Media Attends Press Conference Highlighting Impacts of Medicaid Cuts

Adam Carlson, senior vice president, advocacy, MHA, joined JJ Hodshire, president and chief executive officer, Hillsdale Hospital, for a press conference April 17 to discuss how proposed cuts to Medicaid will further destabilize hospitals already experiencing financial strain.

Carlson urged Congress to reconsider or delay cuts outlined in H.R.1.

“Congress can still take action as these cuts continue to ramp up to stop them, to delay them, to look at other measures where they can support health care and really support rural health care across our state,” Carlson told WLNS-TV.

WILX-TV also covered the round table discussion.

Members with questions regarding media requests should contact Elise Gonzales at the MHA.

House, Senate Advance Budget Proposals; MHA-Supported Bills Move

Budget proposals from the House and Senate advanced in their respective chambers, while MHA-supported legislation saw action during the week of April 20.

House Bill (HB) 5619, sponsored by Rep. Ann Bollin (R-Brighton), passed the Michigan House April 22. The bill contains all state funding for fiscal year 2026-27, including the budget for the Michigan Department of Health and Human Services (MDHHS). Within the MDHHS portion, the bill includes:

  • Full funding for Medicaid, except for a reduction of $300 million in unspecified savings
  • Recognition of hospital provider taxes and the ability to access those funds without additional legislative action or administrative barriers
  • Specialty Network Access Fee funding
  • Support for rural and obstetrics stabilization pools
  • Funding for Maternal Levels of Care verification
  • $22 million and additional state employees to implement Medicaid work reporting requirements as required by H.R. 1
  • Language encouraging timely allocation of Rural Health Transformation Program funds

The Senate advanced its MDHHS budget under Senate Bill (SB) 857, sponsored by Sen. Sarah Anthony (D-Lansing). Key highlights of the bill include:

  • Full funding for Medicaid
  • Recognition of hospital provider taxes and the ability to access those funds without additional legislative action or administrative barriers
  • Specialty Network Access funding
  • Support for rural and obstetrics stabilization pools
  • Funding for Maternal Levels of Care verification

Unlike the governor’s executive recommendation and the House proposal, the Senate plan does not include unspecified Medicaid savings. Instead, it identifies funding through caseload adjustment savings, Most Favored Nation drug pricing savings and other efficiencies. The Senate Appropriations Committee passed this bill out of committee to the full Senate on April 23.

The MHA will continue working with lawmakers to ensure the final product maintains support for hospitals, providers and patients.

In addition, the Senate approved SB 301. Sponsored by Sen. Joe Bellino (R-Monroe), the MHA-supported legislation would provide a tax credit to employers whose employees take time off to serve as living organ donors. The bill has been referred to the House Finance Committee.

Senate Bills (SB) 590 and 591 were taken up for testimony in the House Health Policy Committee. The bills would strengthen the state’s Good Samaritan Law for all individuals acting in good faith when applying bleeding control techniques in emergency situations. SB 590 and SB 591 are sponsored by Sen. Stephanie Chang (D-Detroit) and Sen. Rick Outman (R-Six Lakes), respectively. The MHA supports this legislation.

Members with questions may contact the MHA advocacy team.

Keystone Board Advances Safety Priorities, Plans Upcoming Work

The MHA Keystone Center Board of Directors met April 8 to discuss safety and quality priorities, review governance actions and plan for the upcoming program year.

Brook Watts, MD, chief quality officer, Michigan Medicine, presented during a “Connect to Purpose” segment on how small process changes led to measurable gains in patient satisfaction within an academic health system. The example reinforced Keystone’s focus on actionable, frontline improvement.

The board reviewed appointments to the MHA Keystone Center Board, supporting continued evolution of its composition and expertise. The board also discussed emerging priorities for the 2026-27 program year, including planning for the MHA Keystone Center Safety & Quality Symposium, scheduled for fall 2026, focused on workplace safety.

In addition, the board confirmed details for the 2026 Keystone Board Retreat scheduled for June and received an update on Superior Health.

