MHA Monday Report June 23, 2025

Senate Health Policy Holds Testimony on Opioid Legislation

The Senate Health Policy Committee held testimony on legislation related to treating patients with opioid use disorders during the week of June 16. Collectively, Senate Bills 397–405 make numerous changes to improve coverage and access for Michiganders to receive …


MHA Shares Recent Medicare and Medicaid Enrollment Analysis

The MHA recently updated its analysis of Medicaid and Medicare enrollment based on May 2025 data. The analysis includes program enrollment as a percentage of each county’s total population and the split between fee-for-service and …


Recording and Materials Available from Medicare Quality Based Program Webinars

The MHA recently partnered with DataGen to host two webinars focused on the three Medicare fee-for-service (FFS) quality-based programs. These programs, mandated by the Affordable Care Act of 2010, can reduce hospital inpatient FFS payments …


MHA Guide to Behavioral Health Sites of Care Now Available

In an effort to help Michigan communities make informed decisions about where to seek behavioral healthcare services, the MHA has developed the Guide to Michigan’s Behavioral Healthcare Crisis Continuum. This material offers a broad overview of …


Michigan CNOs Convene at MHA Headquarters for Statewide Meeting

Chief nursing officers from across Michigan convened June 12 at the MHA headquarters in Okemos for a statewide, in-person meeting focused on healthcare policy, leadership and workforce safety. The meeting was led by Amy Brown, …


Latest AHA Trustee Insights Examines How Boards are Reimagining Workforce

The June edition of Trustee Insights, a monthly digital publication from the American Hospital Association, highlights how board members can support workforce planning and leverage innovation to strengthen healthcare delivery. One article outlines key questions …


Keckley Report

The May 2025 CPI Report: Good News, Bad News for Healthcare

“Last Wednesday, the Bureau of Labor Statistics issued its Consumer Price Index Report for May, 2025: “The Consumer Price Index for All Urban Consumers (CPI-U) increased 0.1% on a seasonally adjusted basis in May, after rising 0.2% in April. Over the last 12 months, the all-items index increased 2.4% before seasonal adjustment.” …

The public’s appetite to slow health spending, expose prices and costs and address the system’s waste, fraud and abuse is strong and growing. It’s certain to figure prominently in Congress’ budget negotiations and increasingly in household spending decisions.

The CPI is a lag indicator. It does not foretell the health economy of the future. That’s the discussion that’s needed.”

Paul Keckley, June 16, 2025


News to Know

MHA Endorsed Business Partner SUNRx is inviting 340B member hospitals to register for the Regional 340B Roundtable July 8 at Belterra Resort in Florence, IN.

 


MHA in the News

The Becker’s Healthcare Podcast published an episode June 16 that features MHA CEO Brian Peters joining host Scott Becker to discuss the current healthcare landscape and what the future looks like. Peters spent time discussing …

MHA Monday Report June 16, 2025

Nurse Licensure Compact Legislation Clears House, Next of Kin Bills Advance

Legislation on the Nurse Licensure Compact and next of kin designations advanced in the Michigan House during the week of June 9. House Bill 4246, sponsored by Rep. Phil Green (R-Millington), passed the full …


MHA Testifies on Hospital Cost Drivers in House Insurance Committee

The MHA testified before the Michigan House Insurance Committee June 11 on healthcare cost issues affecting hospitals and communities across the state. Laura Appel, executive vice president, government relations & public policy, MHA and Elizabeth …


MHA Testifies on IMLC in House Health Policy

The MHA testified in support of Senate Bill 303 during a hearing in the Michigan Senate Health Policy Committee June 11. The legislation would reinstate Michigan’s participation in the Interstate Medical Licensure Compact (IMLC). …


MDHHS Launches New Mental Health Framework

The Michigan Department of Health and Human Services (MDHHS) is launching a new approach to mental healthcare under Medicaid as part of its MIHealthyLife initiative. The “Mental Health Framework” is designed to make care …


MHA Keystone Center to Support CMS’ Quality Improvement Program

Superior Health Quality Alliance (Superior Health) has been selected as the Great Lakes Region’s Quality Improvement Organization (QIO) to support the Centers for Medicare & Medicaid Services’ (CMS) 13th Scope of Work. As a member …


MiHIN in Negotiations to Sell Velatura Stake, Refocus Efforts on Michigan

The Michigan Health Information Network Shared Services (MiHIN), the state’s health information exchange, recently announced it is in negotiations to sell its interest in Velatura Public Benefit Corporation to Capernaum Investments. Velatura was established by MiHIN …


HHS Replaces ACIP Members, Future Vaccine Policy Unclear

The U.S. Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. announced June 9 the removal of all 17 members of the Advisory Committee on Immunization Practices (ACIP). This independent body is comprised …


