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The latest news from D.C.

Following the failure in the Senate to pass various legislative proposals – the Better Care Reconciliation Act (the Senate version of repeal and replace), the straight repeal option , or the “skinny repeal” bill – last week, Senate leadership has continued to say that they are moving on to other age...

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A look back at major developments in health policy during 2017, and a preview of 2018

In the following roundup, PCG health policy subject matter experts reflect upon major policy shifts and changes that have occurred in 2017, as well as preview policy developments expected in 2018. With major announcements that will affect 2018 just within the past couple of months, our subject matte...

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CMS Releases Final Exchange Guidance

On April 9, 2018, the Centers for Medicare & Medicaid Services (CMS) released the long-awaited final Exchange guidance for the 2019 plan year – the final Notice of Benefit and Payment Parameters for 2019 (NBPP) and the final Letter to Issuers in the Federally-facilitated Exchanges (Letter). Toge...

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Recently proposed JOBS Act could signal coming TANF reforms

Momentum has been building for several years to reform the Temporary Assistance for Needy Families (TANF) program, and many consider the recently proposed Jobs and Opportunity with Benefits and Services for Success (JOBS) Act to be an indicator of coming reforms. The House Ways and Means committee r...

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Delivery System Reform, Performance Management, And Quality Improvement

PCG provides Medicaid departments expertise in reducing cost and improving program quality across several major Medicaid reform efforts enabled through Section 1115 Waiver authority. Learn more about our current program work in New Jersey, Massachusetts, and New York below. New Jersey Beyond managin...

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Delivery System Reform, Performance Management, And Quality Improvement

PCG provides Medicaid departments expertise in reducing cost and improving program quality across several major Medicaid reform efforts enabled through Section 1115 Waiver authority. Learn more about our current program work in New Jersey, Massachusetts, and New York below. New Jersey Beyond managin...

/health/for-state-health-medicaid-agencies/delivery-system-reform-performance-management-and-quality-improvement/

Provider Screening and Onsite Visits

Did You Know? Did you know your site visit program could be managed externally and fully funded at no cost to the state? Keeping a pulse on providers is vital, yet challenging for many states . A lack of time, personnel, and adequate resources are common barriers in the development of a comprehensiv...

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Provider Management and Program Integrity

Each year, hundreds of millions of Medicaid dollars go to personal care services, home health, community behavioral health, hospice, non-emergency transportation, and other in-home care services. Managing these services – and their providers – requires a unique and innovative approach that is not tr...

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For State Insurance Departments

Understanding and implementing the Affordable Care Act and other new regulations while keeping a lid on costs and ensuring that all citizens have access to affordable, quality health care coverage is a constant challenge. Our team can help your insurance department navigate the ever-changing policy ...

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PCG Was Proud to Support CARE International During Haiti’s Earthquake Crisis

On August 14, 2021, a 7.2-magnitude earthquake hit southern Haiti and caused significant destruction across the island. Six hundred and fifty thousand people needed emergency humanitarian assistance. Then, two days later, Tropical Depression Grace hit the island, creating additional risks and challe...

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