Do provider service networks result in lower expenditures compared with HMOs or primary care case management in Florida's Medicaid program?

ABSTRACT:

Objective

To determine the impact of Florida's Medicaid Demonstration 4 years post-implementation on per member per month (PMPM) Medicaid expenditures and whether receiving care through HMOs versus provider service networks (PSNs) in the Demonstration was associated with PMPM expenditures.

Data

Florida Medicaid claims from two fiscal years prior to implementation of the Demonstration (FY0405, FY0506) and the first four fiscal years after implementation (FY0607-FY0910) from two urban Demonstration counties and two urban non-Demonstration counties.

Study design

A difference-in-difference approach was used to compare changes in enrollee expenditures before and after implementation of the Demonstration overall and specifically for HMOs and PSNs.

Data extraction

Cla

SUBMITTER: Harman JS 

PROVIDER: S-EPMC4231575 | biostudies-literature | 2014 Jun

REPOSITORIES: biostudies-literature