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

Rhode Island Behavioral Health System State Profile Report: Table Of Contents

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