Members with questions may contact Amy Brown at the MHA.

MHA Keystone Center Pilot Reduces Caregiver Strain

The MHA Keystone Center, in partnership with the Michigan Health Endowment Fund, released findings from a two-year pilot since implementing the Michigan Caregiver Navigation Toolkit in acute care settings. Results show reductions in caregiver strain and stronger caregiver support infrastructure across two Michigan health systems. Both organizations implemented the toolkit and conducted annual gap analyses to identify workflow gaps, set priorities and integrate caregiver support practices.

The MHA Keystone Center released two KeyLearnings modules to support implementation of the toolkit. The Michigan Caregiver Navigation Toolkit Module guides hospital teams through each section of the toolkit, while the Identifying, Understanding and Communicating the Role of Caregivers Module highlights the physical and emotional impact of caregiving and the importance of timely education, communication and resource support.

Caregiver Burnout as a Quality, Safety Concern

The pilot focused on reducing physical and emotional challenges for individuals caring for friends, neighbors or family members with complex health needs. Lower caregiver strain can lead to more timely support, fewer complications and reduced reliance on high-acuity services. Strengthening caregiver resilience supports improved patient outcomes and safety.

Pilot Sites Demonstrate Improvements

One pilot site reassessed 113 unpaid caregivers two months after initial evaluation and reported improvements across indicators. This includes:

  • Caregiver Intensity Index decreased by 54%
  • Mental health impact decreased by 46%
  • Stress-related drivers decreased by 70%
  • Stress-buffering supports increased by 19%

Caregiver intensity levels also shifted:

  • High-intensity cases decreased from 21 to 1
  • Moderate-intensity cases decreased from 84 to 10
  • Low-intensity cases increased from 8 to 50

These results indicate fewer caregivers remained in high-risk categories after receiving structured support from admission through two months post-discharge.

Guided by the MHA Keystone Center, both health systems implemented core toolkit components, including staff engagement, standardized assessments, community partnerships, communication strategies and sustainability planning. Staffing offsets supported participation in assessments and improvement activities. An online learning module was developed to expand statewide access and is available to members at no cost, along with the toolkit.

Key Takeaways for Quality and Safety Leaders

The pilot offers insights for leaders focused on reducing harm and improving system reliability, including:

  • Reducing caregiver strain supports patient safety by decreasing delays, complications and avoidable utilization
  • Annual gap analyses help identify deficiencies and guide targeted improvements
  • Standardized workflows, education tools and assessments support consistent caregiver practices
  • The model provides a practical path to reduce caregiver-related safety risks and improve outcomes

Members with questions may contact Joshua Suire at the MHA Keystone Center.

MHA Annual Membership Meeting Explores Perception and Affordability

MHA Annual Meeting logoThe MHA membership will convene in person for the MHA Annual Membership Meeting June 24-26 at the Grand Hotel on Mackinac Island.

The annual meeting will feature an outstanding lineup of experts discussing key topics, including public perception and affordability. Finger-pointing makes headlines, but it won’t fix healthcare challenges. Panelists Tina Freese Decker, president and CEO, Corewell Health, and Bob Riney, president and CEO, Henry Ford Health, will discuss factors driving the conversation and building a commitment to a transparent and simpler care delivery system. Public policies and regulations make hospitals the safety net for the increasing public health crisis without essential funding and flexibility to transform systems.

Richard Helppie, entrepreneur and creator of the Common Bridge podcast; Nathan Kaufman, managing director and founder of Kaufman Strategic Advisors; and James Moses, MD, chief clinical officer at Corewell Health, will discuss pain points and strategies to address them.

The MHA Annual Membership Meeting also includes the popular lawn party with games and entertainment, the ice cream social and many more relationship-building opportunities.

Members are encouraged to register by May 22 to attend this memorable event. Opportunities to sponsor the annual meeting are available through May 5. Members with questions may contact the MHA or call (517) 323-3443.

