the MCOs. 

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A U.S. Court of Appeals Panel Upholds Health and Human Services (HHS) Medicare Outpatient Off-Site Payment Reduction Policy

56 days ago

On July 17, 2020, a panel of the U.S. Court of Appeals for the District of Columbia reversed a lower court decision and held that the HHS policy of reducing Medicare payment to off-site outpatient hospital sites for certain services did not have to be budget neutral.

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Trump Administration Requests the U.S. Supreme Court to Reinstate Arkansas Medicaid Work Requirements

68 days ago

On Tuesday, July 14, 2020, the Trump Administration and the Arkansas Attorney General filed requests to the U.S. Supreme Court to reinstate Medicaid work requirements in Arkansas.

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U.S. District Court in Wisconsin holds that DHHS is not bound by ALJ decision

74 days ago

On Monday, July 6, 2020, the U.S District Court for the Eastern District of Wisconsin held that the United States Department of Health and Human Services (DHHS) is allowed to deny Medicare payment for a brain cancer patient’s treatment despite approval of similar claims by an administrative law judge (ALJ), because ALJ decisions are not binding on the agency. 

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Meet Our Team

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Kelly Gallagher

Associate Manager / Health

Ms. Gallagher has been with PCG for 10 years. Ms. Gallagher helps lead the Cost Allocation Center of Excellence, specializing in cost allocation, time studies, Medicaid and Title IV-E claiming...

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Kevin Carlson

Chief Technology Officer / Health

Mr. Carlson has more than 20 years of experience in the health care technology sector. He has overseen the development and implementation of numerous electronic health record, revenue cycle...

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Marc Staubley

Practice Area Director / Health

Mr. Staubley is Practice Area Director (PAD) of PCG’s Health division and a PCG shareholder. In this role, he provides executive leadership to over 400 staff who manage a portfolio of over...

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Thomas Aldridge

Manager / Health

Mr. Aldridge is a Manager with Public Consulting Group (PCG) and has been with the firm for more than 20 years. Throughout his tenure, he has managed dozens of engagements within...

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Jay Peck

Associate Manager / Health

Mr. Peck has been with PCG for over 13 years, specializing in Medicaid Program Integrity, Quality Improvement, and Beneficiary Due Process. He has successfully led the implementation of...

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James Dachos

Associate Manager / Health

Mr. Dachos, an Associate Manager in our Healthcare Financing Solutions division, has 12 years of Medicaid and Healthcare experience with PCG. He leads PCG’s Emergency Medical Services (EMS) division...

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Angelene Willetts-Carvi

Associate Solutions Manager / Health

Angelene Willetts-Carvi is an Associate Solutions Manager in Health Payer Services at Public Consulting Group. With over 20 years of experience in Home and Community Based Services...

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Dale McCourt

Associate Manager / Health

Mr. McCourt, Associate Manager, has been a member of the PCG team since 2011. Dale brings over 25 years of experience spanning many industries where he has served in a variety of roles...

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Rick Dwyer

Manager / Health

Mr. Dwyer, a Manager located in our Boston office since 1993, has over thirty years of experience in financial and operations management in corporate and healthcare provider and payer...

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Tony Curatola

Manager / Health

Mr. Curatola, a Manager with PCG and certified PMP, has more than 29 years of experience in the Information Systems industry with over 22 years in project management and 18 years in Medicaid. 

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Aaron Holman

Associate Manager / Health

Mr. Holman has been working in health policy for the past decade, starting in the United States Senate working on Medicare, CHIP and Health IT areas for Senator Debbie Stabenow (D-Michigan)...

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Rich Albertoni

Manager / Health

Mr. Albertoni has 16 years of experience working in state public health programming and Medicaid. He has held leadership positions in eligibility, budget and finance, and benefits and waivers.

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Matthew Sorrentino

Manager / Health

Mr. Sorrentino, a Manager and Center of Excellence (COE) lead for our Healthcare Financing Solutions division, is a management consultant with 15 plus years of extensive Medicaid and healthcare experience.

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Katie Sherwin

Chief Administrative Officer / Health

Katie Sherwin, Chief Administrative Officer, Public Consulting Group, Inc. (PCG), has eighteen years of experience in strategy, operations, and financial analysis, for companies of all sizes—from Fortune 500 companies and large state governments to early-stage technology start-up companies. 

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Peter Cheesman

Associate Manager / Health

Mr. Cheesman leads PCG Health's Member Eligibility Solutions group. In this capacity, he has overseen the implementation and operation of high-profile benefits eligibility verification systems...

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James Waldinger

Manager / Health

Mr. Waldinger, a Manager at PCG, is an experienced Medicaid policy and reimbursement professional who focuses on healthcare operations and reimbursement transformation...

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Joe Weber

Associate Manager / Health

Mr. Weber, PMP, has been with PCG for 13 years. Mr. Weber helps lead the Health Care Financing Solutions (HCFS) Center of Excellence with over twelve years of public sector consulting...

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Garrett Abrahamson

Associate Manager / Health

Mr. Garrett Abrahamson is a healthcare consultant, delivering impactful financial deliverables with a client-centric approach. An Associate Manager with the Health Care Financing Solutions...

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Kevin Hutchinson

Manager / Health

Mr. Hutchinson oversees PCG's Program Integrity and Provider Management solutions, advising and aiding Medicaid agencies and healthcare care plans in improving compliance and...

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Sean Huse

Manager / Health

Mr. Huse (MBA, CHFP), a Manager at Public Consulting Group, is an experienced health management consultant who focuses on financial management, strategic planning, policy analysis, information...

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