A new Census Bureau report—Older Adults Outnumber Children In 11 States, Nearly Half Of Counties—should have every executive thinking. Older adults now outnumber children in 11 states—up from just three states in 2020. Nearly half of all counties across the country are now home to more adults 65 and older than kids under the age of 18. The share of older adults in the population has risen from 12.4% in 2004 to 18% in 2024, while the share of children has dropped from 25% to 21.5%.
The problem with demographic changes is that they are gradual and don’t make headlines like wars or stock market blips. They quietly reshape everything from politics to labor markets and housing. Like tectonic plates,…
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Management Newsletter Issue
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Human Capital Management In Action
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Market Intelligence Report
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Innovation Adoption Among Specialty Care & Primary Care Provider Organizations: The Results Of The 2025 OPEN MINDS Innovation Adoption Survey
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Innovative Program Profile
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Deaf Respite By Advocates: An OPEN MINDS Program Profile
State Profiles
- Pennsylvania Health & Human Services System State Profile Report
- Pennsylvania Dual Eligible System: An OPEN MINDS State Profile
- Pennsylvania Medicaid System: An OPEN MINDS State Profile
- Pennsylvania Behavioral Health System: An OPEN MINDS State Profile
- Michigan Health & Human Services System: An OPEN MINDS State Profile
RFPs
- California Seeks Asthma Management Academy Services
- Federal Government Announces State Health Insurance Assistance Program Technical Assistance Center (SHIP TAC) Grant Funding
- California’s City Of Tracy Seeks Temporary Emergency Housing Facility Operator Services
- Federal Government Announces Elder Justice Innovation Grant Funding
- Federal Government Announces Expanding The National Capacity For Person-Centered, Trauma-Informed (PCTI) Care: Services & Supports For Holocaust Survivors & Other Older Adults With A History Of Trauma & Their Family Caregivers Grant Funding
- Federal Government Announces Alzheimer’s Disease Programs Initiative (ADPI) – Developing Dementia-Capable Community Health Worker Programs In The National Aging Network Grant Funding
- Virginia Seeks Domestic Violence Services For Underserved Populations
- Colorado’s City Of Aurora Seeks Microtransit For Older Adults Pilot Program
- New York’s Wayne County Seeks Registered Dietitian Services
- Federal Government Announces Tribal Adult Protective Services Demonstration Grant Funding
Contract Awards
- Michigan’s Macomb County Awards Jail-Based Cognitive Behavioral Group Services Contract To CARE Of Southeastern Michigan
- New York Awards Danielson Framework Training Services Contract To Rosa Educational Consulting, Inc.
- Nevada Awards Pharmacy Benefits Manager Services Contract To Ramsell Corporation
- Delaware’s New Castle County Awards Off-Site Program Services For 18-20 Year Olds With Disabilities Contract To Opportunity Center, Inc.
- Nevada Awards Staff Wellness Program Curriculum & Mobile App Services Contract To EmbGro
Winning Proposals
- Illinois Cancels Medical Testing Services Contract
- Colorado Awards Early Childhood Workforce Implementation Roadmap Development & Facilitation Services Contract To Thorman Strategy Group
- South Carolina’s Greenville County Cancels On-Demand Interview Screening Services Contract
- Michigan’s Macomb County Awards Jail-Based Cognitive Behavioral Group Services Contract To CARE Of Southeastern Michigan
- New York Awards Danielson Framework Training Services Contract To Rosa Educational Consulting, Inc.
On-Demand Webinars & Executive Roundtables
- AI In Action: Build Trust, Engagement & Impact In Human Services
- Clinical Quality In Behavioral Health: Driving Impact Through Data & Practice
- Tech-Enabled Recruiting & Retention: Best Practices For Competing For The Best Talent—Sponsored By ContinuumCloud
- AI In 2025: The Future Of Automation In Healthcare
- Elevating Behavioral Healthcare: How The Village Network Embraces Tech For Growth & Sustainability
Market Intelligence Reports
- Innovation Adoption Among Specialty Care & Primary Care Provider Organizations: The Results Of The 2025 OPEN MINDS Innovation Adoption Survey
- Health Plan Enrollment Of Consumers With Serious Mental Illnesses: An OPEN MINDS Market Intelligence Report
- The Medicare Accountable Care Organization Update: An OPEN MINDS Market Intelligence Report
- Foster Care Enrollment In Medicaid Managed Care, 2018 & 2022: The 2024 OPEN MINDS Market Intelligence Report
- A National & State-By-State Analysis Of The ABA Workforce: An OPEN MINDS Market Intelligence Report
Upcoming Executive Events
Upcoming Institutes
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The 2025 OPEN MINDS Service Excellence Institute
August 12 – August 14, 2025 – Long Beach, California
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The 2025 OPEN MINDS Executive Leadership Retreat
September 16 – September 18, 2025 – Gettysburg, Pennsylvania
