MHA Monday Report Nov. 14, 2022

MHA Monday Report

MI Vote Matters logoRecapping 2022 Election Results

Midterm election results are in, bringing new leadership to the Michigan Legislature and a returning administration at the top of the ticket. Election 2022 will bring significant change to Lansing, as Democrats will now control the Governor’s office and both chambers of the state legislature for the first time since 1984 …


capitol buildingLegislature Returns for Lame Duck Session

The legislature returned during the week of Nov. 7 to vote on legislative leadership and kickoff the 2022 lame-duck session. Only a handful of MHA-tracked bills saw action, including legislation to implement the new federal Rural Emergency Hospital (REH) designation …


CMS Finalizes Rate Cuts in 2023 Medicare Physician Fee Schedule

The Centers for Medicare & Medicaid Services (CMS) recently released the 2023 Medicare Physician Fee Schedule (PFS) final rule, effective Jan. 1, 2023. The rule reduces the PFS conversion factor by $1.55 (4.7%) to $33.06 in a calendar year (CY) 2023 from $34.61 in CY 2022 …


October MA Enrollment Increases by 17,000 Beneficiaries

Medicare Advantage (MA) enrollment in Michigan totaled approximately 1.22 million in October, an increase of 17,000 beneficiaries since July. The October enrollment is spread across 48 MA plans that are currently operating in the state …


The MHA Keystone Center Offers Ongoing Workforce Well-Being Courses

Through a partnership with the Duke Center for Healthcare Safety and Quality, the MHA Keystone Center is pleased to offer the second iteration of its WELL-B webinar series geared to support healthcare workers experiencing burnout …


The Keckley Report 

Paul KeckleyThe Physician Pay Rule in Context: Profession “Heal Thyself”

“Last Tuesday, the Center for Medicare and Medicaid Services (CMS) published its 2023 payment schedule for physicians along with changes in the Medicare shared savings program, outpatient, behavioral and home health services…

Healthcare is at a crossroad. Physicians are caught in the crossfire of policies to lower health costs and capital necessary to transform the system from specialty care and volume-based incentives to value and wellbeing.”

Paul Keckley, Nov. 7, 2022


Laura AppelMHA in the News

The MHA received media coverage on the continued surge of RSV cases across Michigan’s pediatric hospitals that is stressing hospital capacity during the week of Nov. 6. Laura Appel, executive vice president …

Recapping 2022 Midterm Election Results

MI Vote Matters logo

Midterm election results are in, bringing new leadership to the Michigan Legislature and a returning administration at the top of the ticket. Election 2022 will bring significant change to Lansing, as Democrats will now control the Governor’s office and both chambers of the state legislature for the first time since 1984.

Below is a snapshot of some of the key election results:

  • Top of the ticket Democrats won safely. Governor Gretchen Whitmer, Secretary of State Jocelyn Benson and Attorney General Dana Nessel all swept the top of the ticket by 8+ points.
  • Supreme court incumbents will return as well, with Justices Richard Bernstein and Brian Zahra winning reelection. Democratic-nominated justices will maintain a 4-3 advantage on the court.
  • Democrats flip a congressional seat to win a 7-6 edge on Michigan’s congressional delegation. Hilary Scholten (D-Grand Rapids) was able to defeat opponent Republican John Gibbs (R-Grand Rapids), while Elissa Slotkin (D-Lansing) was able to hold off a challenge from Tom Barrett (R-Potterville).
  • Democrats win majority in the Michigan House of Representatives for the first time since 2010. The new majority will be led by Michigan’s first Black speaker, Rep. Joe Tate of Detroit.
  • Democrats win majority in the Michigan Senate for the first time since 1984. The new majority will be led by Michigan’s first female Senate Majority Leader, Sen. Winnie Brinks of Grand Rapids.
  • All three of the ballot proposals succeeded handily. Michigan’s constitution will be amended to include term limit adjustments, expanded voting rights and reproductive freedom.

Overall, the legislative election results look positive for the hospital and healthcare community looking into 2023 given the stability within the executive administration and the existing relationships the MHA has established during their tenure in office. Democrats have not had a dual-chamber legislative majority in nearly 40 years, so it is expected that they will have no shortage of legislative priorities to work on.

