Keckley Report 2 - MHA | Michigan Health & Hospital Association

MHA Monday Report Feb. 5, 2024

February 5, 2024February 2, 2024 Monday Report

Registration Open for 2024 Healthcare Leadership Academy

Registration is open for the popular MHA Healthcare Leadership Academy program scheduled for March 13-15 and May 1-2. Delivered in partnership with Executive Core and Grand Valley State University for the past 11 years, two …

MDHHS Issues RFP for Peer Navigator Pilot Project

The Michigan Department for Health and Human Services (MDHHS) issued a Request for Proposal (RFP) to enhance support for pregnant and postpartum individuals facing substance use disorder. The Peer Navigator Pilot Project aims to …

Michigan State Loan Repayment Program Application Period Opens

The Michigan State Loan Repayment Program is now accepting applications through April 30. MSLRP assists employers in attracting and retaining medical, dental and mental healthcare providers in underserved communities by providing loan repayment. Healthcare …

Paxlovid Emergency Use Authorization Ends March 8

The U.S. Food and Drug Administration updated the Paxlovid Emergency Use Authorization, allowing Paxlovid that is currently in U.S. distribution to remain authorized for use through the labeled or extended expiration date, or …

MDHHS Release Medicaid Reimbursement Proposed Policy

The Michigan Department of Health and Human Services (MDHHS) recently released a proposed policy to establish additional Medicaid reimbursement for certain medically necessary drugs and therapeutics when provided in the inpatient hospital setting. The policy, …

SAMHSA Issues Final Rule on OUD Treatment

The Substance Abuse and Mental Health Services Administration (SAMHSA) issued a final rule Jan. 31 updating regulations for Opioid Treatment Programs and standards for treatment of opioid use disorder (OUD). These rules make permanent …

The Keckley Report

The Three In-bound Truth Bombs set to Explode in U.S. Healthcare

“Truth bombs are falling in U.S. healthcare. They’re well-documented and financed. They take no prisoners and exact mass casualties.

Most healthcare organizations default to comfortable defenses. That’s not enough. Cyberwarfare, precision-guided drones and dirty bombs require a modernized defense. Lacking that, the system will be a commoditized public utility for most in 15 years.”

Paul Keckley, Jan. 29, 2024

News to Know

MHA-member physician residents are encouraged to save the date for GME Capitol Day, scheduled from 8:30 a.m. to 3:30 p.m. Wednesday, May 1, at the MHA Capital Advocacy Center.
MHA-member communications professionals are encouraged to save the date for this year’s MHA Communications Retreat, scheduled from 8:30 a.m. to 4 p.m. Tuesday, May 7, at the Henry Center for Executive Development in Lansing.

MHA Monday Report Jan. 29, 2024

January 29, 2024January 29, 2024 Monday Report

Senate Health Policy Chair Presents to Legislative Policy Panel

The MHA Legislative Policy Panel met Jan. 24 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals. The meeting was highlighted by a presentation from Sen. Kevin Hertel (D-Saint …

Register for the MHA Behavioral Health Learning Series

The MHA is hosting a five-part webinar series to provide hospital staff with a deeper understanding of Michigan’s behavioral health system and the hospital’s role in connecting patients with care. These webinars are part of …

Peters Featured on WJR Live from Lansing Broadcast

MHA CEO Brian Peters appeared on Detroit’s WJR 760 AM’s JR’ Morning with Guy Gordon, Jamie Edmonds, and Lloyd Jackson’s “Live from Lansing” broadcast Jan. 25 as part of the station’s annual coverage of legislative …

Latest AHA Trustee Insights Outlines the Board’s Role in Safety and Workforce

The January edition of Trustee Insights, the monthly digital package from the American Hospital Association (AHA), includes articles on quality, safety and workforce. As healthcare becomes more complex, boards struggle to effectively oversee quality, and the …

Three Key Takeaways from Michigan’s Social Determinants of Health Summit

In my role as Maternal Infant Health Policy Specialist at the MHA, one of my main goals has been to utilize my expertise to inspire health equity for marginalized birthing persons and their children and to build relationships that strengthen my impact and purpose. Attending the second annual …

The Keckley Report

The Holy War between Health Insurers and Hospitals: Intensifying but No End in Sight

“Last Wednesday, FTI released its year-end 2023 summary of insurer-hospital disputes: it reported a 69% increase from 2022 in conflicts where formal negotiations broke down reached based on media coverage in 34 states. The majority of the 86 instances involved Medicare Advantage coverage or reimbursement issues and referral relationships with doctors and hospitals were disrupted, at least temporarily. …

The challenges facing the health system—accessibility, affordability, effectiveness– cut across every sector. They’ll not be solved by one acting alone. And sacred cows protected by both will need to be slaughtered to create the better new normal desired by a significant majority of taxpayers and elected officials. …”

