Medicare Outpatient Payment Final Rule Makes Changes for 2022

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service outpatient prospective payment system (OPPS) effective Jan. 1, 2022. Provisions of the rule will:

  • Increase the civil monetary penalty (CMP) for hospitals that fail to comply with the price transparency requirements that took effect Jan. 1, 2021. The CMS is setting a minimum CMP of $300/day that will apply to smaller hospitals with a bed count of 30 or fewer and a penalty of $10/bed/day for hospitals with a bed count greater than 30, up to a maximum daily penalty of $5,500.
  • Increase the standard outpatient conversion factor by 1.7%, from $82.80 to $84.18, for hospitals that comply with the outpatient quality reporting program (QRP) requirements.
  • Implement a cost outlier threshold of $6,175, a 16.5% increase from the current threshold of $5,300.
  • Halt the elimination of the inpatient only list and add back to the list the services removed in 2021 except for CPT codes 22630 (Lumbar spine fusion), 23472 (Reconstruct shoulder joint), 27702 (Reconstruct ankle joint) and their corresponding anesthesia codes.
  • Reinstate the ambulatory surgical center (ASC) covered procedures list (CPL) criteria that were in effect in 2020 and prior years and adopt a process, beginning in March 2022, to allow an external party to nominate a surgical procedure to be added to the ASC CPL.
  • Continue the current policy of paying a reduced amount of average sales price minus 22.5% for drugs and biologicals purchased under the 340B drug discount program. The CMS will continue to exempt rural sole community hospitals, prospective payment-exempt cancer hospitals and children’s hospitals from the reduced payment policy implemented for most hospitals in 2018.
  • Make non-opioid pain management drugs and biologicals that function as a surgical supply in the ASC setting eligible for separate payment when such product is approved by the Food and Drug Administration, indicated for pain management or as an analgesic, and has a per-day cost above the OPPS drug packaging threshold.
  • Modify the hospital outpatient QRP by adopting three new measures, including the COVID-19 Vaccination Coverage Among Health Care Personnel measure in the OPPS and ASC settings, and removing two measures:
  • OP-02: Fibrinolytic Therapy Received Within 30 Minutes of Emergency Department Arrival measure.
  • OP-03: Median Time to Transfer to Another Facility for Acute Coronary Intervention measure.
  • Require mandatory reporting of the outpatient and ASC consumer assessment of healthcare providers and systems patient experience survey beginning in 2024.
  • Make several modifications to the Radiation Oncology Model and officially launch the model Jan. 1, 2022.

The CMS received input on the new Rural Emergency Hospital designation and continues to review comments; the agency will respond to the comments in future rulemaking. The CMS also received input on making reporting of health disparities based on social risk factors and race and ethnicity more comprehensive and actionable by including additional demographic data points.

The MHA will provide hospitals with an estimated impact analysis of the final rule soon. Members with questions should contact Vickie Kunz at the MHA.

Proposal Released to Update Medicare Outpatient Prospective Payment System

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service outpatient prospective payment system (OPPS) effective Jan. 1, 2022. Provisions of the proposed rule would:

  • Increase the standard outpatient conversion factor by 2%, from $82.80 to $84.46 for hospitals that comply with the outpatient quality reporting program (QRP) requirements.
  • Implement a cost outlier threshold of $6,100, a 15% increase from the current threshold of $5,300.
  • Codify hospital pricing transparency requirements.
  • Request information on rural emergency hospitals (REHs), which were established as a new provider type by the Consolidated Appropriations Act of 2021. REHs must have a staffed emergency department to provide services 24 hours a day 7 days per week and can provide observation care and other outpatient services. REHs must not provide acute care inpatient services, except for skilled nursing services in a distinct-part unit.
  • Maintain the inpatient only list (IPO) and add the 298 services removed from the IPO list in 2021 back to the list beginning in 2022.
  • Codify in regulation the five longstanding criteria used to determine whether a procedure or service should be removed from the IPO list.
  • Reinstate the ambulatory surgical center (ASC) covered procedures list criteria that were in effect in 2020 and prior years.
  • Continue the current policy of paying a reduced amount of average sales price minus 22.5% for drugs and biologicals purchased under the 340B drug discount program. The CMS proposes to continue to exempt rural sole-community hospitals, PPS-exempt cancer hospitals and children’s hospitals from the adjusted payment policy.
  • Modify the hospital outpatient QRP by adopting several new measures, including the COVID-19 Vaccination Coverage Among Health Care Personnel measure in the OPPS and ASC settings and removing two measures:
    • OP-02: Fibronlytic Therapy Received Within 30 Minutes of Emergency Department Arrival.
    • OP-03: Median Time to Transfer to Another Facility for Acute Coronary Intervention measure.
  • Request information from stakeholders on potential measure updates on reporting and submission requirements for the Safe Use of Opioids – Concurrent Prescribing electronic clinical quality measure in the hospital inpatient QRP.  
  • Require mandatory reporting of the outpatient and ASC consumer assessment of healthcare providers and systems patient experience survey beginning in 2024.
  • Seek input on ways to make reporting of health disparities based on social risk factors and race and ethnicity more comprehensive and actionable.

