MHA Monday Report March 31, 2025

Healthcare Laws Set to Take Effect April 2025

More than 30 healthcare laws signed by Gov. Whitmer from last term are set to take effect on or after April 1. Some of these laws include state level Affordable Care Act codifications, increased …


Feedback Requested for Peer Recovery Coach Funding

The MHA was recently awarded $2.5 million to expand access to hospital-based peer recovery coach services. The funding was appropriated by the Michigan Legislature as part of the state fiscal year 2025 budget to …


MDHHS Seeks Committee Members for MMRC Program and Recommendations Workgroup

The Michigan Department of Health and Human Services (MDHHS) Maternal Mortality Surveillance Program is seeking professionals and community members to join the Maternal Mortality Review Committee (MMRC) and Recommendations Workgroup. These committees play a …


HHS Renews Ongoing Opioid Crisis PHE

U.S. Secretary of Health and Human Services (HHS) announced March 18 the renewal of the public health emergency (PHE) declaration addressing the ongoing opioid crisis. This extension, which lasts for 90 days, allows continued federal …


MDHHS Launches New Public Health Dashboard

The Michigan Department of Health and Human Services (MDHHS) recently launched the Michigan Public Health Dashboard, a tool designed to improve access to key health data and support informed decision-making. This publicly accessible resource assists …


MHA Members Share Strategies for Advancing Person and Family Engagement

Members of the MHA Person & Family Engagement (PFE) Advisory Council will share how integrating the MHA Roadmap to Person and Family Engagement develops and strengthens PFE efforts in their organizations through two upcoming PFE …


How Policy Shapes the Patient Experience: Reflections from a Public Policy Fellow

The Institute for Healthcare Improvement Patient Safety Congress brought together voices from across the healthcare spectrum March 9 – 11, uniting leaders, learners and advocates in a shared goal of delivering safer care to …


Keckley Report

The Fundamental Flaw of the Affordable Care Act

Today marks the 15th anniversary of the Patient Protection and Affordable Care Act (ACA). It is the most consequential and controversial health legislation in our country’s history since LBJ’s Social Security Amendments created Medicare and Medicaid in 1965.

When passed March 23, 2010, 41% of adults held a favorable view of the law vs. 44% who were unfavorable. Today, 64% have a favorable view vs. 36% unfavorable (KFF). The 900-page law sought expansion of insurance coverage, reduced health costs and improved quality of care. But its results to date are mixed: coverage increased from 84% to 92% but costs have grown unabated and quality improvements have been significant in some areas and negligible in others.

In retrospect, the ACA is fundamentally flawed because it failed to recognize changes in the healthcare marketplace upon which systemic improvements could be achieved …

The ACA defaulted to a focus on insurance coverage and neglected attention to cost containment and quality improvement. As its implementation unfolded from 2010-2013, insurance coverage drew the lion’s share of attention and political opposition grew. Key amendments i.e. the deletion of mandates (proposed by conservative think-tanks to stabilize risk pools) and the June 2012 Supreme Court decision that delegated Medicaid expansion to states neutered its impact. Would-be systemic reforms became incremental changes comfortable to insiders and non-responsive to outsiders.

The ACA is fundamentally flawed because its Beltway-based collaborators did not accurately assess the environment and assumed incremental improvement to the status quo was enough. They were wrong; the public’s demanding more.

The ACA is an important component in health policy today but its fundamental flaw should be acknowledged.”

Paul Keckley, March 23, 2025


News to Know

  • Registration is open for the highly anticipated MHA Keystone Center Safety & Quality Symposium, scheduled for April 28 and 29, 2025, at the Kellogg Conference Center & Hotel, East Lansing.
  • The American Hospital Association (AHA) is accepting applications for the annual 2026 AHA Foster G. McGaw Prize now through May 6, 2025.

