The following statement can be attributed to Brian Peters, CEO of the Michigan Health & Hospital Association.
Rev. Martin Luther King Jr. once said, “Of all the forms of inequality, injustice in healthcare is the most shocking and inhumane.” As we honor Dr. King today and the legacy he created striving for racial equality, the MHA and our member hospitals and health systems remain committed to the pledge every MHA member chief executive officer originally signed in 2020 indicating a unified responsibility to addressing disparities, dismantling institutional racism and achieving health equity. Simply put, hospital leaders will continue to listen, act and lead towards achieving health equity and eliminating racial disparities.
Words do not do justice to the tremendous change Dr. King led in our country. It falls on each of us as leaders to continue his work. In our hospitals, efforts persist to ensure all healthcare professionals are trained on the impacts of unconscious bias. With the help of the MHA Keystone Center, over 90% of hospitals have completed the Health Equity Organizational Assessment to identify the health equity priorities for their communities. Industry leaders are also meeting from all areas of Michigan within the MHA Keystone Center’s Health Equity Task Force to make health equity engrained in all facets of care.
Hospitals have treated the end results of decades of health inequity for far too long. We remind Michiganders today that eliminating health disparities is an all-hands-on-deck effort. The time is now for healthcare leaders to drive change and to achieve more equitable healthcare in Michigan.
“I don’t like that man. I must get to know him better.” ― Abraham Lincoln
As I put the proverbial pen to paper, the Michigan Legislature has completed the 2021-2022 legislative session and I am very pleased to report that in the lame-duck session, we successfully advanced several MHA-supported bills – and not a single MHA-opposed bill was signed into law. Another job extremely well done by our MHA Advocacy team as we protect access to affordable, high-quality healthcare for all.
Now shifting to the New Year: 2023 will usher in a monumental shift in power in Lansing as Democrats will control all aspects of government in the state for the first time during my 32-year tenure at the MHA. Following last November’s election results, Democrats not only retain power in all areas of the executive branch and a majority in the judicial, but both chambers of the legislative branch flipped to Democratic control. The last time Democrats had control of the Governor’s office and both chambers of the state legislature was 1984.
This change was due to a multitude of factors, including redistricting, ballot proposals, a trickle-down impact from the top of the ballot, candidate viability and record turnout. Earlier this year, the Michigan Independent Citizens Redistricting Commission established new district maps, which had previously been handled by the majority party in the state legislature in conjunction with the governor. Michigan saw a significant increase in the number of competitive districts due to their nonpartisan work. The Michigan midterm election saw record turnout again, with 4.5 million votes cast, including 1.8 million absentee ballots. This is a 2.4% increase from the prior record set in 2018 with 4.3 million votes. Turnout was partially driven by three ballot proposals as well as over 14,000 same day voter registrations, primarily from young Gen Z voters.
The MHA has a long history of being nonpartisan, but moving from divided government to one-party control will always bring about a change in the political dynamics and associated priorities. Our advocacy culture has long been to establish and maintain relationships regardless of leadership role or party affiliation so that in times of need, you have allies you can rely on. Both new Speaker of the House Joe Tate (D-Detroit) and Senate Majority Leader Winnie Brinks (D-Grand Rapids) have established track-records of working closely with the healthcare community to help us fulfill our mission of advancing the health and wellness of individuals and communities. Our MHA Advocacy team as well as our member hospitals and health systems consider them friends. And of course, our close partnership and personal friendships with Gov. Whitmer extend back to her time in the state legislature when she was recognized with an MHA Special Recognition Award at the 2014 MHA Annual Meeting. Our bonds with the governor and her administration grew even stronger as we confronted the COVID-19 pandemic together.
As a result of term limits, the new legislative session will also welcome an astounding 59 first-time legislators to Lansing. Since the Nov. 8 election, we have been busy establishing new relationships and introducing ourselves to many new faces. Most lawmakers only know healthcare through the prism of a consumer, so it is never too early to begin the education process related to this highly complex field. As part of this process, we hosted the Building Bridges event with our partners at the Small Business Association of Michigan, the Michigan Education Association, Michigan Association for Justice and Business Leaders for Michigan that helped us pursue these goals while also offering new legislators the opportunity to connect with their peers and learn how best to serve in Lansing.