The MHA is excited to begin working with the new leadership to address the lingering issues hospitals continue to face post-pandemic as well as having the opportunity to collaborate with legislators on new priorities. With 59 first-time legislators this year, the MHA will be working hard to build relationships with the new lawmakers in the coming days and months and encourage members to do the same.

Members with questions or needing assistance identifying their legislator should contact Sean Sorenson-Abbott at the MHA.

MHA Monday Report Nov. 7, 2022

MHA Monday Report

MHA Board of Trustees Advances Strategic Action Plan, Affirms Policy Panel Legislative Recommendations

The MHA Board of Trustees began their Nov. 2 meeting with a review of key communication strategies to assist hospitals and health systems to “tell their stories” about the unprecedented financial and workforce challenges they currently face and how they are adapting to meet the critical healthcare and economic development needs of their communities …


Logo for MI Vote Matters, Tuesday Nov. 8Healthcare Community Urged to Vote in Nov. 8 General Election

The MHA encourages its staff, members and other stakeholders in the healthcare community to vote in the state’s general election Nov. 8.- Polls will be open from 7 a.m. to 8 p.m. …


Parents Urged to Take Preventive Measures as Pediatric Beds Fill Up

Michigan children’s hospitals and pediatric healthcare leaders are raising awareness about a pediatric hospital bed shortage and urging the public to help prevent respiratory illnesses, which are rapidly spreading in the form of respiratory syncytial virus (RSV) and influenza …


CMS Releases Final Rule to Update OPPS

The Centers for Medicare and Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service (FFS) outpatient prospective payment system (OPPS) effective Jan. 1, 2023 …


Provider Enrollment Requirements Reinstated Effective Dec. 1, 2022

The Michigan Department of Health and Human Services (MDHHS) issued MMP 22-38 COVID-19 Response: Termination of Bulletin MSA 20-28, which reinstates provider enrollment requirements …


CMS Releases Final to Update Medicare PPS Effective 2023

The Centers for Medicare and Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service home health (HH) prospective payment system (PPS) effective Jan. 1, 2023 …


MHA Supports Increased Access to Affordable Post-Secondary Education

The MHA, along with stakeholders across diverse fields, supported record state investment in Michigan’s future workforce. On October 11th, the Governor signed Public Act 212 of 2022 establishing the Michigan Achievement Scholarship, and applications starting with students in the high school class of 2023 will now be eligible for increased state financial aid …


CE Credits Available for Unionization and Legal Guidelines Webinar

The webinar Dispelling Misinformation About Unionization and Legal Guidelines 8:30 – 10 a.m. ET Nov. 11 has been approved by HR Certification Institute® (HRCI®) for 1.5 hours …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — Your Vote Matters

At the MHA, we often say that politics is not a spectator sport. It requires continual engagement and relationship building so that when you are in a crisis and need assistance, you have trusted friends you can turn to …


The Keckley ReportPaul Keckley

The Three Blind Spots in Hospital Strategic Plans

“For 40 years, I have facilitated Board Retreats for hospitals, health systems, insurance plans and medical groups. At no time has the level of uncertainty about the future for hospitals been as intense nor the importance of a forward-looking strategic vision and planning been as necessary as now. The issues are complicated: lag indicators about demand, clinical innovations, reimbursement, costs et al are a foreboding backdrop for these discussions. And three issues have surfaced as blind spots in the environmental assessments and deliberations preceding the plan …”

Paul Keckley, Oct 31, 2022


Michigan Harvest GatheringsNews to Know

Many Michigan hospitals are underway with their Michigan Harvest Gathering campaign which runs through Nov. 18. Online donations by hospital employees and community members to the Michigan Harvest Gathering program can be made through the Food Bank Council of Michigan’s website …


MHA in the News

The MHA received media coverage on the surge of RSV cases across Michigan’s pediatric hospitals during the week of Oct. 31. The coverage included several comments provided to news outlets and the distribution of a press release Nov. 4 to statewide media …

Healthcare Community Urged to Vote in Nov. 8 General Election

Logo for MI Vote Matters, Tuesday Nov. 8

Logo for MI Vote Matters, Tuesday Nov. 8The MHA encourages its staff, members and other stakeholders in the healthcare community to vote in the state’s general election Nov. 8. Polls will be open from 7 a.m. to 8 p.m. Sample ballots are available through the Michigan Secretary of State website, and additional information and resources can be found on the MHA Election 2022 webpage.

