Paul Duncan R, Lemak Christy H, Vogel W Bruce, Johnson Christopher E, Hall Allyson G, Porter Colleen K
Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, 101 S. Newell Drive, Gainesville, FL 32610-0195, USA.
Health Serv Res. 2008 Feb;43(1 Pt 2):384-400. doi: 10.1111/j.1475-6773.2007.00768.x.
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.
The organizational analyses reported here were based on a structured case study research design.
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.
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.
评估佛罗里达州医疗补助提供者服务网络（PSN）示范项目的设计、开发与实施情况，以及该示范项目对佛罗里达州后续医疗补助改革的影响。数据来源、数据收集：组织分析基于从佛罗里达州医疗补助项目和南佛罗里达社区护理网络获取的档案及登记数据，以及关键信息提供者访谈。密切相关的财政分析利用了从佛罗里达医疗补助管理信息系统提取的1999年3月至2001年10月的医疗补助理赔数据。
此处报告的组织分析基于结构化案例研究设计。
新组织形式（PSN）发展的几乎每个方面都比预期花费的时间更长且难度更大。先前在保险职能方面的组织经验被证明是一项资产。虽然财政分析表明该项目为佛罗里达州节省了大量资金，但追踪节省资金的确切来源颇具挑战性。
按照大多数标准，观察到PSN项目实现了其既定目标。部分基于这一结论，该州选择在其2006年医疗补助改革倡议中扩大PSN的使用范围。