Paul Keckley, Jan. 22, 2024

MHA Monday Report Jan. 22, 2024

January 22, 2024January 22, 2024 Monday Report

CMS Finalizes Prior Authorization Reform Rule for MA, Medicaid and CHIP Plans

The Centers for Medicare & Medicaid Services (CMS) released a final rule last week intended to expedite the prior authorization process for those covered by Medicare Advantage, Medicaid and Children’s Health Insurance Program (CHIP) plans. …

Register Now for MHA Human Resources Conference

Registration is now open for the 2024 MHA Human Resources Conference, scheduled for March 5, 2024 at the ACH Hotel Marriott University Area, Lansing. Attending the conference provides human resource professionals with an opportunity …

MDHHS Issues RFP to Expand Child Adolescent Health Center Programs

The Michigan Department of Health and Human Services (MDHHS) issued a Request for Proposal (RFP) to expand Child and Adolescent Health Center programs, focusing on school-based or school-linked health services. This initiative will support …

Now Accepting Nominations for the 2024 MHA Ludwig Community Benefit Award

The MHA is accepting nominations for the 2024 Ludwig Community Benefit Award, which recognizes healthcare organizations that improve the health and well-being of their communities through collaborative health, economic or social initiatives. Benefits provided include …

OAC Provides Recommendations and Hosts Panel Discussion

The Michigan Opioid Advisory Commission (OAC) provides recommendations to the legislature about initiatives that will bolster education, prevention, treatment and services of substance use disorders and mental health conditions. The Commission aims to equip local …

SAMHSA Rural EMS Training Grant Program Pre-Application Webinar

The Substance Abuse and Mental Health Services Administration (SAMHSA) is launching a grant program to recruit and train emergency medical service (EMS) providers to rural areas. This program intends to address substance use disorder and …

Outpatient Prospective Payment System Final Rule Includes Behavioral Health Additions

The Centers for Medicare & Medicaid Services (CMS) recently finalized several policies in the 2024 Medicare fee-for-service final rules for the outpatient prospective payment system and physician fee schedule final rule. These provisions, effective …

MHA Podcast Explores Workplace Violence Resources for Michigan Hospitals

The MHA released a new episode of the MiCare Champion Cast, which features interviews each month with experts in Michigan discussing key issues that impact healthcare and the health of communities. The January 2024 episode, …

The Keckley Report

Economic Indigestion for U.S. Healthcare is Reality: Here’s What it Means in 2024

“By the end of this week, we’ll know a lot more about the economic trajectory for U.S. healthcare in 2024: it may cause indigestion. …

So, the conclusion that can be deduced from the four events this week is this: economic indigestion in U.S. healthcare will persist this year and beyond because there is no political will nor industry appetite to fix it. Darwinism aka ‘survival of the fittest’ is its destiny unless….???”

Paul Keckley, Jan. 15, 2024

News to Know

MHA-member physician residents are encouraged to save the date for GME Capitol Day, scheduled from 8:30 a.m. to 3:30 p.m. Wednesday, May 1, at the MHA Capital Advocacy Center.
MHA-member communications professionals are encouraged to save the date for this year’s MHA Communications Retreat, scheduled from 8:30 a.m. to 4 p.m. Tuesday, May 7, at the Henry Center for Executive Development in Lansing.

MHA Monday Report Jan. 15, 2024

January 15, 2024January 12, 2024 Monday Report

Healthcare Economic Impact Included in 2024 MBN Economic Forecast Breakfast

The Michigan Business Network (MBN) hosted the 2024 Economic Forecast Breakfast Jan.11, which featured the inaugural release of the latest Michigan Future Business Index survey data, 2023 reviews and a look ahead on regional economic, …

Hospitals Urged to Apply for GME Full-Time Equivalent Slots

Hospitals are urged to apply for additional graduate medical education (GME) full-time equivalent resident cap slots for fiscal year 2025 by March 31. Section 126 of the Consolidated Appropriations Act, 2021, made available …

MHA Releases Assisted Outpatient Treatment Utilization Infographic

In partnership with the Michigan Department of Health and Human Services, the MHA conducted a survey during Spring 2023 to gather insights on Assisted Outpatient Treatment (AOT) utilization within hospitals and health systems. AOT offers …

Updates on Medicare Advantage Enrollment & Proposed Rule

The MHA recently updated its analysis of Medicare enrollment data to reflect Medicare enrollment as a percentage of each county’s total population and the split for Medicare between traditional fee-for-service and Medicare Advantage. Statewide, …

The Keckley Report

One System; Two Divergent Views

“Healthcare is big business. That’s why JP Morgan Chase is hosting its 42^nd Healthcare Conference in San Francisco starting today– the same week Congress reconvenes in DC with the business of healthcare on its agenda as well. The predispositions of the two toward the health industry could not be more different. …

The big question facing JPM attendees this week and in Congress over the next few months is the same: is the U.S. healthcare system status quo sustainable given the needs in other areas at home and abroad? Investors and organizations at JPM think the answer is no and are making bets with their money on “better, faster, cheaper” at home and abroad. Congress agrees, but the political risks associated with transformative changes at home are too many and too complex for their majority. …”

Paul Keckley, Jan. 8, 2024

News to Know

MHA offices will be closed, and no formal meetings will be scheduled Jan. 15, in honor of Martin Luther King Jr. Day.

