MHA Monday Report Jan. 26, 2026

House Appropriations Committee Hears RHTP Testimony, IMLC Bill Advances

The Michigan House Appropriations Committee heard testimony on federal funding awarded through the Rural Health Transformation Program (RHTP), and legislation to add Michigan back into the Interstate Medical Licensure Compact (IMLC) advanced during the week of Jan. 19.  The House Appropriations Committee heard …


Legislative Policy Panel Hears Legislative Updates

The MHA Legislative Policy Panel met virtually Jan. 21 to develop recommendations on legislative and policy issues impacting Michigan hospitals. The meeting began with guest speakers from the Michigan Chamber of Commerce and The Cornerstone …


CMS Implements New Online Form for Medicare Advantage Complaints

The Centers for Medicare & Medicaid Services (CMS) recently implemented a new online form for providers to submit complaints related to Medicare Advantage plans. A CMS memorandum announced the implementation of the form, which is …


MHA Launches Rural Health Transformation Program Webpage

The MHA has launched a new webpage dedicated to the Rural Health Transformation Program, providing members with a centralized source of information on Michigan’s participation in the program. The webpage includes an overview of …


Updates to Michigan’s Reporter Protocols for Infants Born Exposed to Substances

Michigan has updated its mandated reporter guidance for infants born exposed to substances, establishing distinct reporting requirements for exposure to non-medically prescribed substances and exposure related to prescribed treatment. The updates are intended to clarify …


Webinar Explores Strategies to Strengthen Revenue Integrity

The MHA and MHA Endorsed Business Partner AMN Healthcare Revenue Cycle Solutions will host A Tale of Three Health Systems: Their Mid-Revenue Cycle Insights and Road to Revenue Integrity webinar from 11 to 11:50 …


Hospitals Help: Corewell Health Program Addresses Youth Vaping Prevention, Cessation

Rural schools in Newaygo County, like so many across Michigan, were seeing an increase in the number of students caught vaping. To address this community-wide concern, Corewell Health Gerber Hospital established the Corewell Health Gerber …


Keckley Report

CMS’ 2024 Health Spending Report: Key Insights

“As media attention focused on Minneapolis, Greenland and Venezuela last week, the Center for Medicaid & Medicare Services (CMS) released its 2024 Health Expenditures report Thursday: the headline was “Health care spending in the US reached $5.3 trillion and increased 7.2% in 2024, similar to growth of 7.4% in 2023, as increased demand for health care influenced this two-year trend. “…

The current environment for the healthcare economy is increasingly hostile to the status quo. Voters think the system is wasteful, needlessly complicated and profitable. Lawmakers think it’s no man’s land for substantive change, defaulting to price transparency, increased competition and state regulation in response. Private employers, who’ve bear the brunt of the system’s ineffectiveness, are timid and reformers are impractical about the role of private capital in the health economy’s financing.

The healthcare economy will be an issue in Campaign 2026 not because aggregate spending increased 7-8% in 2025 per CMS, but because it’s no longer justifiable to a majority of Americans for whom it’s simply not affordable. Regrettably, as noted in Corporate Board Member’s director surveys, only one in five healthcare Boards is doing scenario planning with this possibility in mind.

Paul Keckley, Jan. 18, 2026


New to KnowNews to Know

  • The MHA Person & Family Engagement Advisory Council met virtually Jan. 15 to identify ways to support the MHA strategic action plan.
  • MHA Endorsed Business Partner CyberForce|Q is hosting the webinar Proactive Cyber Risk Measures from 11 a.m. to noon ET on Jan. 29.
  • The enrollment deadline for the MHA Healthcare Leadership Academy is Feb. 6. The cohort meets Feb. 25–27 and May 7–8 at the MHA headquarters in Okemos.

 

Webinar Explores Strategies to Strengthen Revenue Integrity

The MHA and MHA Endorsed Business Partner (EBP) AMN Healthcare Revenue Cycle Solutions will host A Tale of Three Health Systems: Their Mid-Revenue Cycle Insights and Road to Revenue Integrity webinar from 11 to 11:50 a.m. ET Feb. 19. This webinar highlights the journeys of three health systems and how they navigated mid-revenue cycle challenges to strengthen revenue integrity. Attendees will gain actionable strategies for C-suite leaders focused on denials management, documentation accuracy and technology adoption—empowering organizations to maximize every dollar.

By attending this session, participants will:

  • Understand key drivers of revenue integrity and their impact on financial performance.
  • Explore strategies to reduce denials and improve reimbursement accuracy through coding and documentation best practices.
  • Evaluate the role of technology and AI – where automation succeeds, where human oversight is essential and how to build ROI for adoption.
  • Gain insights from real-world case studies on clinical revenue cycle improvements, including length of stay and avoidable days.

