Missouri Behavioral Health System State Profile Report

About This Publication

Built by OPEN MINDS, the award-winning market intelligence firm that has tracked and analyzed every behavioral health market development for the past 25 years, this highly-detailed report explains how Missouri‘s behavioral health system works – and provides all the market data, analysis, and “insider” insights executive teams need to build a successful strategic plan for operating or marketing in the state, including:

1. Health Care Coverage Map – A chart illustrating Missouri’s health care coverage breakdown – by the Medicaid, Medicaid expansion, Medicare, dual eligibles, commercial insurance, and health insurance marketplace populations.
2. Largest Health Plans By Enrollment – A list of Missouri’s largest health plans in operation in the state and a list of the largest health plans by SMI enrollment.
3. Medicaid System Overview – An easy-to-read snapshot of Missouri’s Medicaid finance delivery system and risk-based arrangements.
4. Medicaid Governance – A chart showing how Missouri’s Medicaid system is organized and the key players at the Medicaid department.
5. Medicaid Financing & Service Delivery – A close look at Missouri’s Medicaid financing system, the population covered and which services are covered.
6. Pending Changes To Medicaid System – A clear timeline of the changes Missouri plans to make over the next five years and any long-term initiatives that have been proposed.
7. New Initiatives For Dual Eligible Population – A review of any new programs in place or planned for Missouri’s dual eligible population, including state-specific programs and the federal dual demonstration program.
8. State Mental Health & Addiction Treatment Department Organization Chart – A chart showing how the Missouri’s mental health and addiction treatment system is organized and the key players at the mental health department.
9. Largest Organizations Providing Mental Health Services – A list of, by revenue, of the largest Missouri organizations by outpatient services only, and a list, by revenue, of the largest Missouri organizations with inpatient or residential services.
10. Health Care Reform Initiatives – A summary of how Missouri has implemented the Medicaid expansion and health insurance marketplace.

Missouri Behavioral Health System State Profile Report: Table Of Contents

1. Missouri Behavioral Health System Overview
   1. Missouri Health Care Coverage Map
   2. MissouriPopulation Demographics
   3. MissouriPopulation Distribution By Payer: National vs. State
   4. Largest Missouri Health Plans By Enrollment
2. Missouri Medicaid System Overview
   1. Missouri Medicaid System Overview
   2. Missouri Medicaid Governance
   3. Missouri Medicaid System Benefits
   4. Missouri Medicaid Program Spending
   5. Missouri Medicaid Financing & Service Delivery
   6. Missouri Medicaid Fee-For-Service
   7. Missouri Medicaid Managed Care
   8. Missouri Medicaid Medical & Health Home Initiatives
   9. Missouri Medicaid Program Waivers With Impact On SMI Population
   10. Pending Changes To Missouri Medicaid System
3. Missouri Dual Eligible Financing & Service Delivery System
   1. Missouri Dual Eligibles System & Financing Overview
   2. Largest Medicare Health Plans Serving Dual Eligible SMI Population In Missouri
   3. Missouri Medicaid Dual Eligible SMI Enrollment
   4. New Initiatives For Dual Eligible Population In Missouri
4. Missouri State Behavioral Health System
   1. Missouri Mental Health & Addiction Services Department Budget
   2. Missouri Mental Health & Addiction Treatment Department Organization Chart
   3. Missouri Psychiatric Institutions
5. Missouri State Behavioral Health Stakeholder Organizations
   1. Largest Missouri Organizations Providing Mental Health Services, Outpatient Services Only, By Revenue
   2. Largest Missouri Organizations Providing Mental Health Services, With Inpatient Or Residential Services, By Revenue
   3. Largest Missouri Organizations Providing Addiction Treatment, Outpatient Services Only, By Revenue
   4. Largest Missouri Organizations Providing Addiction Treatment, With Inpatient Or Residential Services, By Revenue
   5. Missouri Behavioral Health Advocacy & Trade Organizations
   6. Missouri Accountable Care Organizations (ACOs)
6. Missouri Health Care Reform Initiatives
   1. Missouri Medicaid Expansion & Health Insurance Marketplace Population
   2. Missouri Health Care Reform Initiatives
   3. Missouri Health Insurance Marketplace Plans
   4. Missouri Essential Health Benefit Benchmark Plan
7. Appendices
   1. OPEN MINDS Estimates For The Share Of SMI Consumers By Payer/Plan
   2. Glossary Of Terms
   3. Sources