Two-part Webinar Will Review Challenging Accreditation Standards Jan. 13

The Centers for Medicare & Medicaid Services (CMS) and other regulatory agencies are continually revising requirements that result in changes to The Joint Commission (TJC) standards. In addition, there are problematic areas that are commonly reviewed on TJC surveys that require additional education and implementation strategies to have a successful survey outcome.

The MHA Health Foundation webinar The Joint Commission Accreditation 2021: A Look Back & A 2022 Look Ahead is a two-part series that will review:

  • Top challenging standards (CMS Conditions of Participation and TJC Standards) from the past year and a look ahead to determine future impacts on continuous accreditation and regulatory readiness.
  • Patient safety issues over the past year and how they impact continuous accreditation and regulatory readiness.
  • Challenging life safety issues and mitigation strategies to meet regulatory and accrediting compliance.

The webinar will be offered Jan. 13, with part one held from 8 a.m. to noon and part two scheduled from 1 to 4:30 p.m. MHA members can register for a single session for $225 or the full day for $275. Members with questions should contact Erica Leyko at the MHA.

MHA Monday Report Dec. 13, 2021

MHA Covid-19 update

Combating the Novel Coronavirus (COVID-19): Week of Dec. 6

As MHA CEO Brian Peters outlines in his December CEO Report, the situation confronting Michigan hospitals is dire, with hospitalizations due to COVID-19 exceeding record highs and intensive care units full of patients — most of whom are unvaccinated. The MHA joins healthcare experts around the country in urging the public to get one of the available …


Tell Legislature to Pass Supplemental Budget for COVID-19 Funding

The Michigan House Appropriations Committee adopted an H-3 substitute for House Bill 5523 Dec. 8. The COVID-19 supplemental funding bill would allocate $1.2 billion in federal funds, including $300 million for recruitment and retention bonuses for healthcare settings. The appropriation is in …


MHA and Members Testify in Support of Licensure Exemption Bill

The House Health Policy Committee, chaired by Rep. Bronna Kahle (R-Adrian), reported the MHA-supported Senate Bill 759 to the full House Dec. 9. Before the bill was reported, Adam Carlson, senior vice president of advocacy, MHA, and Sean Gehle, regional vice president, advocacy and …


capitol building

The Michigan House of Representatives acted on several bills related to healthcare during the week of Dec. 6. The House Education Committee supported legislation to allow community colleges to offer four-year Bachelor of Science in Nursing degrees. The House Health Policy Committee approved …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — Staying Resilient Through the Ongoing Pandemic

MHA CEO Brian Peters discusses the ongoing COVID-19 surge in Michigan and solutions to address workforce sustainability.


Grants Available to Fund ED Medication for Opioid Use Disorder Initiative

In partnership with the MHA Keystone Center, Michigan Opioid Partnership and the Michigan Department of Health and Human Services, the Community Foundation for Southeast Michigan has launched an Emergency Department Medication for Opioid Use Disorder Initiative and …


MHA SVP Adam Carlson speaks with WNEM TV5

Headline Roundup: Week of Dec. 6 for COVID-19 in Michigan

The MHA has been actively fielding and responding to media requests related to the surge of COVID-19 cases and hospitalizations, as well as two pieces of legislation that would address the staffing crisis.


The Keckley Report

Paul Keckley

The Value Agenda for Physicians in 2022

“This week, more than 800 will assemble in San Diego for America’s Physician Group’s (APG) 2021 Annual Conference. The group’s 335 member organizations seek to replace ‘the antiquated, dysfunctional fee-for-service reimbursement system with a clinically integrated, value-based healthcare system where physician groups are accountable for the coordination, cost, and quality of patient care.’”

Paul Keckley, Dec. 6, 2021


News to Know

  • The MHA welcomes AbilitiCBT by LifeWorks as a new Endorsed Business Partner that can help healthcare organizations support and enhance the mental health of their employees — which is especially critical now, with employee burnout and turnover reaching record heights.
  • MiPLUS, the Bureau of Professional Licensing licensing platform, sends an electronic copy of a provider license via email as soon as it is issued or renewed. Paper copies of licenses will no longer be automatically mailed upon issuance or renewal beginning Jan. 1.
  • The MHA recently submitted comments to the United States departments of Health and Human Services, Labor and Treasury and the Office of Personnel Management regarding the No Surprises Act Part 2.