Now I have no magic crystal ball so I can not predict what types of legislation we may see introduced and prioritized over the coming months. Having not held a dual-chamber majority for nearly 40 years, we anticipate there is no shortage of issues for Democrats to work on. There is no question we will continue to express the importance of access to care, which Democrats have traditionally strongly supported. Based on public comments and prior legislative track records, it is reasonable to expect continued activity on improving behavioral health, public health, health equity and addressing pharmaceutical pricing. American Rescue Plan Act funds also remain available and we strongly believe these funds should be appropriated quickly to make a difference in addressing the financial and staffing challenges that our member hospitals throughout the state, regardless of size, are experiencing. Those are positives. In reality, we need to also be prepared to address legislative proposals that we find more concerning – such as nurse to patient staffing ratio mandates which sound good in theory but would be impractical if not impossible to implement in practice.
The truth of the matter is that the Democrat majority is very slim, so we expect Republicans will still play an impactful role in healthcare funding and policy development. We certainly appreciate the work they’ve done for hospitals and healthcare over recent years and look forward to continuing those relationships during the new session.
I hope all our elected officials who will take office in January will reflect on the wise words of Abraham Lincoln above and include among their New Year’s resolutions to pause, set aside whatever preconceived notions they may have about the people across the aisle from them and make an earnest effort to truly get to know them. Will this guarantee that we come together and see eye-to-eye on all the issues? Of course not. But hopefully, such an approach will lead to more civility in the political process and better public policy for all Michiganders.
The bottom line: 2023 presents new challenges and opportunities for all who work in Lansing. While many of the players in town may have changed, the playbook for successful advocacy has not. On behalf of our member hospitals, I’d like to express my gratitude for those finishing their years of service, congratulate all those who will be serving in office this upcoming year and look forward to working together to achieving a healthier Michigan.
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 …
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. …
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 …
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 …
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 …
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 …
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 …
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 …
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 …
“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 …”
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 …
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 …
The Michigan Department of Health and Human Services (MDHHS) announced Oct. 28 they are reorganizing to create systems of care for stroke and acute heart attack emergencies. The Bureau of EMS, Trauma & Preparedness within the MDHHS …
Registration is being accepted for the MHA virtual Trustee Member Forum Wednesday, Nov. 2 from 1 to 2:30 p.m. The forum will outline ways the association and members are supporting critical strategic pillars and allow trustees to discuss how governing boards can support workforce development and wellbeing, health equity, behavioral health and financial stability …
Recently, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) announced their commitment in driving the next decade of health equity for people who are underserved. The commitment to advancing health equity …
The Michigan Department of Health and Human Services (MDHHS) recently released a proposed policy to increase Medicaid payment rates to $2,300 for dental services …
The latest edition of Trustee Insights, the monthly digital package from the American Hospital Association (AHA), is now available. The October issue includes an article outlining the critical need for alignment of leadership …
The MHA’s Race of the Week series highlights the most pivotal statewide races and ballot questions for Election 2022. The series will provide hospitals and healthcare advocates with the resources they need to make informed decisions on Election Day, including candidates’ views and background …
“Last week, Turquoise Health released its first Price Transparency Impact Report which aims to track hospital and health insurer compliance with the Hospital Price Transparency Rule (January 2021) and the CMS Transparency in Coverage Rule (July 1, 2022). Both require specified disclosures and financial penalties for non-compliance…
In July 2018, I wrote: ”Arguing price transparency in healthcare is a misguided effort is like arguing against clean air and healthy eating: it’s senseless.” It’s still true. Making the case that price transparency has a long way to go based on current offerings and utilization is legitimate.
But the price transparency movement is gaining momentum in healthcare: though it still lacks widespread impact on spending today, it soon will.”
Early in person voting by absentee ballot at a clerk’s office remains available. Absentee ballots can be dropped off at a designated drop box or local clerk’s office between now and 8 p.m. Nov. 8.
