On April 22, 2024, The Centers for Medicare and Medicaid Services (CMS) published the Ensuring Access to Medicaid Services (Access Rule) final rule, which incorporates feedback CMS received in response to the initial notice of proposed rulemaking (NPRM) published in May 2023.

The information within this article, originally published on the PCG website in March 2019, was updated on April 14, 2022, to reflect program changes and new developments as a result of the Coronavirus Disease 2019 (COVID-19) public health emergency (PHE).

Public Consulting Group (PCG) is proud to announce its five-year recertification as a Quality Improvement Organization-like (QIO-like) entity by the Centers for Medicare and Medicaid Services (CMS). A QIO-like entity consists of health quality experts, clinicians, and consumers who work together to improve the quality of care delivered to Medicare and Medicaid beneficiaries.

On Friday, August 13, 2021, a panel of the D.C. Court of Appeals held that Medicare Advantage private insurers must return potentially billions of dollars in overpayments they receive based on incorrect diagnoses.