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

New Jersey Behavioral Health System State Profile Report: Table Of Contents

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