MHA Keystone Center PSO Hosts Cybersecurity and Regulatory Inspection Safe Table Events

The MHA Keystone Center Patient Safety Organization (PSO) hosted a safe table focused on Adapting Clinical Risk Management for Cybersecurity June 4 at the MHA Headquarters in Okemos. In partnership with MHA Endorsed Business Partner CyberForce|Q, the …


MHA Cybersecurity Communications Toolkit Available

A new MHA-member cybersecurity communications toolkit is now available to assist hospitals and health systems in preparing for and responding to a cyber incident. The available resources are focused on providing guidance in communicating with …


Keckley Report

The Hourly Workforce in Healthcare Deserves Attention

“Two government reports this week point to a familiar theme: healthcare employment is the backbone of the U.S. civilian workforce …

Arguably, their questions aren’t unique to hourly workers in healthcare: lower- and low-middle income employee cohorts in other industries feel the same. What’s unique to healthcare is the context: new technologies, new regulations, new transparency requirements, new ways of staffing and constant pressure to do more with less. Tension between workers and leaders in provider organizations is palpable—arguably more widespread than other industries in the economy. And human resource functions in these settings are understaffed and underfunded despite the mounting urgency of workforce issues since the pandemic. …

The hourly workforce in healthcare is important to its future. But most are worried about how to pay their bills at home and do a job with an uncertain future. These issues deserve attention.”

Paul Keckley, June 9, 2025


News to Know

MHA offices will be closed and no formal meetings will be scheduled June 19 in honor of Juneteenth.


MHA in the News

The MHA received news coverage during the week of June 9 that included local TV news stories on the Michigan House of Representatives passing a bill that would have the state join the National Nurse …

MHA Monday Report June 9, 2025

Violence Against Healthcare Workers Legislation Introduced

Legislation to address violence against healthcare workers was introduced June 3 in the Michigan House of Representatives. A bipartisan group of lawmakers introduced House Bills 4532 – 4535 to address violence against healthcare workers …


MHA Provides Powerful Testimony on Federal Threats to Medicaid

The Senate Health Policy Committee held a nearly two-hour hearing June 4 on federal threats to Medicaid. The Senate Health Policy Committee heard from several healthcare stakeholders and members of the Protect MI Care Coalition …


MHA Testifies on Next of Kin Bills, Healthcare Legislation Advances

The MHA provided testimony to the House Judiciary Committee in support of next of kin care bills and healthcare legislation advanced during the week of June 2. House Bills 4418 – 4419, introduced by …


MHA Awards Peer Recovery Coach Grants

The MHA has granted funding to seven institutions to support the development or expansion of hospital-based peer recovery coach (PRC) programs. The funding will support the addition of 18 new hospital-based PRCs and expand treatment options for …


MDHHS Releases ALS Administrative Rules

The Michigan Department of Health and Human Services (MDHHS) recently introduced a new administrative rule requiring the reporting of Amyotrophic Lateral Sclerosis cases across the state. The rule took effect May 15, making Michigan the …


Prioritizing a Culture of Safety — For Everyone in Healthcare

The MHA proudly affirms our commitment to the safety and well-being of our patients AND healthcare workers. Which is why we are diligently working to address the alarming rise in violence against healthcare workers and continue to advocate for …


MHA Rounds image of Brian PetersMHA CEO Report — Addressing Food and Housing Insecurity

I recently had the privilege of joining leaders from across the state to discuss the most pressing issues for Michiganders at the annual Detroit Regional Chamber Mackinac Policy Conference. Because our member hospitals and health systems are not only critical providers of care, but also major economic drivers, …


Keckley Report

Is the Public Losing Confidence in Hospitals?

“On May 24, the House of Representatives passed One Big Budget Bill that now heads to the Senate for its version this week. The stakes for hospitals are high as the House version includes $700 billion (10-year) Medicaid cuts that adversely impact lower and working-class households and most hospitals. …

These findings suggest the public holds a somewhat negative view of hospitals, especially among younger adults. The majority of U.S. adults think hospitals are not addressing community needs adequately and spending too much on executive pay. But they think hospitals are ‘less quilty’ of making ‘too much money’ than insurers.

Is the public losing confidence in its hospitals? Yes, but more for some than others, and responding requires more than better marketing.”

Paul Keckley, June 2, 2025


New to KnowNews to Know

In the latest episode of the MiCare Champion Cast, Lauren LaPine, senior director of legislative & public policy, MHA, joined to provide insight on how Michigan continues to experience issues with timely access to behavioral health services.