The webinar is free of charge and members are encouraged to register.

For additional information, visit the AMN Healthcare page or contact Christine Poleon, DVP, revenue cycle solutions, AMN Healthcare. Members seeking information about the MHA’s EBP program may contact Rob Wood at the MHA.

News to Know – Nov. 10, 2025

New to Know
  • MHA offices will be closed and no formal meetings will be scheduled Nov. 11 in honor of Veterans Day.
  • The MHA will host a virtual member forum from 8:30 to 9:30 a.m. Nov. 7 to outline the MHA 2025-26 Strategic Action Plan approved by the MHA Board of Trustees. The member webinar will share the elements of this year’s plan and help members learn effective ways to connect with thought leaders in their community to support hospitals and healthcare providers in these challenging times. There is no cost to attend, but members are asked to register by Nov. 5. Access information for the virtual session will be sent Nov. 6. Questions about the member forum can be directed to Erica Leyko at the MHA.
  • Amy Brown, chief nursing officer, MHA, recently joined MHA Endorsed Business Partner (EBP) AMN Healthcare on the episode “Empowering Nurses Through Advocacy and Innovation” of the Elevate Care Podcast. Brown shared details on her extensive journey in nursing, from her experiences as a chief nursing officer during the pandemic to her current role at the MHA. She discusses the critical issues of workplace violence, improving maternal health quality, empowering nurses to advocate for policy changes and the deep impact of potential healthcare funding cuts on rural areas. The conversation also explores the evolving role of technology in nursing and the importance of nurse engagement in advocacy at both local and federal levels. Members may contact Beth Kisielius, vice president of strategic partnerships at AMN Healthcare to learn more.
  • MHA EBP SunRx is continuing a webinar series about 340B Rebate Model Briefings on Nov 13 and Nov 20. Manufacturers will require complete rebate-ready data through Beacon and 340B ESP® on Jan. 1, 2026, and SunRx is working to engage leaders with updates. These events are intended exclusively for 340B entities. For more information, contact Dwayne Dodd, regional manager at SunRx.

Strengthening Rural Healthcare Through Smarter Physician Recruitment

MHA Endorsed Business Partner AMN Healthcare recently released the Rural Physician Recruiting Challenges and Solutions white paper, produced by its Physician Solutions division (formerly Merritt Hawkins).

The resource identifies several approaches to address these challenges:

Recruiting Physicians to Rural Hospitals is More Challenging than Ever.

According to AMN Healthcare’s 2025 Review of Physician and Advanced Practitioner Recruiting Incentives, the average signing bonus for family medicine physicians has increased by 15% over the past year. This trend underscores the escalating competition for medical talent in underserved areas. For rural hospitals, the stakes are even higher. With limited resources and fewer candidates, attracting and retaining physicians requires innovative strategies.

Traditional Incentives Are No Longer Sufficient.

While competitive salaries and signing bonuses are important, they are no longer the primary drivers for physicians considering rural practice. A recent survey by AMN Healthcare revealed that 70% of physicians prioritize work-life balance and community engagement over financial incentives. This shift necessitates a reevaluation of recruitment strategies.

Building a Sustainable Workforce Requires a Multifaceted Approach.

Successful rural hospitals are adopting comprehensive recruitment strategies that include:

  • Community integration: Engaging physicians in local community activities to foster a sense of belonging.
  • Flexible work arrangements: Offering part-time or telemedicine options to accommodate lifestyle preferences.
  • Educational partnerships: Collaborating with medical schools to create residency programs tailored to rural healthcare needs.

By implementing these strategies, rural hospitals can strengthen recruitment efforts and improve retention.

Members seeking for more insights and detailed strategies may download the full white paper.

Members with questions may contact Ben Jones, regional vice president at AMN Healthcare. Members with questions about the MHA Endorsed Business Partner Program may contact Rob Wood at the MHA.

AMN Physician Incentive Survey Results

MHA Endorsed Business Partner AMN Healthcare recently released the 2025 Review of Physician and Advanced Practitioner Recruiting Incentives, produced by its Physician Solutions division (formerly Merritt Hawkins).

For 32 years, the Review has been a key source of data and insight regarding physician starting salaries, signing bonuses, relocation allowances and other recruiting incentives.

Members interested in a copy of the 2025 Review or those who would like to discuss their hospital’s current physician and APP recruiting needs, may reach out to Ben Jones, regional vice president at AMN.

Members seeking information about the MHA’s EBP program may contact Rob Wood at the MHA.

