The impact of provider service networks in Florida Medicaid managed care on enrollees’ satisfaction

Two counties in Florida were selected as pilots in 2006 for the Medicaid Demonstration Program. In reform counties, Medicaid enrollees were required to pick a managed care plan; either a Health Maintenance Organization or a Provider Service Network (PSN). PSNs are a form of managed care that provide...

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Autores principales:	Sinyoung Park, Jeffrey Harman, Allyson Hall
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2017
Materias:	medicaid managed care physician-based provider service networks health system-based provider service networks cahps and enrollees’ satisfaction Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/26faa75df321436ba138ef43c2e2d8c4
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spelling	oai:doaj.org-article:26faa75df321436ba138ef43c2e2d8c42021-11-15T04:22:14ZThe impact of provider service networks in Florida Medicaid managed care on enrollees’ satisfaction2372-0247https://doaj.org/article/26faa75df321436ba138ef43c2e2d8c42017-11-01T00:00:00Zhttps://pxjournal.org/journal/vol4/iss3/12https://doaj.org/toc/2372-0247Two counties in Florida were selected as pilots in 2006 for the Medicaid Demonstration Program. In reform counties, Medicaid enrollees were required to pick a managed care plan; either a Health Maintenance Organization or a Provider Service Network (PSN). PSNs are a form of managed care that provides health care services directly through a provider or network of organizations to a defined population without an intermediary. There are two types of PSNs: Physician-based PSNs and Healthcare system-based PSNs. The objective of this study is to find the differences in enrollees’ satisfaction between two different types of PSNs. To assess the differences in enrollees’ satisfaction between physician-based PSNs and health system-based PSNs over time, this study used difference-in-difference study design with CAHPS data from 2006 to 2008. The study findings showed that, compared to enrollees in physician-based PSNs, health system-based PSN enrollees had higher satisfaction during the post-reform period. However, the trends in satisfaction for enrollees in health system-based PSNs declined at a greater rate relative to the trends for enrollees in physician-based PSNs. Findings from this study may give other states, facing similar decisions to reform their Medicaid managed care system, information to decide whether to adopt a similar plan or to consider other interventions to improve Medicaid beneficiaries’ satisfaction. PSNs are structured similarly to the new accountable care organizations (ACO) models emerging as a result of the Affordable Care Act. Therefore, study findings may be helpful to in improving patient satisfaction with care in ACOs.Sinyoung ParkJeffrey HarmanAllyson HallThe Beryl Institutearticlemedicaid managed carephysician-based provider service networkshealth system-based provider service networkscahpsand enrollees’ satisfactionMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	medicaid managed care physician-based provider service networks health system-based provider service networks cahps and enrollees’ satisfaction Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	medicaid managed care physician-based provider service networks health system-based provider service networks cahps and enrollees’ satisfaction Medicine (General) R5-920 Public aspects of medicine RA1-1270 Sinyoung Park Jeffrey Harman Allyson Hall The impact of provider service networks in Florida Medicaid managed care on enrollees’ satisfaction
description	Two counties in Florida were selected as pilots in 2006 for the Medicaid Demonstration Program. In reform counties, Medicaid enrollees were required to pick a managed care plan; either a Health Maintenance Organization or a Provider Service Network (PSN). PSNs are a form of managed care that provides health care services directly through a provider or network of organizations to a defined population without an intermediary. There are two types of PSNs: Physician-based PSNs and Healthcare system-based PSNs. The objective of this study is to find the differences in enrollees’ satisfaction between two different types of PSNs. To assess the differences in enrollees’ satisfaction between physician-based PSNs and health system-based PSNs over time, this study used difference-in-difference study design with CAHPS data from 2006 to 2008. The study findings showed that, compared to enrollees in physician-based PSNs, health system-based PSN enrollees had higher satisfaction during the post-reform period. However, the trends in satisfaction for enrollees in health system-based PSNs declined at a greater rate relative to the trends for enrollees in physician-based PSNs. Findings from this study may give other states, facing similar decisions to reform their Medicaid managed care system, information to decide whether to adopt a similar plan or to consider other interventions to improve Medicaid beneficiaries’ satisfaction. PSNs are structured similarly to the new accountable care organizations (ACO) models emerging as a result of the Affordable Care Act. Therefore, study findings may be helpful to in improving patient satisfaction with care in ACOs.
format	article
author	Sinyoung Park Jeffrey Harman Allyson Hall
author_facet	Sinyoung Park Jeffrey Harman Allyson Hall
author_sort	Sinyoung Park
title	The impact of provider service networks in Florida Medicaid managed care on enrollees’ satisfaction
title_short	The impact of provider service networks in Florida Medicaid managed care on enrollees’ satisfaction
title_full	The impact of provider service networks in Florida Medicaid managed care on enrollees’ satisfaction
title_fullStr	The impact of provider service networks in Florida Medicaid managed care on enrollees’ satisfaction
title_full_unstemmed	The impact of provider service networks in Florida Medicaid managed care on enrollees’ satisfaction
title_sort	impact of provider service networks in florida medicaid managed care on enrollees’ satisfaction
publisher	The Beryl Institute
publishDate	2017
url	https://doaj.org/article/26faa75df321436ba138ef43c2e2d8c4
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The impact of provider service networks in Florida Medicaid managed care on enrollees’ satisfaction

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