Combating the Novel Coronavirus (COVID-19): Week of Dec. 6

MHA Covid-19 update

MHA Covid-19 updateAs MHA CEO Brian Peters outlines in his December CEO Report, the situation confronting Michigan hospitals is dire, with hospitalizations due to COVID-19 exceeding record highs and intensive care units full of patients — most of whom are unvaccinated. The MHA joins healthcare experts around the country in urging the public to get one of the available COVID-19 vaccines.

The MHA continues to keep members apprised of pandemic-related developments affecting hospitals through email updates and the MHA Coronavirus webpage. Important updates are outlined below.

Legislature Considers Bills to Assist in Treating COVID-19

The Michigan House Appropriations Committee voted Dec. 8 in support of House Bill 5523, a bill that would provide critical staffing resources to hospitals and other providers. The MHA urges hospitals and others to contact their legislators, urging them to support the bill (see related article).

In addition, the Michigan Senate unanimously voted Dec. 8 in support of Senate Bill (SB) 759, a bill that would allow healthcare workers licensed by another state to continue to practice in Michigan during COVID-19 (see related article).

Court Issues Temporary Stay of Vaccine Mandate Enforcement for Federal Contractors

A federal district judge in Georgia issued an injunction Dec. 7 that is applicable to all states and temporarily pauses enforcement of the Centers for Medicare & Medicaid Services (CMS) COVID-19 vaccine mandate for federal contractors.

This is a preliminary injunction; until there is a final decision from the highest appellate court on these challenges to the CMS rule, federal contractors should be prepared to comply if the requirement is upheld. Like previous injunctions, this does not impact a contractor’s ability to implement and enforce its own organization-based vaccine policy.

The MHA will apprise members of updates on legal challenges to President Joe Biden’s vaccine mandates as they become available. Those with questions may contact Amy Barkholz at the MHA.

Additional information on the COVID-19 pandemic is available to members on the MHA Community Site and the MHA COVID-19 webpageQuestions on COVID-19 and infectious disease response strategies may be directed to the Michigan Department of Health and Human Services Community Health Emergency Coordination Center (CHECC).

MHA Monday Report Dec. 6, 2021

MHA Covid-19 update

Combating the Novel Coronavirus (COVID-19): Weeks of Nov. 22 and 29

The state’s coronavirus webpage indicates there were an average of 9,222 new COVID-19 cases per day Dec. 2 and 3, bleakly demonstrating the current surge of the disease in Michigan. However, 55.6% of Michiganders ages 5 and older were fully vaccinated as of Dec. 3, and more than 1.6 million residents had …


Hospital Leaders Provide Testimony Amid Latest COVID Surge

Hospital leaders from around the state testified Dec. 1 before the House Appropriations Committee, chaired by Rep. Thomas Albert (R-Lowell). They discussed the current challenges Michigan’s hospitals face as they near the statewide record for COVID-19 hospitalizations while having more COVID-19 …


Hospital Testimony Supports Community College BSN Degrees

The Michigan Legislature held several hearings on legislation supported by the MHA during the week of Nov. 29. In the House Education Committee, initial testimony was taken on a bill to allow community colleges to offer 4-year Bachelor of Science in Nursing degrees. The Senate Health Policy and Human Services Committee reported to the …


Bill to Codify Licensure Exemptions, Assist in Workforce Shortage Reported to Senate

The Senate Health Policy and Human Services Committee reported Senate Bill 759 to the Senate floor Dec. 2. Introduced by Sen. Curt VanderWall (R-Ludington) and supported by the MHA, SB 759 would codify a provision that has given hospitals flexibility to appropriately respond to …


CMS Offers Forum on No Surprises Act Dec. 8

The Centers for Medicaid & Medicaid Services Center for Consumer Information and Insurance Oversight will host a special Open Door Forum via conference call at 2 p.m. Dec. 8 to review provider requirements under the federal No Surprises Act. …