MHA in the News

The MHA received media coverage since Jan. 4 related to hospital cybersecurity, proposed legislation mandating hospital nurse staffing ratios and maternal health. Below is a collection of headlines from around the state, which include interviews …

MHA Monday Report Jan. 8, 2024

January 8, 2024January 7, 2024 Monday Report

MHA Partners with AAPL for CME Courses

The MHA is pleased to partner with the American Association for Physician Leadership (AAPL) to provide a series of in-person Continuing Medical Education (CME) courses in 2024 at the MHA headquarters at 2112 University Park Drive, Okemos, MI …

The Joint Commission Revises Definition of Suicide in Sentinel Event Policy

The Joint Commission has updated the definition of suicide in its Sentinel Event Policy to include time frames with the highest risk for suicide and highlight the healthcare organization’s continued responsibility for ongoing assessment …

MDHHS Expands Medicaid Coverage to Include CHW Services and Releases Beginner Guide

The Michigan Department of Health and Human Services (MDHHS) recently announced an expansion of Medicaid coverage effective Jan. 1, 2024 to include community health worker (CHW) services. The MDHHS also issued a final policy establishing this coverage for Medicaid …

Nominations Open for Hometown Health Heroes Award

The MHA is pleased to sponsor Michigan Public Health Week, scheduled for April 10, 2024, with the theme of “Protecting, Connecting and Thriving: We Are All Public Health.” MHA members are encouraged to submit nominations …

MHA CEO Report — Vaccinations & Respiratory Illness Season

The last four years have generated tremendous awareness about vaccines, but also a large public health challenge as disinformation has exploded and anti-vaccine sentiment has emerged from the fringes to become widely embraced. This likely isn’t news to any of you, but the …

The Keckley Report

An Open Letter to Hospital Boards of Directors: Long-Term Strategic Planning needs Your Attention

As 2023 comes to an end and prognostics for 2024 pepper Inboxes, high anxiety is understandable. The near-term environment for hospitals, especially public hospitals and not-for-profit health systems, is tepid at best: despite the November uptick in operating margins to 2% (Fitch, Syntellis), the future for hospitals is uncertain and it’s due to more than payer reimbursement, labor costs and regulatory changes. …

Hospitals are not alone in dealing with money-driven pressures that seem out of sync with lofty aims like ‘student athletes’ and ‘community benefits.’ That’s why hospitals must embrace long-term strategic planning with an outside-in frame of reference now.”

Paul Keckley, Jan. 1, 2024

MHA in the News

The MHA received media coverage over the holidays during the weeks of Dec. 18, Dec. 25 and Dec. 31. Topics covered include the healthcare workforce, the MHA Keystone Center, air ambulance services and a review …

MHA Monday Report Dec. 18, 2023

December 18, 2023December 14, 2023 Monday Report

MDHHS Expands Medicaid Coverage to Include CHW Services

Hospital-based Substance Use Disorder Consultation Reimbursement Coverage

Physicians and other qualified practitioners will be reimbursed for substance use disorder (SUD) consultations in the inpatient hospital or emergency department setting effective Jan. 1, 2024. These services include assessment, evaluation, diagnosis and treatment of individuals during …

Coverage of Office-based Substance Use Treatment Services

Primary healthcare providers will be reimbursed for substance use disorder (SUD) treatments that are provided in an office-based primary care setting effective Jan. 1, 2024. This applies to providers who do not have a specialty SUD benefit services contract with a Prepaid .…

Guide and Action Plan Created to Support Health Equity Programming

As strides are made to address inequities and disparities in healthcare, governing and regulatory bodies including The Joint Commission and the Centers for Medicare & Medicaid Services have created guidelines, benchmarks and policies that evolve over time. The MHA Keystone …

Enrollment Deadline Friday for MHA Governance Affinity Group

The deadline to enroll a trustee in the new MHA Governance Affinity Group is Friday, Dec. 22. The benefits of a well-run meeting go beyond parliamentary procedure. Proper communication and facilitation skills needed to make decisions about strategic issues drive performance and .…

