Newsroom

Connect with MHA

Media inquires call (517) 703-8601

‹ Back to all articles

MHA Monday Report July 27, 2026

CMS Releases CY 2027 Medicare PFS Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) recently released the calendar year (CY) 2027 Medicare Physician Fee Schedule (PFS) proposed rule. In addition to proposed updates to the physician …

 

The Keckley Report

For Physicians, the Outlook is Cloudy

“It is impossible to construct future-state scenarios for U.S. healthcare in which physicians don’t play a critical role, but the profession’s significance is at risk. It’s obsession with clinical autonomy belies mounting evidence much of what’s done is unnecessary and often income-driven. Agentic AI and sophisticated clinical analytics will re-define how clinical performance in medical care is assessed. Insurer reforms and large self-insured employers will force consumers to be accountable for the value (costs, outcomes, prices) they negotiate with their physicians. And the regulatory framework through which physicians enjoy a level of protection from market forces will loosen.

In tandem, relationships between hospital-employed physicians and their bosses will be more dicey. Hospitals face mounting pressure to justify their costs, account for tax exemptions, disclose business relationships with physicians and provide pricing information for consumers and employers. Medicaid Cuts in HR1 (Big Beautiful Bill) and declining insurance coverage increase bad debt for hospitals and physicians eroding margins for both. And regulators in DC and most states are keen to enact limits on 340B funds, site neutral payment policies, investment gains, executive compensation and hospital prices drawing on NHES data that confirm hospital finances have fully recovered from the pandemic and, for major multi-hospital operators become profitable.”

Paul Keckley, July 19, 2026

PaulKeckley portrait01 1

News to Know

The MHA Monday Report will resume its regular weekly publication schedule in August.

MHA in the News

A July 21 Detroit News story explored how health systems across the state are using artificial intelligence (AI) to improve diagnosis and treatment. The article highlighted the MHA’s AI Framework for Health …

Registration is now open for the MHA Keystone Center Safety & Quality Symposium, scheduled for Oct. 14 at the DoubleTree by Hilton Lansing. Headlining the event are Bryan Sexton, PhD, medical associate …

Follow the MHA Today
Stay current on Michigan health care initiatives through social media.
Copyright © 2026 MHA | Michigan Health & Hospital Association. All rights reserved.
Privacy & Terms Accessibility Statement Bylaws Sitemap