New MHA Infographic Highlights Michigan’s Midsize Vital Hospitals

The MHA has released a new infographic highlighting Michigan’s 32 midsize vital hospitals. The publication seeks to bring attention to these facilities that ensure access to care for residents in rural and small urban areas that, while they experience similar challenges to critical access hospitals, are not eligible for …


Governance Webinar Outlines Ties Between Trends and Strategic Planning

Hospital and health system boards will face challenges as the world transitions from a multiyear pandemic to an endemic. The industry is experiencing instability and near-constant change: innovation in medicine and service delivery, new competitors, payer upheaval, renewed scrutiny on the social determinants of …

Virtual Breakthrough


Registration Open for MHA Breakthrough In-person Event in February

The COVID-19 crisis has made clear what American healthcare providers are capable of and their infinite potential, yet challenges remain. COVID-19 variants continue to plague the nation’s health; regular harassment and violence toward caregivers sustains burnout brought about by exhaustion and …


Upcoming Webinar to Improve Healthcare for Transgender Population

Transgender and gender nonconforming individuals deal with many common fears that can be debilitating. Healthcare providers need to understand the obstacles that this population faces to improve medical care for their patients. The MHA Health Foundation Transgender Healthcare Dignity Model …


MHA CEO Brian Peters appears Nov. 23 on CNN

Headline Roundup: Michigan Hospital CMOs Urge Action Against COVID-19

The MHA published a consensus statement Nov. 22 on behalf of chief medical officers of Michigan’s community hospitals urging the public to take action to help slow COVID-19 growth throughout the state. …


The Keckley Report

Paul Keckley

STAT Investigation on Ascension Private Equity Activity Problematic for Hospitals

“The STAT headline last Tuesday read: ‘How America’s largest Catholic hospital system is moonlighting as a private equity firm’ The news organization’s investigation involved ‘interviews with nearly two dozen academic experts, financial analysts, accountants, and community organizers … ’”

Paul Keckley, Nov. 22, 2021


News to Know

  • The MHA will host a free webinar from 1 to 2 p.m. ET Dec. 7 to provide an update on price transparency and the No Surprises Act, including what is required for compliance as of Jan. 1.
  • An Unemployment Compensation and Vaccine Mandates webinar will be offered at 10 a.m. ET Dec. 9.
  • The MHA welcomes care.ai as a new Endorsed Business Partner providing the first AI-powered autonomous monitoring solutions for care teams and their patients.

CMS Offers Open Door Forum on No Surprises Act Dec. 8

The Centers for Medicaid & Medicaid Services (CMS) Center for Consumer Information and Insurance Oversight will host a special Open Door Forum via conference call at 2 p.m. Dec. 8 to review provider requirements under the federal No Surprises Act.

Beginning Jan. 1, patients will have new billing protections when receiving emergency care, nonemergency care from out-of-network providers at in-network facilities, and air ambulance services from out-of-network providers. The new rules will limit out-of-pocket costs for patients and require continued coverage of emergency services without prior authorization regardless of whether a provider or facility is in network.

Slides for the call are available online in advance.  Participants can join the forum by dialing (888) 455-1397 and entering the Conference ID #8604468. The CMS will provide a transcript and audio recording at following the event. Members with questions may contact Vickie Kunz at the MHA.

Medicare Premiums and Deductibles Announced for 2022

The Centers for Medicare & Medicaid Services (CMS) recently announced that the Medicare Part A deductible for inpatient hospital services will increase by $72 in calendar year (CY) 2022 to $1,556. The Part A daily coinsurance amounts will be:

  • $389 for days 61-90 of hospitalization in a benefit period, up from the current $371.
  • $778 for lifetime reserve days up from the current $742.
  • $194.50 for days 21-100 of extended care services in a skilled nursing facility in a benefit period, up from the current $185.50.

The monthly Part A premium, paid by beneficiaries who have fewer than 40 quarters of Medicare-covered employment and certain people with disabilities, will increase by $28 in CY 2022 to $499.