The MHA encourages members to contact Vickie Kunz at the MHA to discuss questions they have before submitting comments to the CMS by Sept. 17, and to convey to the MHA by Sept. 3 any concerns identified for consideration in the association’s comments. The association will provide hospitals with an estimated impact analysis of the proposed rule within the next few weeks.

Medicare Outpatient Prospective Payment System Rule Finalized for 2021, Webinar Offered

This article was revised Dec.10 to include Jan. 5 webinar information.

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service outpatient prospective payment system (PPS) effective Jan. 1, 2021, unless otherwise noted. The final rule will:

  • Require all hospitals, including critical access hospitals, to report information about COVID-19 therapeutic inventory and usage and to report acute respiratory illness during the public health emergency (PHE) for COVID-19.
     
  • Increase the outpatient payment rate by a net 2.5%, from $80.79 to $82.80, for hospitals that comply with requirements of the outpatient quality reporting program.
     
  • Maintain the current payment policy for 340B drugs at average sales price (ASP) minus 22.5% as implemented in 2018, rather than reducing payments to ASP minus 28.7% as proposed. Rural sole-community hospitals, children’s hospitals and PPS-exempt cancer hospitals continue to be paid ASP plus 6%.
     
  • Require prior authorization for two additional service categories — cervical fusion with disc removal and implanted spinal neurostimulators — for dates of service July 1, 2021, and after.
     
  • Eliminate the inpatient-only list over three calendar years, beginning with the removal of 266 musculoskeletal-related services (including total hip arthroplasty) and 32 additional HCPCS codes in 2021.
     
  • Create two new comprehensive ambulatory payment classifications (C-APCs) for Level 8 Urology and Related Services (C-APC 5378) and Level 5 Neurostimulator and Related Procedures (C-APC 5465), increasing the number of C-APCs to 69.
     
  • Reduce the level of supervision of outpatient therapeutic services for nonsurgical extended duration therapeutic services, such as certain infusion services. The CMS stipulates general supervision for the entire service, including the initiation portion of the service, which currently requires direct supervision. The CMS also finalized its proposal to permit direct supervision for pulmonary and cardiac rehabilitation services using virtual presence of the physician through audio/video real-time communications technology, subject to clinical judgment of the supervising physician, until the latter of the end of the calendar year in which the PHE ends or Dec. 31, 2021.
     
  • Establish and update the methodology used to calculate the Overall Hospital Star Ratings, beginning with 2021, by adopting a simple average of measure scores and reducing the total number of measure groups from seven to five. The CMS is also increasing the comparability of star ratings by peer grouping hospitals by the number of measure groups. The CMS did not finalize its proposals related to stratification of the readmissions group by dual eligible patients.
     
  • Add 11 procedures to the ambulatory surgical center covered-procedures list (CPL), including total hip arthroplasty, under the standard review process. Additionally, the CMS revised the criteria used to add procedures to the CPL, which resulted in adding 267 surgical procedures to the CPL beginning in 2021.
     
  • Remove certain restrictions on the expansion of physician-owned hospitals that qualify as “high Medicaid facilities.”

The MHA anticipates distributing hospital-specific impact analyses in early January.  A national webinar to review the final rule and impact analysis will be available from 3 to 4 p.m. Jan. 5. The webinar is hosted by DataGen and is offered free of charge, but registration is required. Members with questions should contact Vickie Kunz at the MHA.

