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

North Carolina Behavioral Health System State Profile Report: Table Of Contents

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