Do Provider Service Networks Result in Lower Expenditures Compared with HMOs or Primary Care Case Management in Florida's Medicaid Program?. (18th November 2013)

• Record Type: Journal Article
• Authors: Harman, Jeffrey S.; Hall, Allyson G.; Lemak, Christy H.; Duncan, R. Paul
• Is Part Of: Health services research. Volume 49:Number 3(2014)
• Page Start: 858
• Page End: 877
• Publication Date: 2013-11-18
• Subjects: Medical care -- Periodicals; Medical care -- Evaluation -- Periodicals; Hospital care -- Periodicals; Health services administration -- Periodicals; 362
• DOI: 10.1111/1475-6773.12129
• Languages: English
• ISSNs: 0017-9124

Abstract

<abstract abstract-type="main" id="hesr12129-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="hesr12129-sec-0001" sec-type="section"> <title>Objective</title> <p>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.</p> </sec> <sec id="hesr12129-sec-0002" sec-type="section"> <title>Data</title> <p>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.</p> </sec> <sec id="hesr12129-sec-0003" sec-type="section"> <title>Study Design</title> <p>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.</p> </sec> <sec id="hesr12129-sec-0004" sec-type="section"> <title>Data Extraction</title> <p>Claims data were extracted for enrollees in the Demonstration and non‐Demonstration counties and collapsed into monthly amounts (<italic>N</italic> = 26, 819, 987 person‐months).</p> </sec> <sec id="hesr12129-sec-0005" sec-type="section"> <title>Principal Findings</title> <p>Among SSI enrollees, the Demonstration resulted in lower increases in PMPM expenditures over time ($40) compared with the non‐Demonstration counties ($186), with Demonstration PSNs lowering PMPM expenditures by $7 more than HMOs. Savings were also seen among TANF enrollees but to a lesser extent.</p> </sec> <sec id="hesr12129-sec-0006" sec-type="section"> <title>Conclusions</title> <p>The Medicaid Demonstration in Florida appears to result in lower PMPM expenditures. Demonstration PSNs generated slightly greater reductions in expenditures compared to Demonstration HMOs. PSNs appear to be a promising model for delivering care to Medicaid enrollees.</p> </sec> </abstract>