Address correspondence to R. Paul Duncan, Ph.D., Louis C. and Jane Gapenski Professor and Chair, Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, 101 S. Newell Drive, Room 4155, Gainesville, FL 32610-0195. Christy H. Lemak, Ph.D., Michael O. and Barbara Bice Term Professor, is with the Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, FL. W. Bruce Vogel, Ph.D., Associate Professor and Director, is with the Health Policy Research Division, Department of Epidemiology and Health Policy Research, University of Florida, Health Science Center, Gainesville, FL. Christopher E. Johnson, Ph.D., Associate Professor, is with the Department of Health Policy and Management, School of Rural Public Health, Texas A&M University Health Science Center, College Station, TX. Allyson G. Hall, Ph.D., Associate Professor, is with the Department of Health Services Research, Management and Policy, University of Florida, Gainesville, FL. Colleen K. Porter, Research Program Manager, is with the Department of Community Dentistry and Behavioral Science, College of Dentistry, University of Florida, Gainesville, FL.
Evaluating Florida's Medicaid Provider Services Network Demonstration
Article first published online: 16 AUG 2007
Health Services Research
Volume 43, Issue 1p2, pages 384–400, February 2008
How to Cite
Paul Duncan, R., Lemak, C. H., Bruce Vogel, W., Johnson, C. E., Hall, A. G. and Porter, C. K. (2008), Evaluating Florida's Medicaid Provider Services Network Demonstration. Health Services Research, 43: 384–400. doi: 10.1111/j.1475-6773.2007.00768.x
- Issue published online: 16 AUG 2007
- Article first published online: 16 AUG 2007
- provider service networks;
- evaluation design/research
Research Objective. To evaluate the design, development, and implementation of Florida's Medicaid provider service network (PSN) demonstration, and the implications of that demonstration for subsequent Medicaid Reform in Florida.
Data Sources, Data Collection. Organizational analyses were based on archival and enrollment data obtained from Florida's Medicaid program and the South Florida Community Care Network, as well as key informant interviews. Closely related fiscal analyses utilized Medicaid claims data from March 1999 through October 2001 extracted from the Florida Medicaid Management Information System.
Study Design. The organizational analyses reported here were based on a structured case study research design.
Principal Findings. Almost every aspect of the development of the new organizational form (PSN) took longer and was more difficult than anticipated. Prior organizational experience with insurance functions proved to be an asset. While fiscal analyses indicated that the program saved the state of Florida a significant amount of money, tracking the precise origin of the savings proved to be challenging.
Conclusions. By most standards, the PSN program was observed to meet its stated objectives. Based in part on this conclusion, the state chose to extend the use of PSNs within its 2006 Medicaid Reform initiative.