MHA Monday Report June 2, 2025

MHA and DataGen to Host Upcoming Medicare Quality-Based Program Webinars

The MHA has partnered with DataGen to host two upcoming webinars focused on the Medicare fee-for-service (FFS) quality-based programs which can reduce hospital inpatient FFS payments by up to 6% based on performance. The webinars …


MHA Releases Executive Summary of Recent MDHHS Blood Lead Testing Mandate Rules

The MHA recently released an executive summary regarding the Michigan Department of Health and Human Services’ (MDHHS) adoption of new administrative rules establishing universal blood lead testing requirements for minors across the state. The goal of …


CMS Issues New Guidance on Hospital Price Transparency Requirements

The Centers for Medicare & Medicaid Services (CMS) released updated guidance May 22 related to hospital price transparency requirements under Executive Order 14221, “Making America Healthy Again by Empowering Patients with Clear, Accurate and Actionable …


Language, Trust and Care: Reflections from the AHA Behavioral Health Workshop

I had the opportunity to attend at the end of April a Behavioral Health Workshop in New Orleans hosted by the American Hospital Association. This interactive event brought together hospital leaders, clinical teams and behavioral health professionals to co-design care


Keckley Report

The Summer of 2025 for U.S. Healthcare: What Organizations should Expect

“Last Thursday, the Make America Healthy Again Commission released its 68-page report “Making America’s Children Healthy Again Assessment” featuring familiar themes—the inadequacy of attention to chronic disease by the health system, the “over-medicalization” of patient care vis a vis prescription medicines et al, the contamination of the food-supply by harmful ingredients, and more. HHS Secretary Kennedy, EPA Administrator Zeldin and Agriculture Secretary Rollins pledged war on the corporate healthcare system ‘that has failed the public’ and an all-of-government approach to remedies for burgeoning chronic care needs. …

As MAHA promotes its agenda, Congress passes a budget and MAGA advances its anti-establishment agenda vis a vis DOGE et al, healthcare operators will be in limbo. The dust will settle somewhat this summer, but longer-term bets will be modified for most organizations as compliance risks change, state responsibilities expand, capital markets react and Campaign 2026 unfolds.

And in most households, concern about the affordability of medical care will elevate as federal and state funding cuts force higher out of pocket costs on consumers and demand for lower prices.

The summer will be busy for everyone in healthcare.”

Paul Keckley, May 27, 2025


Laura AppelMHA in the News

WLUC TV6 in Michigan’s Upper Peninsula published a story May 29 on the shortage of inpatient psychiatric beds in Michigan, placing a heavy focus on the testimony the MHA delivered May 20 before the House …

MHA Monday Report May 26, 2025

MHA Testifies in House Oversight Subcommittee, IMLC and AOT Legislation Passes Senate

The MHA provided testimony May 21 to the House Oversight Subcommittee on Public Health & Food Security on certain challenges related to behavioral health patients and the need for inpatient psychiatric beds across the state. …


Medical Residents Highlight Workforce Needs During 2025 GME Capitol Day

The MHA Graduate Medical Education (GME) Capitol Day welcomed more than 40 physician residents from a dozen member hospitals to the MHA Capitol Advocacy Center offices May 21 for a day of meetings with members …


MHA Keystone Center PSO to Hosts Two Safe Tables in June

The MHA Keystone Center Patient Safety Organization (PSO) will host two upcoming safe table events in June focused on cybersecurity risk management and regulatory inspections. These events offer healthcare leaders an opportunity to engage in …


Federal Agencies Pause Enforcement of 2024 Mental Health Parity Rule

The Department of Labor, Health and Human Services, and the Treasury recently announced that the 2024 final rule on the Mental Health Parity and Addiction Equity Act will not be enforced, following a legal …


MHA and DataGen to Host Upcoming Medicare Quality-Based Program Webinars

The MHA has partnered with DataGen to host two upcoming webinars focused on the Medicare fee-for-service (FFS) quality-based programs which can reduce hospital inpatient FFS payments by up to 6% based on performance. The webinars …


Today’s Students Are Tomorrow’s Workforce

The healthcare workforce has been a top priority for MHA’s members, an active pillar in the annual strategic action plan for several years. The healthcare profession is arguably one of the most rewarding career fields, leaving lasting impacts on communities. …


Keckley Report

The Winners and Losers in One Big Beautiful Bill

“This week, Republicans in the House will pass “One Big Beautiful Bill” they can forward to the Senate ahead of their self-imposed Memorial Day deadline. Its fate in the GOP controlled Senate is likely to be less partisan with a similar outcome: in some form, it will pass setting the stage for Campaign 2026 partisan posturing and continued chaos for most industries especially healthcare.  …

What’s clear is this: healthcare is suspected of widespread waste, poor performance and putting profits above patient care by lawmakers in DC, state capitals, non-healthcare business leaders and the majority of the public who think a shake-up is needed. Each organization in healthcare believes it operates for the greater good and delivers optimal value for funds received. The budgeting process prompts questions about who’s right.”