MHA Monday Report Oct. 5, 2020

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Combating the Novel Coronavirus (COVID-19): Week of Sept. 28

The MHA continues to keep members apprised of developments affecting Michigan hospitals during the pandemic through email updates and the MHA Coronavirus webpage. …


State and Federal Lawmakers Act on Important Healthcare Issues

During the week of Sept. 28, Gov. Gretchen Whitmer signed the fiscal year 2021 budget, and the Senate continued its work on several policy issues important to Michigan hospitals. In federal news, President Donald Trump signed …


Advocacy Continues on Behalf of 340B Hospitals

The 340B Drug Pricing Program is important for many MHA members and their financial health. As recently reported, advocacy efforts to protect the program are taking place. The MHA recently sent a letter to the Michigan congressional delegation on behalf of the state’s 340B hospitals. …


Comment on Outpatient Proposed Rule by Oct. 5; MHA Comments Available

The MHA prepared comments to the Centers for Medicare & Medicaid Services regarding the proposed rule to update the Medicare fee-for-service outpatient prospective payment system effective Jan. 1, 2021. The MHA recommends …

MHA and MHA Keystone Center Release 2019-2020 Annual Report

The MHA and the MHA Keystone Center released their 2019-2020 MHA and MHA Keystone Center Annual Report Oct. 1. The report reflects on critical strategies and tactics related to COVID-19 and non-COVID-19 efforts throughout the 2019-2020 program year. …


MHA CEO Report – Preventing a Flu Surge

MHA CEO Brian Peters stresses the importance of influenza vaccination to avoid a potential COVID-19 surge at the same time as an influenza surge in Michigan later this flu season.


Michigan Harvest Gathering Project Leader Training Set for Oct. 8

The 2020 Michigan Harvest Gathering (MHG) food program will virtually kick off Oct. 20. MHA members that haven't already done so are encouraged to renew their support and submit a project leader designation form for this year through the association’s MHG webpage. …


Workshops Discuss Strategies for Workplace Safety, Emphasize Leadership Support​

Participants learned strategies for deploying a sustainable sharps injury prevention program, including standardizing the equipment and disposal processes and mitigating distractions through “do not disturb” signage and calling out all exposed sharps to nearby staff members. The speakers encouraged participants …


News to Know

MHA members are encouraged to use its complimentary MI Vote Matters informational posters and 2020 Candidate Guide to highlight the importance of voting in the upcoming election. 

Advocacy Continues on Behalf of 340B Hospitals

The 340B Drug Pricing Program is important for many MHA members and their financial health. As recently reported, advocacy efforts to protect the program are taking place.

The MHA recently sent a letter to the Michigan congressional delegation on behalf of the state’s 340B hospitals. The letter shares hospitals’ concern regarding drug manufacturers’ attempts to limit payment to contract pharmacies and other actions that are a significant detriment to 340B hospitals and the services they can provide to eligible patients because of the program. Recently, Astra Zeneca and Eli Lilly have notified covered entities of policy changes that are in direct violation of either the Health Resources and Services Administration guidance and/or the various 340B entity contracts.

Signing the letter were representatives from 68 of the more than 80 Michigan 340B hospitals. The MHA will continue to communicate with to both the Michigan delegation and to the U.S. Department of Health and Human Services on the 340B program and proposed rule changes. Members with questions may contact Laura Appel at the MHA.

MHA Monday Report Sept. 28, 2020

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Combating the Novel Coronavirus (COVID-19): Week of Sept. 21

The MHA continues to keep members apprised of developments affecting Michigan hospitals during the pandemic through email updates and the MHA Coronavirus …


Michigan Legislature Protects Healthcare in FY 2021 Budget

The Michigan Legislature approved the fiscal year 2021 state budget Sept. 23. Gov. Gretchen Whitmer has indicated support for the budget, which takes effect Oct. 1, protects vital funding sources for patient care in Michigan hospitals and …


Healthcare Bills Continue to Move Through Legislature

The Michigan Legislature continued its work on many important policy issues for Michigan hospitals during the week of Sept. 21. Legislation that saw action included the package of Certificate of Need bills, a package on prescription drug transparency, COVID-19-related liability legislation, a bill to make …