The CMS announced that the annual deductible for Medicare Part B will increase by $30 in 2022 to $233, while the standard monthly premium for Medicare Part B will increase by $21.60 to $170.10. Members with questions should contact Vickie Kunz at the MHA.

Comments Due Jan. 4 on Federal Vaccine Mandates; MHA Summary Available

The Centers for Medicare & Medicaid Services (CMS) and the federal Occupational Safety and Health Administration recently released the anticipated detailed rules mandating vaccines for employees of healthcare facilities and businesses with 100 or more workers.

The MHA has prepared a detailed accounting of the key elements, highlighting deadlines, definitions and more. Members are urged to review the summary of the rules as soon as possible. Comments are due Jan. 4, the same date by which workers must be fully vaccinated.

The MHA is aware of potential issues with the CMS rule’s requirement that first shots be given by Dec. 6. The association is communicating its serious concern about the restricted timeframe to the MHA’s state and federal partners and regulators and will keep members apprised of any updates on this deadline.

Members with questions about the rules may contact Laura Appel at the MHA.

Medicare Home Health Prospective Payment System Updated for 2022

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service prospective payment system for home health (HH) agencies effective Jan. 1, 2022. Key aspects of the final rule include:

  • A one-year delay, until Jan. 1, 2023, of the proposed national expansion of the HH value-based purchasing model to replace the pilot that began in nine states (Arizona, Florida, Iowa, Maryland, Massachusetts, Nebraska, North Carolina, Tennessee and Washington) in 2016.
  • A 6.9% increase to the national, standardized 30-day period payment rate HH band from $1,901.12 to $2,031.61 for HH agencies that submit the required quality data.
  • Recalibration of the Patient-driven Groupings Model (PDGM) case-mix weights for the 432 payment groups, using 2020 data.
  • Modification of the HH quality reporting program measures to:
    • Remove an OASIS-based measure: the Drug Education on All Medications Provided to Patient/Caregiver During All Episodes of Care measure.
    • Replace two claims-based measures — the Acute Care Hospitalization During the First 60 Days of Home Health (NQF #0171) measure and the Emergency Department Use without Hospitalization During the First 60 days of Home Health (NQF #0173) measure — with one claims-based measure — the Home Health Within Stay Potentially Preventable Hospitalization measure.
  • Continuation of the 4.36% behavioral adjustment that was implemented in 2020 when the new PDGM case-mix classification system was implemented.
  • Finalization of the proposal to make permanent the blanket waiver related to virtual supervision of home health aides that was granted temporarily for the duration of the COVID-19 pandemic.
  • Implementation of a provision of the Consolidated Appropriations Act that would allow occupational therapists to perform the initial and comprehensive patient assessment.
  • Continuation of the 4.36% payment cut to the standardized 30-day payment rate implemented in 2020 when the new PDGM was adopted.

The CMS continues to review input received on the agency’s plans to define digital quality measures for the HH quality reporting program and the potential use of fast healthcare interoperability resources in support of digital quality measurement. The MHA will provide members with an updated estimated impact analysis soon. Members with questions should contact Vickie Kunz at the MHA.

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.

Webinar Provides Tips for Successful Surveys from The Joint Commission

The Centers for Medicare & Medicaid Services (CMS) and other regulatory agencies are continually revising requirements that result in changes to The Joint Commission (TJC) standards. In addition, there are problematic areas that are commonly reviewed on TJC surveys that require additional education and implementation strategies to have a successful survey outcome.

The MHA Health Foundation webinar The Joint Commission Accreditation 2021: A Look Back & A 2022 Look Ahead is a two-part series that will review:

  • Top challenging standards (CMS Conditions of Participation and TJC Standards) from the past year and a look ahead to determine future impacts on continuous accreditation and regulatory readiness.
  • Patient safety issues over the past year and how they impact continuous accreditation and regulatory readiness.
  • Challenging life safety issues and mitigation strategies to meet regulatory and accrediting compliance.

The webinar will be held Nov. 15, with part one scheduled from 8 a.m. to noon and part two scheduled from 1 to 4:30 p.m. MHA members can register for a single session for $225 or both sessions for $275. Members with questions should contact Erica Leyko at the MHA.