Paul Keckley, May 19, 2025


New to KnowNews to Know

  • MHA offices will be closed and no formal meetings will be scheduled May 26 in honor of Memorial Day.
  • The MHA is seeking dedicated leaders to serve on its committees, councils and task forces, with the call for participation open through June 2, 2025.

Lauren LaPineMHA in the News

The MHA received news coverage during the week of May 19 highlighted by stories related to Mental Health Awareness Month and the need to expand state psychiatric bed capacity. Lauren LaPine, senior director, legislative and …

MHA Monday Report May 19, 2025

Healthcare Legislation Advances in House, Senate

Numerous healthcare bills including the Nurse Licensure Compact, Interstate Medical Licensure Compact and the Michigan Department of Health & Human Services (MDHHS) budget advanced in the Michigan Legislature during the week of May 12. …


Legislative Policy Panel Acts on Advocacy Priorities for Michigan Hospitals

The MHA Legislative Policy Panel met May 14 at the MHA Capital Advocacy Center to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals. MHA Capitol Advocacy Center staff provided …


Healthcare Makes $100+ Billion Impact to Michigan’s Economy

The MHA published results from the 2025 Economic Impact of Healthcare in Michigan report as part of National Hospital Week (May 11-17), demonstrating a $106 billion total economic impact healthcare had in fiscal year 2023, the most recent data available. …


Deadline Approaching to Register for MHA Annual Membership Meeting

The deadline to register for the 2025 MHA Annual Membership Meeting is Friday, May 23. The event will be held June 25 through 27 at the Grand Hotel on Mackinac Island. The annual meeting offers …


LARA Finalizes Osteopathic Licensing and Practice Rules

The Department of Licensing and Regulatory Affairs (LARA) recently finalized administrative rules that update licensing and practice standards for osteopathic medicine and surgery in Michigan, effective May 8, 2025. The revised rules, issued through the …


Members Discuss Cyberattack Preparedness in MHA Virtual Forum

More than 80 information systems, clinical and administrative leaders joined the MHA’s virtual member forum May 9 to discuss strategies for preparing for and responding to cyberattacks. Leaders shared insights and lessons learned from real-world …


MDHHS Updates MMR Vaccine Guidance Amid Measles Outbreaks

The Michigan Department of Health and Human Services (MDHHS) updated guidance May 9 on the administration and reimbursement of the Measles, Mumps and Rubella (MMR) vaccine. The bulletin outlines how providers may administer and receive …


Latest AHA Trustee Insights Outlines Fundraising as a Growth Strategy

The May edition of Trustee Insights, a monthly digital publication from the American Hospital Association, explores how fundraising can serve as a low-risk growth strategy for hospitals and health systems. One article focuses on the …


Nurses Share Insights on Balance, Technology and the Future of the Profession in New Survey

The MHA has endorsed AMN Healthcare as a national leader in workforce solutions. AMN Healthcare’s 2025 Survey of Registered Nurses measures the insights and direction of the nursing profession using responses from more than 12,000 nurses. MHA …


The Reality for Medicaid Patients Entering the ED With a Behavioral Health Crisis

Imagine this: You enter a hospital emergency department for chest pain. The clinicians onsite confirm you’re having a heart attack, but before can receive lifesaving care, you must wait for a second pre-admission screening from an agency outside of the hospital. …


Keckley Report

The Value-based Care Agenda in Trump 2.0 Healthcare

“Central to both efforts is the administration’s mandate to reduce federal spending which it deems achievable, in part, by replacing fee for services with value-based payments to providers from the government’s Medicare and Medicaid programs. The CMS Center for Medicare and Medicaid Innovation (CMMI) is the government’s primary vehicle to test and implement alternative payment programs that reduce federal spending and improve the quality and effectiveness of services simultaneously. ….

Recent efforts by the Trump Healthcare 2.0 team and its leadership appointments in CMS and CMMI point to a value-agenda will change significantly. Alternative payment models will be fewer and participation by provider groups will be mandated for several. Measures of quality and savings will be fewer, more easily measured and and standardized across more episodes of care. Financial risks and shared savings will be higher and regulatory compliance will be simplified in tandem with restructuring in HHS, CMS and CMMI to improve responsiveness and consistency across federal agencies and programs. …

Trump Healthcare 2.0 value-based care is a take-no prisoners strategy in which private insurers in Medicare Advantage have a seat at their table alongside hospitals that sponsor ACOs and distribute the majority of shared savings to the practicing physicians. But the agenda will be set, and re-set by the administration and link-minded physician organizations like America’s Physician Groups and others that welcome financial risk-sharing with Medicare and beyond.”

