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

Utah Behavioral Health System State Profile Report: Table Of Contents

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