Peer-Reviewed Publication
NEJM Catal Innov Care Deliv2026;7(4):CAT250192.April 1, 2026Journal Article
A Payer Solution to Improve Access to Quality Behavioral Health Care.
Lawrence I Sinoway1,2, Keith LeJeune3, Halley Sonntag4, Doug Henry5, Anil C Singh6, Adam Chekroud7,8, Tony G Farah9
1Medical Director, Research, Enterprise Clinical Organization, Highmark Health, Pittsburgh, PA, USA.
2Professor, Department of Medicine, Division of Cardiology, Penn State College of Medicine, Hershey, PA, USA.
3Senior Vice President of Research and Innovation, Allegheny Health Network (an affiliate of Highmark Health), Pittsburgh, PA, USA.
4Product Manager, Highmark Health, Pittsburgh, PA, USA.
5Medical Director, Enterprise Behavioral Health, Enterprise Clinical Organization, Highmark Health, Pittsburgh, PA, USA.
6Senior Vice President and Executive Medical Director, Highmark Health, Pittsburgh, PA, USA.
7President and Co-Founder, Spring Health, New York, NY, USA.
8Assistant Professor Adjunct, Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
9Executive Vice President and Chief Medical and Clinical Transformation Officer, Highmark Health, Pittsburgh, PA, USA.
Abstract
America is in the midst of a behavioral health (BH) crisis. Incidence of most BH conditions is increasing and affecting all age groups, from children to older adults. In parallel, many counties in the United States lack an adequate supply of BH providers, and staffing shortages are exacerbated by a high rate of burnout and a low-efficacy case assignment model that does not thoughtfully match a pat…
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