Paul Keckley, May 12, 2025


New to KnowNews to Know

MHA Endorsed Business Partner Medical Solutions, will host the free webinar Workforce Wellness: Effective Approaches to Foster Well-being and Retention in Healthcare from 1 to 2 p.m. ET May 19.


MHA in the News

Laura Appel

The MHA received news coverage during the week of May 12 related to federal Medicaid funding cuts and the release of the hospital economic and workforce impact data. …

MHA Monday Report May 12, 2025

Michigan Senate Hears MHA Testimony on ED Boarding Challenges, MHA Opposes Introduced MCPA Bill

The MHA provided testimony May 7 to the Senate Health Policy Committee on certain challenges related to hospital emergency department boarding for behavioral health patients. The Senate Health Policy Committee heard about patients facing behavioral …


Protect MI Care Coalition Partners Share Majority of Michiganders Oppose Medicaid Cuts

The MHA joined other Protect MI Care Coalition partners in releasing public polling results that show 83% of Michiganders want to see Medicaid spending increased or kept the same as Congress considers cutting hundreds of …


speak upBronson Battle Creek Hospital Nurse Honored with Q1 MHA Keystone Center Speak-up! Award

The MHA Keystone Center recognized Season Willi, RN at Bronson Battle Creek Hospital, as its quarterly MHA Keystone Center Speak-up! Award recipient May 8. The Speak-up! Award honors individuals or …


MDHHS Enacts Blood Lead Testing Mandate for Young Children

The Michigan Department of Health and Human Services (MDHHS) recently finalized administrative rules requiring blood lead testing for all children at 12 and 24 months of age, following legislation signed into law by Gov. Gretchen …


MHA Keystone Center PSO to Host Cybersecurity Safe Table

The MHA Keystone Center Patient Safety Organization (PSO) and MHA Endorsed Business Partner CyberForce|Q, will host a Safe Table event focused on adapting clinical risk management practices for cybersecurity. The session will be held from …


MDHHS Offers Loan Repayment to Expand Opioid Use Disorder Treatment

To help close critical gaps in opioid addiction treatment across Michigan, the Michigan Department of Health and Human Services is offering student loan repayment to eligible healthcare providers who begin or expand opioid use disorder …


MHA Keystone Center PSO Launches SAFER Webinar Series

The MHA Keystone Center PSO, in partnership with EisnerAmper, is launching a new webinar series focused on the 2025 Safety Assurance Factors for Electronic Health Record Resilience (SAFER) guidelines. The free series …


Applications for the MHA Excellence in Governance Fellowship Due in June

Applications will be accepted through June 27 for the 2025–2026 cohort of the MHA Excellence in Governance Fellowship. By participating, hospital board members will advance their skills and knowledge to elevate the organizations they serve. …


In the Middle of Nowhere and Everything: Why Our Community Hospital Matters

I live in a rural town—what I call the middle of nowhere, and everywhere. We’re miles from the nearest city, surrounded by open space instead of traffic. But out here, you learn to value what’s close. In the city, everything is nearby. …


Addressing Hurdles for Behavioral Health Patients Seeking Care in the ED

The MHA released a new episode of the MiCare Champion Cast exploring the need to expand the pre-admission screening assessment for behavioral health providers. Lauren LaPine, senior director of legislative & public policy, MHA, joined …


MHA Rounds image of Brian PetersMHA CEO Report — Highlighting Hospitals

This month’s CEO Report is being filed from Washington, DC, where I am honored to join my colleagues from throughout our state and nation at the American Hospital Association’s Annual Meeting. On the agenda are …


Keckley Report

The Next 100 Days: What Healthcare Should Expect

The Trump administration is moving into its second 100 days facing conditions more problematic than its first 100. For healthcare, this period will define the industry’s near-term future as changes in three domains unfold:

  • The Economy: The economy is volatile and consumer confidence is waning. The impact of tariffs on U.S. prices remains an unknown and escalating tension between the Ukraine and Russia, Israel and Palestine, Pakistan and India are worrisome. Household debt is mounting as student loans, medical debt and housing costs imperil financial security for more than half of U.S. households. The 3 major stock indices remain in the red YTD, prospects for a recession are high and investors are increasingly cautious. Net impact on healthcare organizations and public programs: negative, especially those without strong balance sheets and access to affordable private capital.
  • The Courts: Recent opinions by the Supreme Court and District Courts suggest a willingness to challenge the administration’s Executive Orders on immigrant deportation and due process, threats and funding cuts aimed at law firms and universities considered “woke” and layoffs initiated by DOGE and more. Court challenges will slow the administration’s agenda and create uncertainty in workplaces. Net impact: negative. Uncertainty paralyses planning and operations in every public and private healthcare organization.
  • The Public Mood: The afterglow of the election has dissipated and the public’s mood has shifted from guarded optimism to anxiety and despair. The public’s uncertain about tariffs and worried about household expenses. Net impact: negative. Healthcare affordability and prices are major concerns to consumers: the majority (76%) think the system is more concerned about profitability than patient care (Jarrard).

