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

Idaho Behavioral Health System State Profile Report: Table Of Contents

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