Efforts to Stop Drug Companies’ Abuse of 340B Program Accelerate

As drug companies increasingly attempt to limit hospital and community clinics' use of 340B contract pharmacy arrangements to lower drug prices, U.S. Sens. Debbie Stabenow and Gary Peters recently joined many of their colleagues in asking the U.S. …


State Department of Health and Human Services Addresses MHA Legislative Policy Panel

The MHA Legislative Policy Panel convened its first meeting of the program year virtually Sept. 23 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting …


Training Available on OBRA Change to Patient Transfer Process

As the MHA shared with members in early September, there is an impending administrative change within the Omnibus Budget Reconciliation Act of 1987 Division of the Michigan Department of Health and Human Services that will impact hospitals’ patient transfer workflows. Because a previously paper-based transfer process is 


Nursing Home Recommendations on COVID-19 Discussed at Sept. 30 Webinar

The Michigan Nursing Home COVID-19 Task Force and the Center for Health and Research Transformation recently endorsed recommendations to inform the state’s response for a potential second wave of COVID-19. The MHA will host a member …


MHA Keystone Center Spreads Awareness of Sepsis Through Twitter Chat

The MHA Keystone Center hosted a one-hour Twitter chat Sept. 24 to raise awareness on correctly identifying and treating sepsis as part of Sepsis Awareness Month. Sepsis is a rapid response to infection that can lead to serious complications and is currently the leading cause of death in U.S.  …


Trustee Insights Edition Outlines Ways to Revisit Strategy During COVID-19

This month’s resources include articles focused on the board’s role in ensuring health equity is addressed, with defined improvement actions and metrics to measure success; maximizing board meetings in a virtual environment; and ways to leverage the …


The Keckley Report

Post Pandemic, Investor Owned Health Insurers Have the Advantage

“(F)our new reports lend credence to the likelihood that large investor owned health insurance companies will emerge from the pandemic as the big winners … “

Paul Keckley. Sept. 21, 2020


News to Know

As Election Day nears, the MHA continues to offer complimentary MI Vote Matters informational posters and the 2020 Candidate Guide for members’ use in encouraging their communities to vote.


MHA in the News

Read recent coverage about the MHA, including an article from Crain's Detroit Business that featured quotes from MHA CEO Brian Peters on a new report from the Employers Forum of Indiana and the RAND Corp. that reviewed claims data from 3,112 hospitals in 49 states.

Healthcare Bills Continue to Move Through Legislature

capitol building

Michigan Capitol BuildingThe Michigan Legislature continued its work on many important policy issues for Michigan hospitals during the week of Sept. 21. Legislation that saw action included the package of Certificate of Need (CON) bills, a package on prescription drug transparency, COVID-19-related liability legislation, a bill to make several changes to prior authorization, legislation to expand mental health scope of practice for certain providers and several other behavioral health bills.

Members of the House Health Policy Committee voted to report the drug transparency and CON packages to the House Ways and Means Committee. The MHA supports Senate Bills (SBs) 669, 671 and 674 in the CON package, which would raise the covered capital expenditure threshold and add members to the commission. The association did not take a position on the other CON bills that were passed by the Senate earlier this year. On the transparency package, the MHA has taken a position on only House Bill (HB) 5942, which would protect price savings for hospitals that participate in the 340B drug discount program.

In the Senate Health Policy and Human Services Committee, votes were taken on the prior authorization legislation and a bill to create a new license for inpatient psychiatric crisis stabilization units, both of which the MHA supports. The committee also voted on several behavioral health bills on which the MHA has not taken a position that include bills to standardize the credentialing for community mental health services across the state and require the Michigan Department of Health and Human Services to report patient deaths that occur within 48 hours of discharge from a psychiatric hospital or unit. Those bills were reported to the Senate floor, where they await a full vote from members.

On the House floor, members voted in favor of the COVID-19-related liability legislation that would provide limited immunity to health facilities and other employers for work during the peak months of the pandemic. HB 6159, introduced by Rep. Roger Hauck (R-Union Township), provides the language specific to health facilities, while HBs 6030, 6031 and 6032 would provide more limited immunity to all employers. The MHA supports both efforts and will continue to work with the Senate and the Whitmer administration to enact the bills.

Members with questions on healthcare bills before the Michigan Legislature should contact Adam Carlson at the MHA.