Hospitals Help Prioritize Patient and Family-Centered Care

Hospitals are improving the health and well-being of communities through a care model that fosters collaboration between clinicians, patients and their support systems.

Person- and Family-Centered Care (PFCC) — often referred to as Patient and Family Engagement (PFE) — is an approach to care delivery that has been shown to improve health outcomes, lower costs, enhance patient experience and boost overall staff satisfaction.

In a new episode of the MiCare Champion Cast, two members of the MHA Person & Family Engagement Advisory Council from MyMichigan Health and Michigan Medicine provide first-hand insight on the powerful impact of PFE.

“Relationships are at the heart of everything,” said Michelle Brady, MSHAL, BSN, RN, CPXP, director, patient experience and relations, MyMichigan Health. “While we have the beautiful benefits of technology, we cannot lose sight of the human connection. These [PFE] councils are a lifeline to continue humanizing care across the continuum. We have to keep the patient — and the family — at the table.”

Brady has been a registered nurse for 36 years and a leader for the last 15. In her current role, she supports the success of MyMichigan’s PFAC to ensure patients and families are at the center of goal setting and system decision-making. 

Alongside Brady was Michele Mitchell, BS, MS, PMP, a nationally recognized patient advocate and breast cancer survivor. Following years of working in healthcare, being on the other side further ignited Mitchell’s passion for amplifying the patient voice in care delivery, education and research.

“Patients who participate in their care stay healthier longer,” said Mitchell, who previously co-chaired Michigan Medicine’s Department of Pathology PFAC. “This is not just the right thing to do — it’s the smart thing to do. The best care happens when providers see the whole person, not just the diagnosis. When patients are genuine partners in their care, everyone wins.”

The episode, released during Patient Experience Week, offers actionable ways for healthcare teams to implement PFE and uplift its value to hospital leadership.

The MHA Person & Family Engagement Advisory Council provides guidance and support to Michigan hospitals to extend and enhance PFCC across the state. The council is made up of MHA staff, stakeholders and advisors who work to ensure the voice of patients and families are incorporated into hospital initiatives and efforts. It also provides a great opportunity for networking, collaboration and sharing of best practices for PFCC.

The episode is available to stream on Apple PodcastsSpotifySoundCloud and YouTube. Questions or content submissions for future MiCare Champion Cast episodes and Hospitals Help articles can be directed to Lucy Ciaramitaro at the MHA. Those interested in learning more or getting involved in the MHA Person & Family Engagement Advisory Council may contact Erin Steward at the MHA.

In the episode, there is reference to a 2023 Cochrane Library study and research from the National Library of Medicine.

MHA Monday Report April 20, 2026

House Budget Proposal Advances; Other Hospital Bills See Action

Several healthcare bills, including mandatory nurse overtime, medical debt collections, prescribed pediatric extended care facilities and the Michigan Department of Health and Human Services budget, saw action in the legislature during the week of April 13. The Michigan Senate voted in support …


MHA Unemployment Compensation Program Receives Fifth Consecutive Award for Outstanding Performance

The MHA Unemployment Compensation Program was recognized by the National Association of State Workforce Agencies April 17 for its continued commitment to using the State Information Data Exchange System to receive new claims and respond to …


Trinity Health Michigan Team Members Recognized with MHA Keystone Center Speak-up! Award

The MHA Keystone Center recognized Camryn Smith and Alicia Evans, medical assistants at Trinity Health IHA Medical Group, as its quarterly MHA Keystone Center Speak-up! Award recipients. The Speak-up! Award …


MDHHS Convenes Statewide RHTP Advisory Council

The Michigan Department of Health and Human Services (MDHHS) convened the first Rural Health Transformation Program (RHTP) Advisory Council meeting on April 13. Three rural hospital leaders from MHA-member hospitals serve on the council: Julie …


CMS Releases FY 2027 Hospital Inpatient Prospective Payment System Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service inpatient prospective payment system for fiscal year (FY) 2027. Highlights of the proposed rule include: …


