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Medicine and Health Sciences

Thomas Jefferson University

Theses/Dissertations

2023

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The New Jersey Fee-For-Service Model: Evidence Of Social Entrepreneurship In A New Public/ Private Business Relationship, Christine Wiltsee Jan 2023

The New Jersey Fee-For-Service Model: Evidence Of Social Entrepreneurship In A New Public/ Private Business Relationship, Christine Wiltsee

Full-Text Theses & Dissertations

This dissertation focuses on a shift in the case management function in New Jersey’s Division of Developmental Disabilities. The shift, predicated on the state operating within the Medicaid Home and Community Based Model, resulted in a restructuring from exclusively state operated services to a new public/private relationship. The focus of this study was the unique market opportunity that resulted and the engagement of social entrepreneurs. Using the framework developed by Dees (1998), the characteristics of a social entrepreneur were explored. Through semi-structured interviews with individuals who initiated new for-profit businesses in social services, data were collected that evaluated and compared …