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U.S. Supreme Court agrees to hear case concerning risk corridors under the Affordable Care Act
On Monday, June 24, 2019, the U.S. Supreme Court agreed to hear the case involving risk corridors for insurance companies under the Affordable Care Act (ACA). A provision of the ACA established these so-called risk corridors, whereby the federal government would control gains and losses of insurance...
/news-perspectives/us-supreme-court-agrees-to-hear-case-concerning-risk-corridors-under-the-affordable-care-act/Reasonable Efforts – It’s Time to Review and Reconsider
“Reasonable efforts” is a term that has existed for decades in child protective services, though its interpretation has changed drastically over the years resulting in widely different and often contradictory conclusions. Factors such as the economic times, different organizational structures, budge...
/news-perspectives/reasonable-efforts-it-s-time-to-review-and-reconsider/New York - Troy
Health, Human Services 433 River Street Suite 6005 Troy, New York 12180 United States
/offices/united-states/new-york/new-york-troy/Pennsylvania - Harrisburg
Public Partnerships, Education, Human Services, 2040 Linglestown Road Suite 201 Harrisburg, Pennsylvania 17110 United States
/offices/united-states/pennsylvania/pennsylvania-harrisburg/Virginia - Blacksburg
Education 2270 Kraft Drive Suite 1500 Blacksburg, Virginia 24060 United States
/offices/united-states/virginia/virginia-blacksburg/Washington - Clarkston
Human Services 200 Fair Street Clarkston, Washington 99403 United States
/offices/united-states/washington/washington-clarkston/North Carolina - Asheville
Education, Health 10 Brook Street Suite 210 Asheville, North Carolina 28803 United States
/offices/united-states/north-carolina/north-carolina-asheville/Coding Training and Compliance Review Services
Coding and documentation requirements, along with compliance regulations, change all too frequently. To keep our clients abreast of changes in coding, documentation, and compliance, PCG has developed a series of training and compliance tools that can be tailored to meet your needs. Our team includes...
/health/for-state-health-medicaid-agencies/coding-training-and-compliance-review-services/Institutional Rate Setting and Support
Institutional Rate Setting Services and Support Services Institutional services, such as inpatient and outpatient hospital, skilled nursing facility, and nursing facility services are a significant spend and driver of healthcare costs. Medicaid and other state agencies need, and should adopt, paymen...
/health/for-state-health-medicaid-agencies/institutional-rate-setting-and-support/Physician Services Supplemental Payment Strategies
Physician Upper Payment Limit (UPL) Supplemental Payment Strategies Medicaid agencies across the country grapple with ensuring sufficient access to primary, specialty, and dental care services to the Medicaid population. By implementing a Physician Medicaid Supplemental Payment strategy, Medicaid ag...
/health/for-state-health-medicaid-agencies/physician-services-supplemental-payment-strategies/