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The 2025 OPEN MINDS Technology & Analytics Institute
October 21 – October 23, 2025 – Philadelphia, Pennsylvania
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The 2026 OPEN MINDS Performance Management Institute
February 10 – February 12, 2026 – Clearwater Beach, Florida
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The 2026 OPEN MINDS Strategy & Innovation Institute
June 09 – June 11, 2026 – New Orleans, Louisiana
Upcoming Executive Summits
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The 2025 OPEN MINDS Aging In Place Summit
August 13, 2025 – Long Beach, California -
The 2025 OPEN MINDS Health & Human Services Workforce Best Practices Summit
September 17, 2025 – Gettysburg, Pennsylvania -
The 2025 OPEN MINDS CEO Tech & AI Summit
October 22, 2025 – Philadelphia, Pennsylvania
Upcoming Best Practice Seminars
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Making Health Plan Partnerships Work: The 2025 OPEN MINDS Executive Seminar On Current Contract Optimization & Creating New Opportunities
August 12, 2025 – Long Beach, California -
Leading Top Clinical Teams: The 2025 OPEN MINDS Executive Seminar On Optimizing Clinical Performance With The Right Metrics
August 12, 2025 – Long Beach, California -
Transforming Your Leaders Into A High-Performing Team: The 2025 OPEN MINDS Seminar On Improved Leadership Competencies & Engagement
September 16, 2025 – Gettysburg, Pennsylvania -
Finding An Electronic Health Record System For Your Future: The 2025 OPEN MINDS Seminar On Best Practices In EHR Selection, Contracting & Optimization
October 21, 2025 – Philadelphia, Pennsylvania -
Best Practices For Investing In Technology & AI: The 2025 OPEN MINDS Executive Seminar On Maximizing Your Tech’s ROI For Future Competitive Advantage
October 21, 2025 – Philadelphia, Pennsylvania
Upcoming Webinars
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Behavioral Health Drug Trends: 2025 Mid-Year Status Update
July 23, 2025 – Virtual Event
Upcoming Circle Elite Executive Roundtables
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Ensuring Leadership Continuity—The Coleman Health Services Case Study
July 10, 2025 – Virtual Event -
Building A Quality & Safety Infrastructure: The Harris Center Case Study
July 17, 2025 – Virtual Event -
Using Information Technology To Drive Organizational Financial Sustainability: The Hillsides Case Study
July 24, 2025 – Virtual Event -
Refining Your Optimal Leadership Structure: The Open Hearts Case Study
July 31, 2025 – Virtual Event -
Addressing Loneliness & Isolation In Individuals With I/DD & Mental Health Challenges: The Advocates Case Study
August 7, 2025 – Virtual Event -
Whole Person Care In Action: The MyCHN Case Study
August 21, 2025 – Virtual Event -
Tech Integration, From Planning To Practice: The Alexander Youth Network Case Study
August 28, 2025 – Virtual Event -
Systematically Evaluating Growth Opportunities: The Monarch Case Study
September 4, 2025 – Virtual Event -
Changing The Culture Of Access & Performance: The Diversus Health Case Study
September 11, 2025 – Virtual Event -
Governance Model For Scale: The Centerstone Case Study
September 25, 2025 – Virtual Event
Organizational Profiles
- Children’s Home Of Jefferson: An OPEN MINDS Organizational Profile
- Bost: An OPEN MINDS Organizational Profile
- Mental Health Resources, Inc.: An OPEN MINDS Organizational Profile
- United Counseling Service of Bennington County: An OPEN MINDS Organizational Profile
- Tarzana Treatment Centers: An OPEN MINDS Organizational Profile
Innovative Program Profiles
- Deaf Respite By Advocates: An OPEN MINDS Program Profile
- Autism Welcoming By Advocates: An OPEN MINDS Program Profile
- La Bodega HCV Care & Treatment Program By ECMC: An OPEN MINDS Program Profile
- The Living Room By Advocates: An OPEN MINDS Program Profile
- Friendship Project By Advocates: An OPEN MINDS Program Profile
News Wire
- Colorado Eases Regulations On Assisted Living Residences
- SAMHSA To End Pilot For Specialized LGBTQ+ Youth Services Through 988
- Electroconvulsive Therapy Cuts Suicide Risk By 34% In Severe Depression
- Workplace & Community Violence Cost Hospitals $18 Billion Annually
- Colorado Updates Medicaid Rules
- Supreme Court Decision Protects Insurance Coverage Of Preventive Care
- Pennsylvania Launches PA CareKit To Support Unpaid Caregivers
Market Updates
- Guardian Pharmacy Services Acquires Washington-Based Mercury Pharmacy Services, Expands Pacific Northwest Footprint
- San Diego County Awarded $1 Million Grant To Help End Girls Incarceration
- Prompt EMR Rebrands As Prompt Health To Reflect Expanded Vision & Platform
- Ksana Health & Children’s Wisconsin Partner To Enhance Pediatric Behavioral Health Care
- HHS Cancels $766 Million Moderna Funding For Investigational Influenza Vaccines
Management Newsletter
Industry Resources
- Supreme Court Ruling In Medina v. Planned Parenthood South Atlantic
- Older Adults Outnumber Children In 11 States & Nearly Half Of U.S. Counties
- Steward v. Young Second Amended Complaint
- Announcement Of Calendar Year (CY) 2026 Medicare Advantage (MA) Capitation Rates & Part C & Part D Payment Policies
- Green-Brecheen To Salas (CHIRLA) Re: Federal Funding
- Draft TEAMKY Section 1115 Demonstration
- Ruling In The Case Of Steward v. Young