On Demand Webinar: Balancing the Complexities of the Healthcare Workforce in Rural Markets

MHA Endorsed Business Partner AMN Healthcare recently hosted the webinar Balancing the Complexities of the Healthcare Workforce in Rural Markets. Speakers  John Higgins, vice president of talent management, Essentia Health, and Steven Endsley, vice president of workforce solutions, AMN Healthcare, provided valuable insights on solving workforce challenges and innovative talent strategies. The webinar highlighted effective approaches to talent acquisition, retention and workforce transformation in rural healthcare settings and beyond. The webinar recording is now available to review on demand.

Key takeaways include:

  • Insights on rural and urban healthcare workforce market dynamics.
  • Shaping adaptive workforces with development and flexible workforce pools.
  • Having union labor partners to drive innovation and implement workforce development activities.
  • Best practices and specific-use cases at Essentia Health, including retention strategies and talent acquisition innovations, such as artificial intelligence.

Additional resources from AMN Healthcare include an overview of AMN Workforce Solutions and a client success story describing how its data‑driven technology suite drives cost savings and transforms staffing operations.

For more information, visit the AMN Healthcare page or contact Steven Endsley, vice president of workforce solutions at AMN Healthcare. Members with questions may visit the MHA Business Services page or contact Rob Wood at the MHA.

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. …

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 members are encouraged to use this information to transform the work environment, take critical steps to address nurse burnout and stress, uplift the nursing profession and improve patient care and outcomes.

Key Findings:

  • Recruitment and retention: Only 39% of nurses indicate they plan to be in their current positions in one year.  Sixty-one percent plan to change employers, seek new positions internally or make other career changes.
  • Flexible scheduling matters: 81% of nurses say schedule flexibility improves working conditions, while 56% highly value self-directed scheduling tools.
  • Generational shifts: With 33% of nurses nearing retirement eligibility, proactive retention strategies are essential to maintaining appropriate staffing levels.
  • The role of technology: While AI offers workforce management opportunities, only 11% of nurses say their employers have integrated AI into nursing operations.

Conclusions and Solutions: 

The survey includes recommendations for addressing nurse workforce challenges, including:

  • Expand workplace flexibility through hybrid roles and self-scheduling systems.
  • Provide training and support for digital transformation, including AI readiness.
  • Prioritize mental health and wellness initiatives to combat burnout and increase job satisfaction.

For more information about AMN Healthcare, members may contact Beth Kisielius at AMN Healthcare. Members seeking information about the MHA’s Endorsed Business Partner program may contact Rob Wood at the MHA.

MHA Monday Report April 14, 2025

U.S. House Advances Budget Resolution, Sets Up Potential Medicaid Cuts

The United States House of Representatives advanced a Senate budget resolution April 10 that calls for a minimum of $1.5 trillion in federal spending reductions. A separate budget resolution previously passed by the House in …


Registration Now Open for MHA Annual Membership Meeting

Registration is now open for the MHA Annual Membership Meeting June 25 through 27 at the Grand Hotel on Mackinac Island. The annual meeting will feature an outstanding lineup of speakers, including Geeta Nayyar, MD, …


AHA President and CEO Rick Pollack Addresses MHA Board

The MHA Board of Trustees welcomed AHA President and CEO Rick Pollack to its April 9 meeting at the MHA’s Capitol Advocacy Center in downtown Lansing. The board meeting primarily focused on how to effectively …


MHA to Host GME Capitol Day May 21

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


MI AIM Spring Regional Training Approaching

The Michigan Alliance for Innovation on Maternal Health (MI AIM) is offering regional training sessions for inpatient maternal health providers focused on implementing the hypertension safety bundle and addressing common challenges with implementation. The one-hour …


MHA Virtual Member Forum on Cybersecurity and Cyberattack Response

The MHA, in conjunction with its statewide Health Information Technology Strategy Committee, is hosting the virtual member forum Cybersecurity and Cyberattack Response from 9:30 to 11 a.m. May 9 as an ongoing effort to strengthen …


MHA Shares Medicare and Medicaid Enrollment Analysis

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


Excellence in Governance Fellowship Offers Meaningful Dialogue Among Trustees and Experts

Applications are now being accepted for the 2025-2026 the MHA Excellence in Governance Fellowship. Launched more than 20 years ago, is a rigorous and comprehensive program delivering tools and knowledge in effective governance, improving quality …


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

The 5 Emergent Issues for Boards in Trump-DOGE Healthcare

“This was a week for healthcare that’s unprecedented in modern history …

None of these is a surprise. Since the Trump inauguration January 20, a shake-up in federal government has been promised and last week’s actions show it’s serious.  Polls show a majority of Americans distrust the federal government, Congress, the media and the health system, so disruption is expected. But the nation’s divided about solutions, and healthcare is no exception.  …

The events of last week portend more pressure on healthcare Boards and management to execute. In these 5 areas, each organization should revisit current policies and strategies and refresh where appropriate. And each organization should evaluate current relationships with trade groups with whom advocacy efforts are coordinated to assure they’re responsive to the realities of healthcare in the Trump-DOGE era.”

