AHA Releases 2025 National Governance Report

The American Hospital Association (AHA) has released its 2025 National Governance Report. The report, based on data collected from August to December 2024, continues to develop a comprehensive picture of the state of healthcare governance structures and practices across the country in areas including composition, performance oversight and selection. The report also includes commentary from several governance experts following each section, offering valuable interpretations of the data and trends identified in the report.

For information about MHA trustee resources or webinars, contact Erin Steward at the MHA.

News to Know – Nov. 24, 2025

New to Know
  • New to KnowThe Centers for Medicare & Medicaid Services recently announced 2026 premiums, deductibles and coinsurance amounts for Medicare Parts A and B. Members with questions may contact Vickie Kunz at the MHA.
  • The MHA offices will be closed and no formal meetings will be scheduled Nov. 27 and 28 in honor of Thanksgiving.
  • Due to the holiday, Monday Report will not be published Dec. 1 and will resume its regular schedule Dec. 8. Member alerts and MHA newsroom articles will continue to be published during that time to provide relevant updates to the MHA membership, as necessary.
  • The American Hospital Association (AHA) released the first three chapters of its 2025 National Governance Report. The report, based on data collected from August to December 2024, outlines a comprehensive picture of healthcare governance structures and practices across the country in areas including composition, performance oversight and selection. The report includes commentary from governance experts to provide valuable insights into the data and trends presented. Questions about the AHA National Governance Report or governance can be directed to Erin Steward at the MHA.

AHA Trustee Insights Highlights Aging Population and Cybersecurity Oversight

The October edition of Trustee Insights, the monthly digital package from the American Hospital Association, highlights podcasts, videos, webinars and other resources on today’s most pressing issues. The issue examines the nation’s aging population and how health care delivery must adapt to increased clinical complexity, workforce shortages and margin pressures. Trustees can access a board checklist that outlines aging as an enterprise strategy, performance metrics and key red flags. The edition also explores board oversight of cyber threats, including IT investment awareness, continuity processes and decision-making protocols, and emphasizes the board’s role as a steadying force during response and recovery periods.

For information about MHA trustee resources or webinars, contact Erin Steward at the MHA.

Latest AHA Trustee Insights Examines the Role of Boards in Workforce Strategy

The August edition of Trustee Insights, the American Hospital Association’s (AHA) monthly digital package, highlights podcasts, videos, webinars and other resources on today’s most pressing issues. The issue includes a special-edition paper on trends shaping care and board actions to leverage data to meet market pressures and community needs; develop “care anywhere” delivery models; elevate patient experience and personalized care; and rethink talent acquisition, development and retention. It also features a podcast with a board chair discussing the health system’s preparation for and response to cyber incidents.

Members with questions about MHA trustee resources or webinars may contact Erin Steward at the MHA.

Latest AHA Trustee Insights Examines The Boards Role in Workforce Strategy

The July edition of Trustee Insights, the monthly digital package from the American Hospital Association (AHA), highlights board-level strategies for advancing leadership development, governance structure, care transformation and the use of AI in healthcare data analysis.

A featured article examines the consequences of overlooking leadership development as the healthcare landscape becomes more complex. It also explores the board’s role in workforce strategy as a long-term priority and includes questions boards can use to evaluate management’s efforts to find, retain, engage and develop staff.

This edition also features resources on the emerging role of a chief governance officer, including key responsibilities, common challenges and best practices for implementing the position in hospital and health system leadership.

For information about MHA trustee resources or webinars, contact Erin Steward at the MHA.

Latest AHA Trustee Insights Examines How Boards are Reimagining Workforce

The June edition of Trustee Insights, a monthly digital publication from the American Hospital Association, highlights how board members can support workforce planning and leverage innovation to strengthen healthcare delivery.

One article outlines key questions trustees should ask to ensure workforce priorities are embedded in enterprise planning, resourcing decisions and performance oversight. It also encourages boards to examine how work is structured to support updated roles and more efficient processes.

A second article explores how embracing “ecosystem-ness” and leveraging artificial intelligence can help create stronger networks that promote accessibility, cost effectiveness and collaborative care. It identifies four actions boards can take to shift from inward-focused system strategies to a broader, interconnected approach.

Members with questions about MHA trustee resources or webinars may contact Erin Steward 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. …

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 financial and strategic value of philanthropy, describing how reinvestment through well-planned campaigns can deliver meaningful returns. It includes guiding questions for boards on how to evaluate and strengthen their organization’s fundraising approach.

Another article examines how organizational culture influences compliance effectiveness. It introduces the concept of the “say-do” ratio, highlighting gaps between what leaders say and what they do, and explores how leadership behavior, accountability and incentives contribute to a strong compliance program.

For information about MHA trustee resources or webinars, contact Erin Steward at the MHA.

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 incidents. Speakers included:

  • Brian Brown, MBA, senior vice president, Marketing, McLaren Health Care
  • Mark Geary, APR, senior director, Communications/External Affairs, Corewell Health East
  • Ash Goel, MD, MBA, senior vice president, Information Technology, and chief information officer, Bronson Healthcare
  • Jack Kufahl, chief information security officer, Michigan Medicine
  • Geoff Patterson, CHCIO, CDH-E, PMP, vice president and chief information officer, Henry Ford Health
  • Chuck Sherwin, FACHE, president, MyMichigan Medical Center Midland
  • J. Joshua Wilda, MPA, CHCIO, CDH-E, regional chief digital and information officer, University of Michigan Health – Regional Network

Discussions focused on ensuring continuity of care during a cyberattack, strengthening organizational resilience, prioritizing internal and external communications, and training staff for effective incident response.