The next 100 days will define the national agenda for the mid-term election in November 2026, reflect the solidarity of the MAGA movement and show the impact of tariffs on inflation, consumer prices and the public’s mood.

Healthcare leaders will be watching closely. All will be impacted.

Paul Keckley, May 5, 2025


New to KnowNews to Know

  • MHA Endorsed Business Partner Vault Verify, is offering a free webinar People, Process and Protection: Rethinking HR Data Strategy hosted by the Massachusetts Hospital Association from 12 – 12:30 p.m. ET May 13.
  • MHA Endorsed Business Partner Medical Solutions, will host the free webinar Workforce Wellness: Effective Approaches to Foster Well-being and Retention in Healthcare from 1 to 2 p.m. ET May 19.

MHA Monday Report May 5, 2025

Wellpath Supplemental Testimony Highlights Week of Advocacy Efforts

The MHA provided testimony April 30 to the House Appropriations Committee about healthcare services provided to prisoners by Michigan hospitals that have not been reimbursed by Wellpath, a third-party …


MHA Annual Membership Meeting Brings Opportunities for Learning and Connection

The MHA membership will convene in person for the MHA Annual Membership Meeting June 25 –27 at the Grand Hotel on Mackinac Island. The annual membership meeting is an opportunity to learn, network and celebrate …


Healthcare Leaders Convene for the Return of the MHA Keystone Center Safety & Quality Symposium

More than 100 healthcare professionals gathered April 28 and 29 in East Lansing for the return of the MHA Keystone Center Safety & Quality Symposium. Attendees included individuals across the continuum of care including quality, …


mha advancing safe care awardCorewell Health Suicide Care & Prevention Team Receives MHA Advancing Safe Care Award

The MHA announced the winner of its 2025 Advancing Safe Care Award April 28, honoring Corewell Health’s suicide care and prevention team. The award was announced during the MHA Keystone Center Safety & Quality Symposium. …


Members Engage in PFE Webinar During Patient Experience Week

More than 50 patient experience, nurses and quality professionals participated in the MHA Person & Family Engagement (PFE) Improvement Sprint webinar Hospital Staffing and Structures Needed to Support and Coordinate PFE Activities during Patient Experience …


MI AIM Opens Applications for $25,000 Grant for Participating Birthing Hospitals

The Michigan Alliance for Innovation on Maternal Health (MI AIM) recently announced its partnership with United Healthcare to offer $25,000 to three birthing hospitals in Michigan to purchase equipment to support staff education. All Michigan …


The Five Things I Love Most About Nurses

In a few short days, I will celebrate one year as the inaugural chief nursing officer for the MHA. This position has given me the privilege of bringing together nurse leaders from across the state and country, …


Keckley Report

The 7 Issues Hospital Trustees worry About Most

“This Sunday, the American Hospital Association will convene for its Annual Meeting in DC featuring 50 speakers covering a wide range of topics. It comes at a precarious time for hospitals as Congress begins its budget reconciliation bill process that is expected to include a number of cuts to healthcare spending negatively impacting hospital finances directly. This week also marks the Trump Administration’s 100-day milestone which has seen its popularity decline and economic uncertainty mount. …

Transformational change in the U.S. health system is not contemplated by trustees because near-term survival requires their full attention. That’s a view reinforced by the hospital CEO and consistent with their admittedly limited understanding of the entire system. …

AHA and its Coalition to Strengthen America’s Healthcare have successfully defended hospitals against unwelcome regulations and disruptive competitors. It has successfully reinforced antipathy toward health insurers and deflected criticism of its prices to forces outside its control i.e. labor costs, drug and supply chain costs, unnecessary regulation, under-payments by Medicare and Medicaid and more.”

Paul Keckley, April 28, 2025


New to KnowNews to Know

The MHA is issuing a request for proposal for a $2.5 million competitive grant program for Michigan healthcare entities to expand access to hospital-based peer recovery coach services.


