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 …

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 …

MHA Monday Report Aug. 15, 2022

MHA Monday Report

Primary Election Sets Field for November
MI Vote Matters


CMS Releases FY 2023 Final Rule to Update Hospital IPPS


CMS Releases FY 2023 Inpatient Psychiatric Facility Final Rule


Final Rule to Update Inpatient Rehabilitation Facilities Payment for FY 2023


CMS Releases FY 2023 Final Rule to Update Long-term Care Hospital PPS


Survey Published for Opioid Use Disorder Contacts


Hospitals Encouraged to Review Medicare Advantage Enrollment Plans


Address Healthcare Employee Retention with Data ToolsSalary.com


Paul KeckleyThe Keckley Report

Solving Healthcare Workforce Shortages Requires Taking Self-care More Seriously

“The Labor Department reported that the U.S. added 528,000 jobs in July including 69,600 in healthcare. The unemployment rate fell to 3.5%, June job openings were down to 10.7 million from 11.3 million in May and government officials announced that the economy has now recouped the 22 million jobs lost in the pandemic.

But the more sobering news is that inflation has negated the workforce’ 5.1% wage gain in the last year and 1 in 5 workers is looking for employment elsewhere for higher pay and better benefits. And it’s even worse in the healthcare delivery workforce—the hospitals, long-term care facilities, clinics and ancillary service providers where 12 million work. During the COVID-19 pandemic, hospital employee turnover increased to 19.5%–five times higher than the general workforce. And today, 45% of physicians report burnout—double the rate pre-pandemic.”

Paul Keckley, August 8, 2022


News to Know


MHA in the News

MHA CEO Brian Peters

MHA Monday Report Aug. 1, 2022

MHA Monday Report

Healthcare Community Urged to Vote in Aug. 2 Primary ElectionMI Vote Matters


Fiscal Year 2023 State Budget Signed

capitol background


Register Now for MHA Rural Advocacy Day


Proposal Released to Update Medicare Outpatient Prospective Payment System


CMS Wage Data Revisions Due Sept. 2


U.S. House Passes Advancing Telehealth Beyond COVID-19 Act


Implicit Bias Trainings Available to Meet LARA Requirement


CMS Seeks Comment on Rural Emergency Hospital Proposed Rule


Online Nurse Preceptor Academy Helps Acclimate New Nurses


MHA CEO Report — Benefits of the State Budget

MHA Rounds Report - Brian Peters, MHA CEO


Paul KeckleyThe Keckley Report

The U.S. Economy at the 2022 Mid-point: Three Immediate Implications for Healthcare

“The labor market is tight. Inflation is at a 40-year high. Consumers are worried but still spending. And this week, 5 key indicators of the economy’s strength/vulnerability will be reported. … Collectively, these indicators are likely to show an economy in stress. … So, what’s that mean for healthcare?”

Paul Keckley, July 25, 2022


News to Know


MHA in the News

MHA CEO Brian Peters

MHA Monday Report Feb. 7, 2022

MHA Monday Report

MHA Covid-19 updateCombating the Novel Coronavirus (COVID-19): Week of Jan. 31

The number of hospitalizations in Michigan due to confirmed and suspected cases of COVID-19 was the lowest since early November during the week of Jan. 31. However, with 2,882 adults and 70 children hospitalized Feb. 4 with confirmed and suspected COVID-19, some facilities in the state continue to be …


Medicare to Cover Over-the-counter COVID-19 Tests for Beneficiaries

The Centers for Medicare & Medicaid Services is developing an initiative that will provide free access to eight over-the-counter COVID-19 tests per month for Medicare beneficiaries. The initiative will apply to individuals enrolled in both traditional Medicare and Medicare Advantage plans. The new initiative …


Virtual Breakthrough

MHA Breakthrough Converting to Virtual Format

The MHA had hoped for an in-person Breakthrough event Feb. 17 and 18 but, based on the current environment, the event will be offered in a virtual format from 1 to 3 p.m. Feb. 17 on the Zoom platform. …


Webinar to Outline Housing Options to Improve Population Health

Access to affordable, safe, stable housing is well documented as a strong factor in health. The critical shortage of affordable housing directly affects communities and patients, contributing to repeat emergency room visits and hospital admissions. These patients also tend to have limited resources for …


Ludwig Community Benefit Award Nominations Due Feb. 18

The 2021 winners of the MHA’s Ludwig Community Benefit Award showcase the wide range of programs Michigan hospitals provide to benefit those in their local areas and beyond. The award is presented annually to recognize MHA-member healthcare organizations that demonstrate …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report The Time is Now for Health Equity

MHA CEO Brian Peters reviews efforts to eliminate unconscious bias and to address the social determinants of health.