Lauren LaPineMHA in the News

Lauren LaPine, senior director, legislative and public policy, MHA, appeared on the MIRS Monday podcast published March 24 to discuss the state behavioral health system. LaPine spoke about the challenges associated with patients boarding in …

How Policy Shapes the Patient Experience: Reflections from a Public Policy Fellow

The Institute for Healthcare Improvement (IHI) Patient Safety Congress brought together voices from across the healthcare spectrum March 9 – 11, uniting leaders, learners and advocates in a shared goal of delivering safer care to all patients. Among them was Esha Elahi, government relations & public policy fellow at the MHA, who dives into what her current role has taught her, what she learned at the IHI Conference and how those experiences are setting the tone for her next chapter in healthcare.

How has your experience as a Government Relations & Public Policy Fellow at the MHA shaped the way you interpret conversations about patient safety?

Elahi: My experience as a fellow has had a huge impact on the way I interpret and engage in conversations about patient safety. At the MHA, I’ve had the privilege of engaging with health professionals from a variety of disciplines, including doctors, nurses, social workers, administrators and policy experts. Listening to these diverse perspectives exposed me to the complexity of ensuring patient safety and all that goes on behind the scenes. It’s not just about training our frontline workers. Every person within a healthcare setting plays an important role in promoting patient safety. Likewise, for change to occur within health systems, we need multiple perspectives at the table.

How did attending the IHI Patient Safety Congress deepen or expand your understanding of the policies that influence safety in care settings?

Elahi: The IHI Patient Safety Congress helped me recognize just how critical workplace culture is in healthcare and how it directly affects patient outcomes. While healthcare systems often have protocols in place to support patient safety, I started to ask myself: what happens when someone notices a safety risk but doesn’t feel supported enough to speak up?

One session that really stuck with me was “Advancing High Reliability: The Role of Psychological Safety in Supporting Cultural Change,” led by Amjed S. Baghdadi and Amanda Laorenza. It focused on the importance of psychological safety in building high-reliability organizations; workplaces where staff feel empowered to voice concerns and stop potential harm before it happens. It echoes that everyone at a hospital plays a role in patient safety, whether you are in direct contact or not.

That session made me think more deeply about what protections exist for healthcare workers who report safety or quality concerns. At the MHA, we have initiatives like the MHA Keystone Center Speak-up! Award, which recognizes hospitals where staff take action to prevent harm through open communication. It’s one way to reduce preventable incidents caused by miscommunication or silence.

The conversations at the Congress also reminded me of the advocacy work being done at the MHA around protecting healthcare workers, including efforts to pass legislation addressing violence in healthcare settings. Policies such as Public Acts 271 and 272 of 2023 are essential; not just for staff safety, but also for maintaining high-quality care for patients.

Were there any conversations at the congress that highlighted the intersection of policy and frontline care delivery in a way that resonated with your work?

Elahi: The session “Personal Experience to Professional Expertise: Using One Case of Maternal Morbidity for Advocacy,” led by Dr. Charity S. Watkins, resonated with the efforts I’ve been involved in at the MHA. Maternal health has been a key priority for the association. Dr. Watkins shared data on the status of maternal healthcare in the United States, which has the highest maternal mortality rate among high-income countries and that 84% of maternal deaths in the U.S. are preventable. Black women giving birth are three to four times more likely to die while giving birth and twice more likely to experience a life-threatening medical event during childbirth. These facts underscore the importance of the work we’re doing at MHA to improve maternal health outcomes.

What advice would you give to other future providers about understanding the policy side of patient care?

Elahi: Whether you’ve worked in the advocacy-space before or this type of work is brand new to you, understanding the impact of policy on your practice, medicine and on patient care is crucial. If there’s an issue or topic within medicine you’re passionate about changing or improving, there’s a chance there’s some type of policy in motion. Getting involved in public policy and advocacy efforts can seem quite daunting, but you might be surprised at how natural it comes to you. Physicians are naturally inclined with a mindset of service. Scaling this up by sharing your personal stories with stakeholder groups or lawmakers to improve policy is an amazing way to service future patients and community members.