MHA in the News

The MHA was successful in placing several news stories during the week of April 28 related to potential federal Medicaid funding cuts. The Lansing State Journal published an op-ed from MHA CEO Brian Peters that …

MHA Monday Report April 28, 2025

MHA Testifies on Nurse Licensure Compact Bills, Senate Passes Prescription Drug Affordability Board and Momnibus Legislation

The House Health Policy heard testimony from the MHA in support of creating a nurse licensure compact and the Senate voted to establish a Prescription Drug Affordability Board in the state of Michigan during the …


GME Capitol Day Approaches May 21

The MHA is hosting the 2025 MHA Graduate Medical Education (GME) Capitol Day from 9 a.m. to 3:30 p.m. May 21 in Lansing. The event is an opportunity for Michigan’s physician residents from teaching hospitals and academic …


CMS Releases FY 2026 Proposed Rule for Inpatient Psychiatric Facilities

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service prospective payment system for inpatient psychiatric facilities for fiscal year (FY) 2026. Key provisions of the proposed rule include: Increasing the …


MHA Unemployment Compensation Program Receives Award for Outstanding Performance

The MHA Unemployment Compensation Program (UCP) was recognized by the National Association of State Workforce Agencies (NASWA) April 24 for the MHA UCP’s commitment to utilizing the NASWA’s nationwide, web-based system SIDES for receiving new claims and responding to …


CMS Releases FY 2026 Proposed Rule for Skilled Nursing Facilities

The CMS recently released a proposed rule to update the Medicare fee-for-service prospective payment system for skilled nursing facilities for fiscal year (FY) 2026. Key provisions of the proposed rule include: Increasing the per-diem …


Celebrate Patient Experience Week with Upcoming Webinars

The MHA is offering ways for hospital staff to engage during Patient Experience Week (April 28-May 2), to support and amplify patient-centered care. The upcoming Patient and Family Engagement Improvement Sprint webinar series, hosted …


CMS Releases FY 2026 Proposed Rule for Inpatient Rehabilitation Facilities

The CMS recently released a proposed rule to update the Medicare fee-for-service prospective payment system for inpatient rehabilitation facilities for fiscal year (FY) 2026. Key provisions of the proposed rule include: Increasing the …


MHA Virtual Member Forum Focuses on Cyberattack Response

The MHA, in conjunction with its statewide Health Information Technology Strategy Committee, is hosting a cybersecurity and cyberattack response virtual member forum from 9:30 to 11 a.m. May 9. This free, members-only event features six …


The Power of Patient-Centered Care

It’s no secret that patient experience within hospitals and health systems has evolved over the years – especially following the COVID-19 pandemic. With Patient Experience Week (PX Week) around the corner, it’s a good time to recognize the …


Keckley Report

Tax Exempt Status for Not-for-Profit Hospitals: The Debate Ahead

“Tax exemptions for hospitals are not a new topic inside healthcare, but lately they’ve drawn outside attention from regulators and in media. They seem to be asking ‘Do not-for-profit hospitals deserve their tax breaks?’ …

Hospitals face a headwind, especially those that are tax-exempt. Every U.S. hospital is reeling from the uncertainty surrounding the Kennedy (HHS)-Oz (CMS)-Makary (FDA) trifecta that will regulate hospital affairs in the next few months. Every hospital is feeling heat from disgruntled physicians and worn-out frontline caregivers. Every hospital is worried about how tariffs will impact supply chain costs and all are taking a cautious approach to major capital projects. And all face increased pushback from state legislators who think price controls on hospitals might be the answer.

For Rick Pollack and team at the American Hospital Association, it’s not business as usual. The hospital big tent is under duress. And NFP tax exempt hospitals might be where it’s hottest. Large employers have targeted large NFP systems for cost reduction and Congress appears poised to impose restrictions on NFPs intended to rein-in what some consider excesses under the protection of tax-exempt status. …

Spending in healthcare at current levels is not sustainable. NFP system say the health of the communities they serve is their highest priority, though many limit their attention to lucrative services while neglecting others that might pay longer-term dividends in public health.

Utopian? Yes, but necessary. Actions not taken by NFP systems to demonstrate they deserve their tax exemptions is risky. And lack of will to adopt minimal standards will ultimately mean exemptions are linked to charity-care only.

In 2025 and beyond, tax exemptions for not-for-profit hospitals will garner attention. They’re not guaranteed and they’re under attack.”

Paul Keckley, April 21, 2025


New to KnowNews to Know

  • The MHA is issuing a request for proposal for a $2.5 million competitive grant program for Michigan healthcare entities to expand access to hospital-based peer recovery coach services.
  • Registration is now open for the MHA Annual Membership Meeting June 25 through 27 at the Grand Hotel on Mackinac Island. Members are encouraged to register by May 23 to attend this memorable event

Jim Lee speaks with Mid-Michigan NOW about AI.