Webinar to Cover Changes in Digital Marketing for Healthcare

The COVID-19 pandemic and the rapidly changing competitive environment are making the consumer digital experience a higher priority for healthcare marketers than ever before. With budgets rebounding and marketers accelerating efforts in personalization, healthcare marketers must invest in new …


The Keckley Report

Paul Keckley

The Resilience of the Health System: Not Enough

“The healthcare industry is resilient—’the capacity to recover quickly from difficulties; toughness.’ It responds well to immediate problems like the pandemic and health emergencies. It enjoys well-deserved accolades for its selfless workforce and acts of heroism.  But long-term solutions to the widely recognized systemic flaws in our system escape its attention …”

Paul Keckley, Jan. 31, 2022


News to Know

  • Due to weather-related cancellations, the Michigan Legislature did not meet Feb. 2 and 3 and no action was taken on healthcare-related bills.
  • Myers and Stauffer LC, Michigan’s contractor for the federally mandated Medicaid disproportionate share hospital  audits, will host an educational webinar at 10:30 a.m. EST Feb. 15 to assist members with the upcoming 2019 Medicaid DSH audits.
  • As part of a series from the MHA Endorsed Business Partner program, the webinar Manufacturer Mandates and Claims Capture will be hosted with SUNRx from 2 to 3 p.m. EST Feb. 15.

The MHA responded to several media requests the week of Jan. 31 that focused on the history of hospital mergers and acquisitions in Michigan and the current outlook for hospitals regarding COVID-19.

MHA CEO Report – Age-Friendly Health Systems

MHA Rounds Report - Brian Peters, MHA CEO

“Those who love deeply never grow old; they may die of old age, but they die young.” — Benjamin Franklin

MHA CEO Brian PetersThe aging of the baby-boomer generation — defined as those born between 1946 and 1964 — is among the most significant megatrends affecting America. The number of individuals over age 65 is projected to jump from 21% of the nation’s population in 2012 to more than 39% by 2050. While the impact is already being felt across virtually every industry and every state, I would argue that healthcare is among the most significantly affected industries, and Michigan is among the most affected states.

As people age, they leave the workforce and transition to a well-deserved new chapter in their lives. That transition means the loss of countless doctors, nurses, pharmacists and other talented, experienced healthcare professionals from our ranks. The transition also includes interacting with healthcare in a different way, where not only the frequency of care increases dramatically, but also the complexity. The projected fiscal viability of the Medicare Trust Fund gets plenty of media attention for this reason, but the other part of the equation is underreported: according to the Employee Benefits Research Institute, the average couple retiring at age 65 would need $301,000 in savings to pay for their anticipated healthcare costs that Medicare does not cover. The reality is that most are woefully unprepared.

Michigan will continue to feel these pressures very acutely: while other states certainly have baby boomers who continue to age, they also have higher birth rates and higher rates of migrants from other states and other countries to effectively create more balance. In relative terms, Michigan does not (as an aside, this is a big factor behind Michigan losing seats in our congressional delegation following recent U.S. census processes).

The good news is that the MHA has leaned in on this topic, even beyond our traditional advocacy for fair and adequate Medicare funding, protecting the 340B prescription drug program, and much more. Thanks to funding from the Michigan Health Endowment Fund, the MHA Keystone Center is now launching its second Age-Friendly Health Systems Action Community free of charge to MHA members. The Action Community builds on existing practices of participating organizations and combines them to reliably implement the evidence-based framework of high-quality care with all older adults in the system.

Known as the “4Ms,” these themes identify the core issues that should drive all decision-making in the care of older adults. They organize care and focus on the older adult’s wellness and strengths rather than solely on illness. Together, the 4Ms — What Matters, Medication, Mentation and Mobility — allow health systems to focus on the needs of older adults.  Importantly, actions by health systems to become age friendly extend beyond just the lifesaving care provided within the hospital, but also establish a culture of collaboration across the community that benefits older adults for years to come.

This work is even more important today, as older adults have been disproportionately impacted by COVID-19 in terms of morbidity and mortality. Most notably, over 71% of COVID-19-related deaths in Michigan have occurred to individuals 70 years of age and older. Currently, with high rates of COVID-19 hospitalizations across the state, every hospital bed and available staff member is crucial in our response to the pandemic. Hospitals need to have the ability to safely transfer patients who no longer need inpatient care to the appropriate post-acute care settings so that front-line caregivers can continue to focus on those with the most acute medical needs.  This very specific issue is just one example of how the healthcare system often fails to address the needs of our seniors in a timely and compassionate way.

We owe a great deal to our seniors. They fought wars on our behalf, raised families, pioneered technologies, bolstered communities and so much more. We can do better for them, and the Age-Friendly movement is one tangible way.

As always, I welcome your thoughts.