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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 California‘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 California’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 California’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 California’s Medicaid finance delivery system and risk-based arrangements.
  4. Medicaid Governance – A chart showing how California’s Medicaid system is organized and the key players at the Medicaid department.
  5. Medicaid Financing & Service Delivery – A close look at California’s Medicaid financing system, the population covered and which services are covered.
  6. Pending Changes To Medicaid System – A clear timeline of the changes California 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 California’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 California 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 California organizations by outpatient services only, and a list, by revenue, of the largest California organizations with inpatient or residential services.
  10. Health Care Reform Initiatives – A summary of how California has implemented the Medicaid expansion and health insurance marketplace.

California Behavioral Health System State Profile Report: Table Of Contents

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

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