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

Massachusetts Behavioral Health System State Profile Report: Table Of Contents

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