Those who would like to ensure they are properly registered or need to verify their precinct number may click on “Your Voter Information” on the Michigan Secretary of State website and complete the requested information. Under Michigan’s State Constitution citizens may register to vote up to and on Election Day at their local clerk’s office.

The 2022 gubernatorial and midterm elections are critical to Michigan’s healthcare future. In addition to choosing the next governor, secretary of state and attorney general of Michigan, voters across the state will decide political contests that impact the legislative and regulatory environments faced by hospitals and the patients they serve, including two Michigan Supreme Court seats and all seats in the U.S. House of Representatives, the Michigan House of Representatives and the Michigan Senate.

Three statewide ballot questions appear on this year’s ballot as well as local races. Voters should check both sides of the ballot to ensure all items are completed before submitting the ballot.

Members with questions should contact Sean Sorenson-Abbott at the MHA.

MHA CEO Report — Your Vote Matters

MHA Rounds Report - Brian Peters, MHA CEO

“We do not have government by the majority. We have government by the majority who participate.” Thomas Jefferson

MHA Rounds Report - Brian Peters, MHA CEOAt the MHA, we often say that politics is not a spectator sport. It requires continual engagement and relationship building so that when you are in a crisis and need assistance, you have trusted friends you can turn to. Look no further than the pandemic and the numerous bills and policies considered and enacted that helped hospitals and health systems during extremely challenging times. As an association, we are very appreciative and value the help we received from both the administration and legislature – at both the state and federal level – during that time.

This Election Day is a vital component to our healthcare priorities, as it includes the state’s gubernatorial race, followed by attorney general, secretary of state, all 13 U.S. House of Representatives seats, all seats in both the Michigan Senate and House of Representatives, two Supreme Court seats, three ballot proposals and local races.

As you can see, this year’s ballot is packed with important races that will determine the outlook of our state and nation’s political landscape for the next two years or more. In addition, several factors, including redistricting, have made for a number of highly competitive races. As a result, many observers believe that control of each chamber may be at stake.

Through our concerted efforts, the MHA HealthPAC has grown to become one of the largest political action committees in the state and is one of the important tools in our advocacy toolbox. And whether it is through HealthPAC, or through our many other activities, the MHA has a long history of remaining nonpartisan while highly encouraging all Michigan residents, particularly those in the healthcare community, to participate fully in the political process – and at no time is this more important than election season. Elections have consequences and the best way to ensure that our needs are addressed in the future is to use your constitutional right to vote for the candidates that best represent your values.

Healthcare is influenced by all three legs of the public policy stool – the executive branch, legislative branch and judicial branch. The Michigan medical community needs people in office at every level who understand their role in policy decisions that affect healthcare. The challenges facing hospitals are numerous and significant, such as financial viability, healthcare workforce restoration and wellness, behavioral health and health equity. Our elected officials are critical partners for identifying and implementing solutions to these issues.

Before completing your ballot, make sure to do your research. As always, we are pleased to share a series of useful resources on the MHA website.  In addition, the Citizens Research Council of Michigan has over 100 years of experience providing non-partisan, independent analysis on governmental policy and are another valuable resource when evaluating this year’s ballot proposals.

And while this election may change the political landscape of Lansing and Washington, D.C., it will not change the intensity or commitment of the MHA and our team at the MHA Capitol Advocacy Center towards our advocacy and policy work. Following the election will be a lame-duck session that could see a lot of activity prior to the end of the calendar year. In addition, once this year’s elected candidates are sworn into office, we will continue to meet with and identify healthcare champions that will be important partners towards improving the health and wellness of all Michiganders. And because of term limits, there will be a lot of them. One example: there will be over 50 new members of the Michigan House, all of whom will need to be educated and informed of the many complex issues in the healthcare domain.

Whether you’re planning to vote by absentee or in person on Nov. 8, you’re making a critical contribution to our democratic process. Every vote matters, particularly for the future landscape of healthcare.

As always, I welcome your thoughts.