MHA in the News

Jim Lee, senior vice president, data policy & analytics, MHA, appeared in a story about artificial intelligence (AI) in healthcare aired by Mid-Michigan NOW on April 23. Lee discussed how AI is being used by …

MHA Monday Report April 21, 2025

MHA Member Provides Testimony to House Health Policy Committee; Occupational Therapy Licensure Compact Bills Clear Committee

The House Health Policy Committee heard testimony from stakeholders on legislation to establish a Physician Assistant Licensure Compact in the state and Occupational Therapy Licensure Compact bills were voted to the House floor …


MHA CEO Brian Peters Joins 2025 State of Reform Health Policy Panel

The 2025 Michigan State of Reform Health Policy Conference convened April 17 in East Lansing, MI. The morning session began with a panel moderated by Farah Hanley, managing principal, Health Management Associates alongside MHA CEO …


MHA Keystone Center Receives Harry L. McKinley Workplace Safety Leadership Award

The MHA Keystone Center was honored April 15 at the Michigan Workplace Safety Conference for providing essential workplace safety resources to Michigan healthcare organizations and their staff. The Harry L. McKinley Workplace Safety Leadership Award …


CMS Releases FY 2026 LTCH Prospective Payment System Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service long-term care hospital (LTCH) prospective payment system for fiscal year (FY) 2026. Specifically, the rule proposes …


RFP Available for Hospital-Based Peer Recovery Coach Services

The MHA is issuing a request for proposal (RFP) for a $2.5 million competitive grant program for Michigan healthcare entities to expand access to hospital-based peer recovery coach services. The funding was appropriated by …


Updated Hospital Medicaid Communications Toolkit Available

The MHA recently updated a toolkit of communications resources to support hospitals in advocating against potential Medicaid funding cuts in their local communities. The toolkit includes: Talking points Template letter-to-the-editor Template press release Social media …


CMS Releases FY 2026 Hospital IPPS 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 (IPPS) for fiscal year (FY) 2026. The rule proposes to: Increase the standard …


MW-TEC to Host Informational Webinar on Social Work Apprenticeship Opportunities

The Michigan Workforce Training & Education Collaborative (MW-TEC) will host an informational webinar at 10 a.m. April 23 discussing social work apprenticeship opportunities. With a growing demand for behavioral health workers, apprenticeship programs can serve …


Latest AHA Trustee Insights Outlines the Value of Nursing Board Leadership and Compliance Duties

The April edition of Trustee Insights, the monthly digital package from the American Hospital Association (AHA), highlights the podcasts, videos, webinar and other resources available on today’s most pressing healthcare issues. National Nurses Week honors the …


Keckley Report

For U.S. Healthcare, Public Reaction to Tariffs is Instructive

“Last week, new cycles paid close attention to the economy with news mixed: The University of Michigan Consumer Sentiment Index hit a five year low of 50.80. But the Consumer Price Index showed a slight decline (2.4% in March) as gas prices continued to drop. And speculation about a recession drew coverage as Goldman, BlackRock, JP Morgan and others raised their estimates of its likelihood. …

While tariffs and trade policy are not understood by the vast majority of the U.S. population, most of the population feels the complicated issues around trade policy, tariffs and the economy beyond their control. The same can be said for views about U.S. healthcare.  Most don’t understand the system and how it operates. They think it’s complicated and expensive and believe corporate interests are playing a larger role.  What they do understand is what they spend and how unpredictable those expenses are. Like tariffs, they’re anxious and concerned. …

As Congress debates Budget Reconciliation aka ‘One Big Beautiful Bill’ this week and the IRS’ Income Tax deadline hits taxpayers tomorrow, what’s spent on healthcare by the government and by taxpayers will not escape notice. The majority of Americans and lawmakers think the system is underperforming and unnecessarily expensive. And acrimony between insurers, hospitals, physicians and drug companies will deepen old wounds and lend to public confusion.

The Trump administration’s first 3 months is getting mixed reviews largely because tariffs are not understood. The same is true for the health system. Its prices and their underlying costs are largely hidden and the public’s tired of excuses.

Tariffs might be a good thing for the economy or something else. Like healthcare, the public’s anxious about the future of the U.S. economy and unsure about what’s next.”

Paul Keckley, April 14, 2025


New to KnowNews to Know

In the latest episode of the MiCare Champion Cast, Laura Appel, executive vice president of government relations & public policy at the MHA, explores how proposed reductions to Medicaid could disrupt access to care and harm Michigan hospitals, patients and communities.


MHA in the News

MHA CEO Brian Peters was quoted in a Crain’s Grand Rapids article pushing back against the release of a Lown Institute report about Michigan nonprofit hospital community benefit spending. The report intentionally omits IRS Form …