To expand access to critical information and discussion about the MHA’s 2022-2023 program year’s strategic action plan, the MHA Trustee Member Forum on Nov. 2 will be offered in a virtual format rather than in …
The Oct. 20 Crain’s 2022 Healthcare Leadership Summit featured speakers from the MHA and member hospitals in a series of panels on policy issues, labor force solutions and technology integration….
The MHA Service Corporation (MHASC) board focused on supporting MHA Strategic Action Plan priorities at the Oct. 13 planning session including addressing financial viability, workforce restoration & wellbeing, behavioral health improvements, health equity and …
The MHA released another episode of the MiCare Champion Cast, which features interviews with healthcare policy experts in Michigan on key issues that impact healthcare and the health of communities …
The MHA hosted a virtual forum Oct. 18 reviewing the Strategic Action Plan that was approved by the MHA Board of Trustees in August. The forum discussed pressing challenges and opportunities facing healthcare, including workforce development …
The MHA’s Race of the Week series highlights the most pivotal statewide races and ballot questions for Election 2022. The series will provide hospitals and healthcare advocates with the resources they need to make informed decisions on Election Day, including candidates’ views and background …
“Mid-mid-term election day is 22 days away. The “official end” of the Covid public health emergency has been delayed to January 11. The Federal Reserve is expected to increase its borrowing rate for the sixth time this year at its November meeting as it attempts to slow inflation and the stock market is under-water as year-end approaches. Regardless of the mid-term outcome and the state of the economy, healthcare will be prominent in the upcoming lame-duck Congress…”
The last day to register online to vote in the Nov. 8 election is Oct. 24, 2022.
The second gubernatorial debate is this Tuesday, Oct. 25 at 7 p.m. on the Oakland University campus between Gov. Gretchen Whitmer and Republican candidate Tudor Dixon.
Early in-person voting by absentee ballot at a clerk’s office remains available.
Complimentary MI Vote Matters informational posters and the 2022 Candidate Guide are still available for MHA members.
The MHA received media coverage on through a couple stories during the week of Oct. 17, including on the introduction of the Stop Nurse Shortages Act at the federal level and the latest MiCare Champion …
The Oct. 20 Crain’s 2022 Healthcare Leadership Summit featured speakers from the MHA and member hospitals in a series of panels on policy issues, labor force solutions and technology integration.
MHA EVP Laura Appel spoke on a policy panel that covered what role government can play in affordability, equity & improving care.
Rising costs, uncertain governmental policies, workforce challenges, behavioral health and equity issues have put hospitals and health systems in a compromising position. The summit aimed to connect industry experts to collaborate on solutions and share best practices to tackle these issues.
Laura Appel, executive vice president of government relations and public policy at the MHA, spoke on a panel that covered solutions to the labor challenges and measures that reduce pressure on healthcare institutions throughout the state.
“There are no quick, easy fixes,” Appel noted. “Public health is a way for us to get people in a better place in the aggregate – we cannot solve diabetes, for example, with healthcare alone. We’ve got to do the policy work that it takes to push back and reduce rates [of illness], as opposed to just stopping the upward trends.”
Leaders from MHA-member hospitals and health systems were also featured in breakout sessions that covered workforce challenges and technological solutions to improve efficiency and safety. Panelists included:
Kimberly Keaton Williams, vice president of talent acquisition and development and chief diversity officer at McLaren Health Care.
Shana Lewis, vice president of talent acquisition and workforce development programs at Trinity Health.
Lisa Ouellette, interim chief human resources officer at Corewell Health.
Robert Riney, president & CEO of Henry Ford Health.
The event also featured keynote speaker Dr. Joneigh Khaldun, vice president and chief health equity officer at CVS Health, who spoke about attainable solutions for addressing inequities and improving health outcomes for underserved, vulnerable communities.
