Over the past decade, many employers have worked to strengthen mental health support as needs have grown and gaps in access to timely and effective care have become harder to ignore. But over time, many have found that some EAP and mental health benefit models force compromise in ways that aren’t always obvious at the outset. Models built to expand utilization can make costs harder to predict and manage, while models built to control cost can limit impact and leave needs unresolved, shifting consequences elsewhere through healthcare claims, disability, or performance issues. This roundtable will consider what employers should expect from a mental health benefit model built to deliver access, impact, and financial sustainability together.