Tom Robertson, Executive Director of the Vizient Research Institute rejoins Johnese Spisso, President of UCLA Health to discuss the economic shortcomings of managed care, and in particular the decades-long emphasis on reducing utilization. With over 25 years of experience in two west coast markets characterized by the long-standing influences of health maintenance organizations, Johnese brings an informed perspective when considering Tom’s proposition that the market’s failure suggests the need for another source of rational health care pricing. The conversation then shifts to the country’s need for more comprehensive mental health services and UCLA’s efforts in that area.
Johnese Spisso, RN, MPA
President, UCLA Health
CEO, UCLA Hospital System
Vizient Research Institute
[01:10] Why HMOs and primary care capitation concepts failed to cut health care spending
[5:56] Health care prices should have rational limits with rate structures that allow for capital investment and sustainability.
[10:39] Disparities of care would improve if we had a payment system that was payer agnostic
[11:00] UCLA Health is expanding its inpatient mental health with a $400 million investment to create a behavioral and mental health center of excellence. The new center will add 125 inpatient psychiatric beds.
[14:05] A rising number of America’s youth needs mental and behavioral health care
[15:14] UCLA has a “Depression Grand Challenge” app that monitors initial symptoms of depression and offers calming meditations resources
[16:45] Investing in research and innovation
[18:00] 14 cancer drugs were discovered at UCLA health over the past decade
[18:55] Need for developing better tools and technology to distribute resources efficiently
Links | Resources:
Johnese Spisso biographical information