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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 South 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 South 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 South 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 South Carolina’s Medicaid finance delivery system and risk-based arrangements.
  4. Medicaid Governance – A chart showing how South Carolina’s Medicaid system is organized and the key players at the Medicaid department.
  5. Medicaid Financing & Service Delivery – A close look at South 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 South 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 South 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 South 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 South Carolina organizations by outpatient services only, and a list, by revenue, of the largest South Carolina organizations with inpatient or residential services.
  10. Health Care Reform Initiatives – A summary of how South Carolina has implemented the Medicaid expansion and health insurance marketplace.

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

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

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