MHA Monday Report Oct. 31, 2022

MHA Monday Report

MDHHSMDHHS Announces Plans to Establish Stroke and Heart Attack Systems of Care

The Michigan Department of Health and Human Services (MDHHS) announced Oct. 28 they are reorganizing to create systems of care for stroke and acute heart attack emergencies. The Bureau of EMS, Trauma & Preparedness within the MDHHS …


Two Days Remain to Register for the Nov. 2 Virtual Trustee Forum

Registration is being accepted for the MHA virtual Trustee Member Forum Wednesday, Nov. 2 from 1 to 2:30 p.m. The forum will outline ways the association and members are supporting critical strategic pillars and allow trustees to discuss how governing boards can support workforce development and wellbeing, health equity, behavioral health and financial stability …


Webinar Prepares for The Joint Commission and CMS Health Equity Requirements

Recently, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) announced their commitment in driving the next decade of health equity for people who are underserved. The commitment to advancing health equity …


MDHHS Releases Proposed Policy on Medicaid Rates for Dental Services


Latest AHA Trustee Insights Outlines Physician Alignment and Consumerism Strategies

The latest edition of Trustee Insights, the monthly digital package from the American Hospital Association (AHA), is now available. The October issue includes an article outlining the critical need for alignment of leadership …


Logo for MI Vote Matters, Tuesday Nov. 8MHA Race of the Week – Michigan Ballot Proposals

The MHA’s Race of the Week series highlights the most pivotal statewide races and ballot questions for Election 2022. The series will provide hospitals and healthcare advocates with the resources they need to make informed decisions on Election Day, including candidates’ views and background …


Paul KeckleyThe Keckley Report

Price Transparency in Healthcare: Will It Matter?

“Last week, Turquoise Health released its first Price Transparency Impact Report which aims to track hospital and health insurer compliance with the Hospital Price Transparency Rule (January 2021) and the CMS Transparency in Coverage Rule (July 1, 2022). Both require specified disclosures and financial penalties for non-compliance…

In July 2018, I wrote: ”Arguing price transparency in healthcare is a misguided effort is like arguing against clean air and healthy eating: it’s senseless.” It’s still true. Making the case that price transparency has a long way to go based on current offerings and utilization is legitimate.

But the price transparency movement is gaining momentum in healthcare: though it still lacks widespread impact on spending today, it soon will.”

Paul Keckley, Oct. 24, 2022


Logo for MI Vote Matters, Tuesday Nov. 8News to Know

Early in person voting by absentee ballot at a clerk’s office remains available. Absentee ballots can be dropped off at a designated drop box or local clerk’s office between now and 8 p.m. Nov. 8.

 

MHA Race of the Week – Michigan Ballot Proposals

Logo for MI Vote Matters, Tuesday Nov. 8

MHA RACE OF THE WEEK

The MHA’s Race of the Week series highlights the most pivotal statewide races and ballot questions for Election 2022. The series provides hospitals and healthcare advocates with the resources they need to make informed decisions on Election Day, including candidates’ views and background.

STATEWIDE BALLOT PROPOSALS:

Proposal 1 – Term Limit Reform and Financial Disclosure (MHA Supported)

If approved, Proposal 1 would reduce overall term limits from 14 years split between the two state legislative chambers to 12 years in one or both chambers. Further, the proposal would require each member of the legislature, the governor, lieutenant governor, secretary of state and attorney general to file annual financial disclosure reports.

Proposal 2 – Promote the Vote

If approved, Proposal 2 would add new opportunities to increase access to early voting, provide more absentee voting options and allow for the use of a signed affidavit in lieu of state-issued identification.

Proposal 3 – Reproductive Freedom for All

If approved, Proposal 3 would enshrine an individual right to reproductive health decisions in the Michigan Constitution and effectively repeal the existing Michigan law from 1931 which prohibits most abortion procedures.

LEARN MORE

The Citizens Research Council of Michigan, a well-respected, independent, nonpartisan public policy research organization, currently has available on their website three excellent analyses of each statewide ballot proposal. Each analysis provides an in-depth look at how the proposals will impact Michigan residents free of any support for one side or another.

WHY IT MATTERS

Statewide ballot proposals serve an important role in public policy by putting the power to approve or reject changes to Michigan’s Constitution or state law in the hands of voters. Nearly all ballot measures have a significant impact on Michigan citizens and those which amend the Michigan constitution cannot be changed by the state legislature once passed. While the MHA has only taken a position on Proposal 1 this year, we encourage voters to learn more about each proposal to make informed decisions on Election Day.

REMEMBER

View both sides of the ballot before submission, as ballot proposals often appear on the back side of a ballot.

IN CASE YOU MISSED IT

View an episode of the MiCare Champion Cast which features Laura Appel, executive vice president of government relations and public policy at the MHA, discussing the upcoming general election, including the three ballot proposals.