 

Changes Proposed for 2021 Medicare Outpatient Prospective Payment System

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service outpatient prospective payment system (PPS). Its proposals would become effective Jan. 1, 2021, unless otherwise noted. The CMS proposes to:

  • Increase the outpatient payment rate by a net 3.6%, from $80.79 to $83.69, for hospitals that comply with requirements of the outpatient quality reporting (OQR) program.
  • Pay for 340B drugs at average sales price (ASP) minus 34.7%, plus an add-on of 6% of the product’s ASP, for a net payment rate of ASP minus 28.7%. Rural sole-community hospitals, children’s hospitals and PPS-exempt cancer hospitals would be exempt from this policy
  • Require prior authorization for two additional service categories — cervical fusion with disc removal and implanted spinal neurostimulators — for dates of service July 1, 2021, and after.
  • Eliminate the inpatient only list over three calendar years, beginning with the removal of nearly 300 musculoskeletal-related services (including total hip arthroplasty) in 2021.
  • Create two new comprehensive ambulatory payment classifications (C-APCs) for Level 8 Urology and Related Services (C-APC 5378) and Level 5 Neurostimulator and Related Procedures (C-APC 5465), increasing the number of C-APCs to 69.
  • Reduce the level of supervision of outpatient therapeutic services for nonsurgical extended duration therapeutic services, such as certain infusion services. The proposal would stipulate general supervision for the entire service, including the initiation portion of the service, which currently requires direct supervision. The CMS also proposes that direct supervision for pulmonary and cardiac rehabilitation services would include virtual presence of the physician through audio/video real-time communications technology, subject to clinical judgment of the supervising physician.
  • Make significant changes to the hospital overall star ratings methodology starting in 2021.
  • Update regulatory language related to administrative requirements for the OQR and ambulatory surgical center QR, with most of the updates related to previously finalized provisions that would not impose any new changes. The CMS also proposes to expand the review and corrections policy for the OQR program to apply to data submitted via the CMS’ web-based tool, starting with data submitted for the 2023 payment determination.
  • Remove certain restrictions on the expansion of physician-owned hospitals that qualify as “high Medicaid facilities.”

The CMS will accept comments on the proposed rule through Oct. 5. The MHA will provide hospitals with an estimated impact analysis in the next few weeks. The CMS has waived its typical timeline for releasing the final rule, which may result in its release as late as Dec. 2 for the Jan. 1, 2021, effective date. Members with questions should contact Vickie Kunz at the MHA.

State Legislature Considers Healthcare-related Bills

capitol building

Michigan Capitol BuildingThe Michigan Legislature addressed several issues that are important to MHA members during the week of July 20, including a final budget adjustment for fiscal year (FY) 2020, a bill to prohibit the transfer of COVID-19-positive patients to nursing homes and a new package to improve prescription drug transparency.

The Legislature formally approved a FY 2020 budget deal that was reached in late June, putting an end to negotiations between the Legislature and the governor’s office over how to address the $2.2 billion budget hole created by the pandemic. All major funding pools for hospitals remain intact, and cuts to health spending overall is limited. The final FY 2020 budget adjustment includes $1.3 billion in CARES Act funding, $350 million from the state’s rainy day fund, and $483 million in department cuts.

The Michigan House of Representatives voted July 22 to approve Senate Bill (SB) 956, a bill that would prohibit the transfer of COVID-19-positive patients to nursing homes and establish new regional locations for those patients. The bill would require the Michigan Department of Health and Human Services to establish a regional hub in each of the state’s eight healthcare regions to accept patients who no longer require hospitalization but are not healthy enough to return home. Gov. Gretchen Whitmer has an active work group looking into this policy, and the governor is expected to veto the bill once it reaches her desk. The MHA has not taken a position on SB 956.

The House Health Policy Committee held the first hearings July 22 on a package of bills to improve prescription drug transparency. House Health Policy Committee Chairman Rep. Hank Vaupel (R-Handy Twp.) was the lead in introducing House Bills (HBs) 5937-5945. The MHA provided testimony in support of HB 5942, which would prohibit a pharmacy or pharmacist from entering into a contract with a pharmacy benefit manager that interferes with a patient’s ability to receive prescriptions that are eligible for the 340B prescription drug program. The July 22 hearing was held only to receive testimony; however, the bills are a top priority for Vaupel and are expected to move quickly.