LARA to Host Webinar on Proposed Psychiatric Hospital Licensing Rule Changes

The Michigan Department of Licensing and Regulatory Affairs (LARA), through its Bureau of Community Health Systems, will host a webinar from 3 to 3:30 p.m., May 7, to review proposed updates to administrative rules …


MEJI Seeks Input on Guardianship Training Initiative

The Michigan Elder Justice Initiative (MEJI) is seeking feedback from members to help shape upcoming guardianship training. Members are encouraged to complete a brief survey to share input on what is needed, how it should …


Upcoming Opportunities to Prioritize Workplace Safety

As MHA CEO Brian Peters stated in his April CEO Report, it’s critical – especially during Workplace Violence Prevention Month – to prioritize the safety and well-being of healthcare workers. The MHA Keystone Center and …


Hospitals Help: Bronson Drives Change in Maternal and Infant Health

From prenatal care and labor and delivery to neonatal intensive care and postpartum follow-up, Bronson Healthcare plays a critical role in influencing health outcomes for mothers and babies across Southwest Michigan. In celebrating a historic …


Keckley Report

The AHA Annual Membership Meeting: Three Issues that Require Attention

“This weekend, the American Hospital Association will convene its 2026 Annual Membership Meeting in DC. Its purpose is to equip leaders to engage with lawmakers and government officials on issues of consequence to hospitals.

The agenda includes panels on age-friendly health systems, post-acute services, AI and more, interspersed with punditry from members of Congress and political commentators. It’s a federally-focused meeting at a time when the current administration has signaled distaste for healthcare and frustrations with hospitals. …

Key questions for hospitals: What does value mean in our organization? To whom is our value focus directed? Is quality in our organization an end in itself or a means to a financial result? Is participation in VBC projects helpful to our organization or is watchful waiting prudent?

The American Hospital Association, its state affiliates and its members face unprecedented challenges in 2026 and beyond. While attention is focused on short-term rules and regulations that protect hospital revenues (340B, site neutral payments, Medicaid cuts, et al), equal consideration is needed to the long-term role and scope of hospitals in emergent systems of health. That makes the AHA Board’s selection of retiring CEO Rick Pollock’s successor and the deliberation of the AHA Board about the long-term future for hospitals even more consequential.”

Paul Keckley, April 12, 2026


New to Know

News to Know

  • Applications are being accepted for the 2026-27 MHA Excellence in Governance Fellowship for hospital and health system trustees.
  • MHA Endorsed Business Partner SmarterDx is hosting the webinar “Making the Case for AI-Powered CDI” May 7 at 1 p.m. ET in partnership with ACDIS.

MHA in the News

Recent coverage of the Michigan Senate’s April 15 action on mandatory nurse overtime highlighted the MHA’s active engagement in ensuring hospital concerns were reflected in the final package. MHA Chief Nursing Officer Amy Brown was …

Hospitals Help: Bronson Drives Change in Maternal and Infant Health

From prenatal care and labor and delivery to neonatal intensive care and postpartum follow-up, Bronson Healthcare plays a critical role in influencing health outcomes for mothers and babies across Southwest Michigan.

In celebrating a historic reduction in Black infant mortality across Kalamazoo County, Bronson acknowledged that creating change requires shared ownership across clinical, community and public health settings.

“This work does not belong to any single organization,” said Bill Manns, president and CEO, Bronson Healthcare. “It belongs to all of us who care for families before, during and after birth — and to the communities who trust us with their babies’ lives.”

In addition to local partnerships, Bronson teams are engaged with the MHA Council on Health Access and Community Impact and MHA Community Benefit Collaboratives to help advance statewide improvements in maternal health.

Below are a few of the initiatives underway at Bronson to advance maternal and infant health.

Bronson CenteringPregnancy® Program

Bronson’s CenteringPregnancy® program combines expert clinical care with peer support and education for moms-to-be. The program, covered like traditional prenatal visits by Medicaid and most insurers, has led to lower rates of preterm birth, reduced risk of low birth weight and higher breastfeeding success rates.

