Health and Medical Administration Commons^™

Do Physician-Based Or Hospital-Based Provider Service Networks Better Control Medicaid Expenditures?, Sinyoung Park, Jeffrey S. Harman, Allison G. Hall, R Paul Duncan

Department of Health Administration Faculty Publications

In a recent demonstration project, Florida Medicaid enrollees were required to pick a managed care plan that was either a Health Maintenance Organization (HMO) or a Provider Service Network (PSN). PSNs are a form of managed care very similar to Accountable Care Organizations (ACOs) that provides health care services directly through a provider or network of organizations to a defined population without a “middle man” such as a third party insurance company and health plan. There are two types of PSNs: Physician-based PSNs and Healthcare system-based PSNs. Physician-based PSNs are created and controlled by physicians groups. Healthcare system-based PSNs are …