Members with questions on healthcare issues that are before the state Legislature may contact Adam Carlson at the MHA.

MHA Monday Report March 9, 2020

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Combating the 2019 Novel Coronavirus (COVID-19)

The MHA is working closely with the Michigan Department of Health and Human Services (MDHHS), the American Hospital Association (AHA), the Centers for Disease Control and Prevention (CDC), and other state and federal agencies and organizations to ensure …

U.S. Supreme Court Agrees to Review ACA Determination in Fall

The U.S. Supreme Court decided March 2 that it will review, during its term beginning in October, a federal appeals court decision that held the Affordable Care Act’s (ACA) individual mandate unconstitutional.The high court also granted many healthcare


Court Blocks Michigan’s Medicaid Work Requirements

A U.S. District Court ruling issued March 4 invalidated Michigan’s Medicaid work requirements, which posed a threat to healthcare coverage for tens of thousands of Healthy Michigan Plan recipients. Judge James Boasberg’s order blocks Michigan…


MHA Members Asked to Submit Comments on CMS 340B Survey by March 9

A proposed survey by the Centers for Medicare & Medicaid Services (CMS) seeks to collect pricing data on Specified Covered Outpatient Drugs from all hospitals that participate in the 340B Drug Pricing Program. …


Critical Incident Stress Management Bill Signed Into Law

Gov. Gretchen Whitmer signed House Bill 4862 into law March 3, which expands confidentiality protections for participants and providers at healthcare facilities performing Critical Incident Stress Management services. …


Bills to Expand Telehealth Services Reported from House Committee

Members of the House Health Policy Committee voted March 5 to report House Bills 5412 through 5416, which would expand opportunities for providers to receive Medicaid payment for telehealth services. The MHA has supported…


Celebrate Patient Safety Awareness Week

Patient Safety Awareness Week, hosted by the Institute for Healthcare Improvement, will be celebrated March 8-14 to increase awareness about patient safety and recognize the work that is already in-progress to reduce the risk of preventable patient harm …


Nominations Sought for Healthcare Leadership, Advancing Safe Care Awards

The MHA is seeking nominations for two awards that recognize healthcare professionals for their efforts to lead the way to healthier communities. The MHA Healthcare Leadership Award recognizes outstanding members of the healthcare governing boards…


Proposed Policy on Medicaid Payments for Rural Hospitals Released

The Medical Services Administration recently released a proposed policy to implement the supplemental budget appropriation for fiscal year 2020, which included additional general funds to increase critical access hospital reimbursement.  Pending approval by the …


Healthcare Leaders Explored Rural Healthcare Issues at Breakthrough Event

More than 100 chief executive officers and senior leaders attended MHA Breakthrough Feb. 27 and 28 to discuss the competitive landscape and tactics to reinforce long-term viability. In a special Town Hall on Michigan’s Rural Healthcare Strategy, a coalition of Tennessee providers and government outlined how they are making several ambitious …


The Keckley Report

Paul KeckleyThe Road to Value-based Care is Inevitable but Bumpy: The Realities that Must Be Addressed​

“The U.S. health delivery system is destined to replace its flawed volume-based incentives with value-based purchasing, but the process is proving difficult. That’s the consensus view from Chief Strategy Officers of major health systems convened by Lumeris over the weekend in Montana.”

Paul Keckley, Feb. 2, 2020


News to Know

Upcoming events and important healthcare news for the week of March 9:

  • The Institute for Healthcare Improvement (IHI) is celebrating Patient Safety Awareness Week March 8 through 14.
  • The MHA Michigan Green Healthcare Committee will meet from 9 a.m. to noon Tuesday at MHA headquarters, Okemos.
  • As part of the webinar series from the MHA Endorsed Business Partner program, a webinar titled 340B Regulatory Update – Past, Present and Future will be hosted with SUNRx from 2 to 3 p.m. Tuesday.
  • The 2020 Patient Safety Organization (PSO) Annual Meeting will take place from 8 a.m. to 3 p.m. Wednesday at the VisTaTech Center – Schoolcraft College, Livonia.

MHA in the News

Read recent coverage about the MHA, including articles from Crain’s Detroit Business, Bridge Magazine and Interlochen Public Radio about the MHA’s 2020 Economic Impact of Healthcare in Michigan report, Medicaid work requirements and rural healthcare.