Logo for MI Vote Matters, Tuesday Nov. 8

 

For more election information and updates or to request Election 2022 informational materials, visit the MHA Election webpage or email election@mha.org. Join the MHA in talking about Election 2022 on social media using #MIVoteMatters.

MHA Monday Report Oct. 24, 2022

MHA Monday Report

Trustee Forum Converts to Virtual

To expand access to critical information and discussion about the MHA’s 2022-2023 program year’s strategic action plan, the MHA Trustee Member Forum on Nov. 2 will be offered in a virtual format rather than in …


Crain’s Healthcare Leadership Summit Features MHA and Hospital Leaders

The Oct. 20 Crain’s 2022 Healthcare Leadership Summit featured speakers from the MHA and member hospitals in a series of panels on policy issues, labor force solutions and technology integration….

 


Strategic Action Planning Session with MHA Service Corporation Board

The MHA Service Corporation (MHASC) board focused on supporting MHA Strategic Action Plan priorities at the Oct. 13 planning session including addressing financial viability, workforce restoration & wellbeing, behavioral health improvements, health equity and …


MHA Podcast Details Upcoming Election

The MHA released another episode of the MiCare Champion Cast, which features interviews with healthcare policy experts in Michigan on key issues that impact healthcare and the health of communities …


Recording Available for MHA Strategic Action Plan Review

The MHA hosted a virtual forum Oct. 18 reviewing the Strategic Action Plan that was approved by the MHA Board of Trustees in August. The forum discussed pressing challenges and opportunities facing healthcare, including workforce development …


MHA Race of the Week – Michigan Attorney General

The MHA’s Race of the Week series highlights the most pivotal statewide races and ballot questions for Election 2022. The series will provide hospitals and healthcare advocates with the resources they need to make informed decisions on Election Day, including candidates’ views and background …

 


Paul KeckleyThe Keckley Report

The Lame Duck Session of Congress Will Not Be Lame for Healthcare

“Mid-mid-term election day is 22 days away. The “official end” of the Covid public health emergency has been delayed to January 11. The Federal Reserve is expected to increase its borrowing rate for the sixth time this year at its November meeting as it attempts to slow inflation and the stock market is under-water as year-end approaches. Regardless of the mid-term outcome and the state of the economy, healthcare will be prominent in the upcoming lame-duck Congress…”

Paul Keckley, Oct. 17, 2022


News to KnowLogo for MI Vote Matters, Tuesday Nov. 8

  • The last day to register online to vote in the Nov. 8 election is Oct. 24, 2022.
  • The second gubernatorial debate is this Tuesday, Oct. 25 at 7 p.m. on the Oakland University campus between Gov. Gretchen Whitmer and Republican candidate Tudor Dixon.
  • Early in-person voting by absentee ballot at a clerk’s office remains available.
  • Complimentary MI Vote Matters informational posters and the 2022 Candidate Guide are still available for MHA members.

 


MHA CEO Brian PetersMHA in the News

The MHA received media coverage on through a couple stories during the week of Oct. 17, including on the introduction of the Stop Nurse Shortages Act at the federal level and the latest MiCare Champion …

 

News to Know – Week of Oct. 24

  • The last day to register online to vote in the Nov. 8 election is Oct. 24. Registration can be completed through the Michigan Voter Information Center of the Michigan Secretary of State website. Voters can still register to vote in person at a clerk’s office until 8 p.m. of Election Day.
  • The second gubernatorial debate is this Tuesday, Oct. 25 at 7 p.m. on the Oakland University campus between Gov. Gretchen Whitmer and Republican candidate Tudor Dixon. Representatives from WXYZ Channel 7 Detroit, WXMI FOX 17 Grand Rapids and WSYM FOX 47 Lansing will moderate.
  • Early in person voting by absentee ballot at a clerk’s office remains available. Absentee ballots can be dropped off at a designated drop box or local clerk’s office between now and 8 p.m. Nov. 8.
  • Complimentary MI Vote Matters informational posters and the 2022 Candidate Guide are still available for MHA members. An online order form is available to request the guide and/or various sizes of laminated posters. In addition, the MI Vote Matters webpage contains up-to-date election information and social media conversations using the hashtag #MIVoteMatters afford additional insight and opportunities to discuss how the 2022 election affects healthcare. Questions regarding the election should be directed to Laura Appel at the MHA.