Paul Keckley, April 6, 2024


New to KnowNews to Know

  • Kara Heck, MHA, BSN, RN-BC, CCRN, chair of the MHA Safety & Quality Committee, shares a testimonial encouraging healthcare leaders to attend the MHA Keystone Center Safety & Quality Symposium, taking place April 28–29, 2025, at the Kellogg Conference Center & Hotel in East Lansing.
  • The American Hospital Association (AHA) is accepting applications for the annual 2026 AHA Foster G. McGaw Prize now through May 6, 2025.

Laura Appel speaks with 9&10 News.

MHA in the News

The MHA received media coverage the week of April 7 on potential Medicaid funding cuts, pediatric behavioral health and healthcare costs. 9& 10 News aired a story April 9 on potential federal Medicaid funding cuts. MHA …

MHA Monday Report April 7, 2025

Deadline Nearing to Register for the MHA Keystone Center Safety & Quality Symposium

The April 18 registration deadline is quickly approaching for the MHA Keystone Center Safety & Quality Symposium, scheduled for April 28 –29, 2025, at the Kellogg Conference Center & Hotel, East Lansing. Multiple breakout sessions, …


New Resources for Patient Rights in Psychiatric Hospitals

The MHA recently collaborated with the Mental Health Association of Michigan and Disability Rights Michigan to develop resources outlining patient rights in psychiatric hospitals across Michigan, Indiana, Wisconsin and Ohio. These assets are modeled after …


Michigan HR Professionals Gather at the MHA Human Resources Conference

More than 100 healthcare human resources (HR) professionals from across the state gathered at the MHA Human Resources Conference March 25 in Lansing. Attendees participated in small group discussions that developed innovative ideas focused on …


MiCare Champion Cast Header PhotoHow Could Medicaid Cuts Impact Michigan?

The MHA released a new episode of the MiCare Champion Cast exploring how proposed reductions to Medicaid could disrupt access to care and harm Michigan hospitals, patients and communities. Laura Appel, executive vice president of …


MHA Rounds image of Brian PetersMHA CEO Report — Prioritizing Rural Health

While snow continues to fall in northern Michigan, spring is officially here, and for many, that means our weekend travel plans shift from skiing and snowmobiling to camping, hiking and boating. Rural Michigan is an amazing travel destination for many, …


Keckley Report

Healthcare is Low Hanging Fruit for Trump: Disruption is the Aim

“The health system is low hanging fruit for federal spending hawks and government reformers. It’s increasingly evident the Trump administration’s well aware. …

This week, Congress returns to DC to continue its budget reconciliation deliberations against a backdrop of growing anxiety about an economic downturn and potential recession.  The stock market is down 10% from its February 19 high and consumer sentiment about the economy hit a 12-year low last week. Notably, households of low and middle-income means are experiencing record levels of debt and unpaid bills: these include 4 million in lower-paying healthcare jobs and 3 million unpaid family caregivers who can’t afford to pay for outside care. And physicians, now 3 months into their fifth-year without a Medicare reimbursement increase, are simply mad and burnt-out.

Today, every healthcare organization (public/private) is operating in limbo: leaders are worried, lenders are more cautious, researchers and public health agencies are paralyzed, state and local health officials are preparing for the worst and hospitals, medical practices, ancillary and long-term care providers face an insecure, disgruntled workforce.

The playbook for everyone in U.S. healthcare—payers, providers, suppliers and advisors—is being re-written.”

Paul Keckley, March 30, 2025


News to Know

  • The MHA was recently awarded $2.5 million to expand hospital-based peer recovery coach (PRC) services and is requesting members complete a brief survey by April 11 to assess current use and interest in PRC programs.
  • The Michigan Alliance for Innovation on Maternal Health (MI AIM) is offering regional training sessions April 23 for inpatient maternal health providers focused on implementing the hypertension safety bundle and addressing common challenges with implementation.
  • MHA Endorsed Business Partner AMN Healthcare will host the free webinar Balancing the Complexities of the Healthcare Workforce in Rural Markets from 11 a.m. to noon ET April 10.

MHA CEO Brian Peters speaks during a virtual media roundtable about Medicaid.

MHA in the News

A virtual media roundtable hosted April 3 by the Michigan League for Public Policy included MHA CEO Brian Peters as a panelist, where he discussed the consequences for potential Medicaid funding cuts by Congress. Crain’s …