News & Podcasts

Mental Health care access

This article from the JAMA Health Forum examines the persistent inequities in US mental healthcare access.  A significant portion of psychiatrists do not accept insurance, preferring a lucrative private cash-pay market, which exacerbates existing shortages and disproportionately affects those with lower socioeconomic status and minority groups.  High administrative burdens associated with insurance networks further deter participation, compounding the problem. The authors propose solutions involving increased Medicaid reimbursement rates, reduced administrative burdens, and innovative incentive programs to draw psychiatrists back into insured care. The article highlights the complex interplay of financial incentives, administrative challenges, and the historical reliance on a cash-paying system in creating this persistent access problem. Ultimately, the authors argue that a more equitable playing field requires a combination of policy changes and increased funding.

Community Mental Wellness Worker Training Act

Bipartisan legislation called the Community Mental Wellness Worker Training Act aims to address the national mental health crisis by funding the training of community members to provide behavioral health services in underserved areas. This initiative, supported by Columbia University's ENGAGE program, seeks to increase access to culturally competent care and tackle disparities in mental health services. The act proposes the creation of a federal grant program for organizations to train lay community workers, who will be supervised by mental health specialists. Many organizations support this effort to expand the behavioral health workforce and improve healthcare access for marginalized communities.