Participants meet regularly in groups of 8-12 based on due date. Each session includes a private check-up with a certified nurse midwife as well as a group discussion covering topics like nutrition, labor choices, breastfeeding and newborn care.

Breastfeeding Resources, Support

In addition to lactation services and milk banking, Bronson offers Baby Cafés in Kalamazoo and Battle Creek for walk-in breastfeeding support in a welcoming, coffee shop-style environment.

The goal is to help infants build better immune and brain health, improve digestion, while also reducing the risk of Sudden Infant Death Syndrome (SIDS) and chronic conditions like asthma, diabetes and certain childhood cancers. For mothers, this work supports postpartum recovery while helping lower the risk of breast and ovarian cancers.

A System-Wide Approach

Improving infant and maternal health requires care coordination. Alongside midwives who are expertly trained to provide gynecological care and pre- and postnatal obstetric care, Bronson community health workers help pregnant and postpartum patients address non-medical factors that can affect birthing outcomes. This support can look like:

  • Providing referrals at the first prenatal intake call, with additional referrals coming from obstetric and maternal fetal medicine providers.
  • Connecting families with a variety of resources, ranging from transportation, housing support and food access to breastfeeding resources and parenting programs.
  • Helping families feel more comfortable participating in services like Healthy Babies Healthy Start home visiting programs.

By addressing social drivers of health and building trust early in pregnancy, these team members help reduce gaps in prenatal care – a key factor in preventing preterm birth and other complications associated with infant mortality.

Other efforts by Bronson include their childcare collaborative and Battle Creek childcare center, family-centered educational classes, Cribs for Kids® national safe sleep hospital certification program and Bump2Baby360 patient app.

Those interested in learning more are encouraged to visit the Bronson website. Questions or content ideas for the Hospitals Help series can be directed to Lucy Ciaramitaro at the MHA.

News to Know – April 20, 2026

New to Know

  • Applications are being accepted for the 2026-27 MHA Excellence in Governance Fellowship for hospital and health system trustees. Between October 2026 and June 2027, fellows will meet in person three times at the MHA headquarters in Okemos and participate in virtual sessions. More than 100 trustees have graduated from this unique program, and they all speak highly of it. Questions about the fellowship can be directed to Erin Steward at the MHA.
  • MHA Endorsed Business Partner SmarterDx is hosting the webinar “Making the Case for AI-Powered CDI” May 7 at 1 p.m. ET in partnership with ACDIS. The webinar features Allison Van Doren, RN, JM, CCDS, CDIP, AVP revenue cycle, CDI, Jefferson Health; and Joshua Geleris, MD, co-founder and chief product officer, SmarterDx. Members are encouraged to register to learn how Jefferson Health implemented AI-assisted chart review across 32 hospitals to strengthen documentation capture and support CDI teams. Members with questions may contact Rob Wood at the MHA.

 

MHA Unemployment Compensation Program Receives Fifth Consecutive Award for Outstanding Performance

Courtney Pontack, vice president, MHA Unemployment Compensation Program, pictured for the NASWA SIDES Outstanding Performance Award. 

The MHA Unemployment Compensation Program (UCP) was recognized by the National Association of State Workforce Agencies (NASWA) April 17 for its continued commitment to using the State Information Data Exchange System to receive new claims and respond to state unemployment agencies.

This marks the fifth consecutive year the MHA UCP has received this recognition, reflecting its ongoing efforts to reduce unemployment liability for clients, prevent fraud and improve efficiency in working with state unemployment agencies.

“This recognition really reflects the care and consistency our team brings to this work every day,” said Courtney Pontack, vice president, MHA Unemployment Compensation Program. “It’s a team effort, and our ability to respond quickly and accurately depends on strong collaboration with our clients, who provide the timely information that makes this work possible.”

The MHA UCP serves a large portfolio of healthcare employers nationwide, including many MHA members.

To learn more about the services available through the MHA UCP, contact Courtney Pontack at the MHA.