Co-Creating a More Just and Sustainable System for All
Build Better Health is a provider-led nonprofit advocating for equitable health system reform and expanding access to quality care. Our national coalition, the Mental Health Insurance Reform Task Force, spans 40+ states. The People's Solidarity Fund, a healthcare cooperative, is in early development.
What We've Built
Our Initiatives
Mental Health Insurance Reform Task Force (MHIRTF)
Education, research, provider support, and policy analysis to hold insurance companies accountable and advance mental health parity.
Learn about MHIRTF →People's Solidarity Fund (PSF)
A cooperatively governed, membership-based alternative to extractive insurance models; building sustainable healthcare infrastructure and affordable access solutions.
Learn about PSF →The Problem Is Structural
This crisis wasn't caused by clinicians or clients. It was engineered — insurers extract profit while violating parity laws and shifting the cost onto providers, clients, and communities.
Parity Violations
Parity laws exist, and insurers are allowed to ignore them — through prior authorizations, arbitrary limits, and standards never applied to medical care.
Reimbursement Manipulation
Unfair rates force clinicians out of networks, creating waitlists and cash-only care most people can't afford.
Administrative Overload
Credentialing delays, unpaid claims, and clawbacks are designed to exhaust providers and deter people from using their benefits.
Vertical Monopolization
Insurers own the networks, platforms, and PBMs — setting the rules, enforcing them, and profiting from the outcomes.
Our Commitment
Providers are tired of being overruled by insurers' algorithms. Clients are denied care their plans claim to cover. We're building mutually respectful systems where everyone can thrive. Our work is rooted in:
- Expanding access to affordable care
- Securing fair, sustainable compensation for providers
- Advancing insurance transparency and accountability
- Creating community-governed systems from the ground up