Strengthening cybercrime and cybersecurity policy remains a key priority of the MHA Strategic Action Plan. The MHA continues to work with members, policymakers, payers and other stakeholders to secure resources, reduce disruption and support continuity of care.

Members with questions regarding member forums may contact Erin Steward at the MHA.

MHA Monday Report May 12, 2025

Michigan Senate Hears MHA Testimony on ED Boarding Challenges, MHA Opposes Introduced MCPA Bill

The MHA provided testimony May 7 to the Senate Health Policy Committee on certain challenges related to hospital emergency department boarding for behavioral health patients. The Senate Health Policy Committee heard about patients facing behavioral …


Protect MI Care Coalition Partners Share Majority of Michiganders Oppose Medicaid Cuts

The MHA joined other Protect MI Care Coalition partners in releasing public polling results that show 83% of Michiganders want to see Medicaid spending increased or kept the same as Congress considers cutting hundreds of …


speak upBronson Battle Creek Hospital Nurse Honored with Q1 MHA Keystone Center Speak-up! Award

The MHA Keystone Center recognized Season Willi, RN at Bronson Battle Creek Hospital, as its quarterly MHA Keystone Center Speak-up! Award recipient May 8. The Speak-up! Award honors individuals or …


MDHHS Enacts Blood Lead Testing Mandate for Young Children

The Michigan Department of Health and Human Services (MDHHS) recently finalized administrative rules requiring blood lead testing for all children at 12 and 24 months of age, following legislation signed into law by Gov. Gretchen …


MHA Keystone Center PSO to Host Cybersecurity Safe Table

The MHA Keystone Center Patient Safety Organization (PSO) and MHA Endorsed Business Partner CyberForce|Q, will host a Safe Table event focused on adapting clinical risk management practices for cybersecurity. The session will be held from …


MDHHS Offers Loan Repayment to Expand Opioid Use Disorder Treatment

To help close critical gaps in opioid addiction treatment across Michigan, the Michigan Department of Health and Human Services is offering student loan repayment to eligible healthcare providers who begin or expand opioid use disorder …


MHA Keystone Center PSO Launches SAFER Webinar Series

The MHA Keystone Center PSO, in partnership with EisnerAmper, is launching a new webinar series focused on the 2025 Safety Assurance Factors for Electronic Health Record Resilience (SAFER) guidelines. The free series …


Applications for the MHA Excellence in Governance Fellowship Due in June

Applications will be accepted through June 27 for the 2025–2026 cohort of the MHA Excellence in Governance Fellowship. By participating, hospital board members will advance their skills and knowledge to elevate the organizations they serve. …


In the Middle of Nowhere and Everything: Why Our Community Hospital Matters

I live in a rural town—what I call the middle of nowhere, and everywhere. We’re miles from the nearest city, surrounded by open space instead of traffic. But out here, you learn to value what’s close. In the city, everything is nearby. …


Addressing Hurdles for Behavioral Health Patients Seeking Care in the ED

The MHA released a new episode of the MiCare Champion Cast exploring the need to expand the pre-admission screening assessment for behavioral health providers. Lauren LaPine, senior director of legislative & public policy, MHA, joined …


MHA Rounds image of Brian PetersMHA CEO Report — Highlighting Hospitals

This month’s CEO Report is being filed from Washington, DC, where I am honored to join my colleagues from throughout our state and nation at the American Hospital Association’s Annual Meeting. On the agenda are …


Keckley Report

The Next 100 Days: What Healthcare Should Expect

The Trump administration is moving into its second 100 days facing conditions more problematic than its first 100. For healthcare, this period will define the industry’s near-term future as changes in three domains unfold:

  • The Economy: The economy is volatile and consumer confidence is waning. The impact of tariffs on U.S. prices remains an unknown and escalating tension between the Ukraine and Russia, Israel and Palestine, Pakistan and India are worrisome. Household debt is mounting as student loans, medical debt and housing costs imperil financial security for more than half of U.S. households. The 3 major stock indices remain in the red YTD, prospects for a recession are high and investors are increasingly cautious. Net impact on healthcare organizations and public programs: negative, especially those without strong balance sheets and access to affordable private capital.
  • The Courts: Recent opinions by the Supreme Court and District Courts suggest a willingness to challenge the administration’s Executive Orders on immigrant deportation and due process, threats and funding cuts aimed at law firms and universities considered “woke” and layoffs initiated by DOGE and more. Court challenges will slow the administration’s agenda and create uncertainty in workplaces. Net impact: negative. Uncertainty paralyses planning and operations in every public and private healthcare organization.
  • The Public Mood: The afterglow of the election has dissipated and the public’s mood has shifted from guarded optimism to anxiety and despair. The public’s uncertain about tariffs and worried about household expenses. Net impact: negative. Healthcare affordability and prices are major concerns to consumers: the majority (76%) think the system is more concerned about profitability than patient care (Jarrard).

The next 100 days will define the national agenda for the mid-term election in November 2026, reflect the solidarity of the MAGA movement and show the impact of tariffs on inflation, consumer prices and the public’s mood.

Healthcare leaders will be watching closely. All will be impacted.

Paul Keckley, May 5, 2025


New to KnowNews to Know

  • MHA Endorsed Business Partner Vault Verify, is offering a free webinar People, Process and Protection: Rethinking HR Data Strategy hosted by the Massachusetts Hospital Association from 12 – 12:30 p.m. ET May 13.
  • 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.