The MHA Legislative Policy Panel convened Oct. 12 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals …
The Michigan Department of Health and Human Services (MDHHS) recently released two concurrent final and proposed policies to implement Medicaid rate increases included in the fiscal year (FY) 2023 budget for dates of service on and after Oct. 1, 2022 …
Registration is now open for the Michigan Health Equity Summit that will take place in-person at Lansing Community College West Campus and virtually from 9 a.m. to 3:30 p.m. ET on Nov. 3 …
The Community Foundation for Southeast Michigan (CFSEM) is partnering with the MHA Keystone Center, the Michigan Opioid Partnership (MOP) and the Michigan Department of Health and Human Services (MDHHS) to provide …
Recently, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) announced their commitment in driving the next decade of health equity for people who are underserved. The commitment to advancing health equity …
The MHA released another episode of the MiCare Champion Cast, which features interviews with healthcare policy experts in Michigan on key issues that impact healthcare and the health of communities …
The MHA’s Race of the Week series highlights the most pivotal statewide races and ballot questions for Election 2022. The series will provide hospitals and healthcare advocates with the resources they need to make informed decisions on Election Day, including candidates’ views and background …
“The bottom line: in the next 2-3 years, regulatory scrutiny of Medicare Advantage will increase and funding by Medicare will decrease. Congress will press for a clear correlation between Medicare’s solvency and MA cost-savings. Thus, it’s likely Medicare Advantage plans will charge higher premiums, limit benefits, intensify medical management activities, share more financial risk with high-performing provider organizations and offer services to new populations. Their margins will shrink, access to capital and enrollment growth will be imperatives, and innovation in holistic cost-effective care management and affordability key differentiators.”
The MHA released another episode of the MiCare Champion Cast, which features interviews with healthcare policy experts in Michigan on key issues that impact healthcare and the health of communities.
On this episode, MHA CEO Brian Peters is joined by T. Anthony Denton, J.D., MHSA, senior vice president and CEO of University of Michigan Health – Michigan Medicine, and 2022-2023 Chair of the MHA Board of Trustees. The two explore priorities for the new program year along with efforts underway to address workforce challenges, improve health equity and support sustainability.
Denton has a vast history working in healthcare – from human resources to administrative operations. He has worked on master program and facility planning, capital investments, workforce planning and execution, environmental sustainability, social determinants of health and programs that create positive community impact. He also serves on state, national and community boards and was recently chair of the MHA political action committee – also known as Health PAC – that raised more than $400,000 toward advocating for communities and healthcare organizations.
Part of the episode’s discussion focuses on The Pavilion at University of Michigan Health, a 12-story hospital breaking ground on their Ann Arbor campus. Denton shares insight on what led to the project, along with some key sustainability considerations as construction continues. The new adult inpatient facility is scheduled to open for patient care in the fall of 2025.
This podcast is part of the statewide #MiCareMatters campaign, launched in 2017, which aims to build a network of citizens — “MiCare Champions” — who will be called upon to engage in advocacy efforts to protect access to affordable healthcare services in Michigan. It is currently available via Spotify, iTunes and SoundCloud.
For more information, visit micarematters.org. Members with questions or who would like to submit ideas for future podcasts should contact Lucy Ciaramitaro at the MHA.
Recently, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) announced their commitment in driving the next decade of health equity for people who are underserved. The commitment to advancing health equity will help foster a healthcare system that benefits all for generations to come. These new requirements include the expansion of collection, reporting and analysis of standardized data. Hospitals and health systems must be prepared to understand and report these new requirements to continue to receive reimbursement from the CMS.
The MHA Health Foundation webinar Prepare for The Joint Commission and CMS Health Equity Requirements will:
Describe the new health equity-related reporting requirements to stay compliant with TJC and the CMS.
Demonstrate how you can assess hospital readiness to meet the new requirements.
Outline sources for data, including hospital community health needs assessments, for health equity reporting.
Describe how to assess and analyze your patients’ social risk factors and how these needs evolve over time.
The webinar is scheduled from 11 a.m. to noon, Nov. 15 and MHA-member hospitals can register for an unlimited number of connections per hospital/entity for $200.
Members with questions should contact Erica Leyko at the MHA.
Healthcare Community Urged to Vote in Nov. 8 General Election
News to Know
MDHHS Announces Plans to Establish Stroke and Heart Attack Systems of Care
Crain’s Healthcare Leadership Summit Features MHA and Hospital Leaders
MHA Podcast Details Upcoming Election
MHA Race of the Week – Michigan Attorney General
MHA in the News 
MHA Keystone Center Presents Annual Health Equity Summit
MHA Race of the Week – Michigan Supreme Court