Hospital Vaccine Resources Available

The MHA is at the forefront of advocating for vaccination awareness and education, particularly focusing on the challenges associated with the Beyfortus (nirsevimab) monoclonal antibody for infants entering their first respiratory syncytial virus season. The association is …

Latest AHA Trustee Insights Outlines the Board’s Role in Patient Experience

The December edition of Trustee Insights, the monthly digital package from the American Hospital Association (AHA), includes an article on the board’s role in patient experience. The average hospital has turned over 105% of its workforce in the last five years and national …

The Keckley Report

The Affordable Care Act is Back on Stage: What to Expect

“In the last 2 weeks, the Affordable Care Act (ACA) has been inserted itself in Campaign 2024 by Republican aspirants for the White House …

It’s no surprise. Health costs and affordability rank behind the economy as top issues for Republican voters per the latest Kaiser Tracking Poll. And distaste with the status quo is widespread and bipartisan: per the Keckley Poll (October 2023), 70% of Americans including majorities in both parties and age-cohorts under 65 think “the system is fundamentally flawed and needs major change.” To GOP voters, the ACA is to blame. …

The ACA is back on the radar in U.S. healthcare. Stay tuned.”

Paul Keckley, Dec. 10, 2023

News to Know

Clarence Rucker, manager, patient safety and quality, MHA Keystone Center, is featured in COLOR Magazine’s 40 Under 40 Powerlist.
Due to the holidays, Monday Report will not be published Dec. 25 and Jan. 1, and will resume its normal schedule Jan. 8.

MHA in the News

The MHA received media coverage the week of Dec. 11 related to post-secondary nurse degree programs and telehealth.

MHA Monday Report Dec. 11, 2023

December 11, 2023December 11, 2023 Monday Report

Healthcare Worker Safety Bills Signed into Law

Gov. Whitmer signed into law Dec. 6 House Bills 4520 and 4521, which increase the penalties for assaulting a healthcare worker or volunteer. Now referred to as Public Acts 271 and 272 of 2023, the …

Psychiatric Residential Treatment Facility Final Policy in Effect

The Michigan Department of Health & Human Services recent policy for Psychiatric Residential Treatment Facilities went into effect Dec. 1, 2023. Initially released for comment in May 2023, the MHA provided feedback on …

LARA Task Force on FTMPs Releases Report

In a response to the growing need for qualified healthcare professionals, the Michigan Department of Licensing and Regulatory Affairs (LARA) released a comprehensive report aimed at addressing the challenges faced by Foreign Trained Medical Professionals …

MDHHS Releases Outpatient Hospital 340B Billing Final Policy

The Michigan Department of Health and Human Services (MDHHS) recently released a final policy to modify hospital outpatient billing requirements for drugs purchased through the 340B drug pricing program. Existing policy requires 340B hospitals to …

MHA Podcast Covers the Latest on Flu Vaccines and Pediatric Respiratory Illness in Michigan

The Keckley Report

Health System Chief Strategy Officer Roundtable Assessment: ‘The Near-Term is Tough, the Long-Term is Uncertain and the Deck is Stacked against Hospitals’

“CSOs know that hospitals are at a crossroad, particularly not-for-profit system operators accountable to the communities they serve. In the 4Q Keckley Poll, 55% agreed that “the tax exemption given not-for-profit hospitals is justified by the community benefits they provide” but 45% thought otherwise. They concede their competitive landscape is more complicated as core demand shifts to non-hospital settings and alternative treatments and self-care become obviate traditional claims-based forecasting. They see the bigger players getting bigger: last week’s announcements of the Cigna-Humana deal and expansion of the Ascension-LifePoint relationship cases in point. And they recognize that their reputations are under assault: the rift between Modern Healthcare and the AHA over the Merritt Research ’s charity care study (see Hospital section below) is the latest stimulant for not-for-profit detractors. …”

Paul Keckley, Dec. 4, 2023

News to Know

The MHA welcomes ModusOne Health as a new Endorsed Business Partner and the only physician-founded and physician-run Clinical Diagnosis Improvement company that delivers robust monthly leaderboard-style reporting of provider accuracy in diagnosing patients on the conditions that most directly affect quality metrics and reimbursements.
Due to the holidays, Monday Report will not be published Dec. 25 and Jan. 1, and will resume its normal schedule Jan. 8.

MHA in the News

The MHA received media coverage the week of Dec. 4 on a new law signed by Gov. Whitmer that increase the penalties for assaulting a healthcare worker or volunteer, as well as stories on expanded …

MHA Monday Report Dec. 4, 2023

December 4, 2023November 30, 2023 Monday Report

Enrollment Deadline Looming for MHA Governance Affinity Group

The deadline to enroll a trustee in the new MHA Governance Affinity Group is Dec. 22. The affinity group is designed for board and committee chairs who must fulfill important leadership responsibilities and are looking …

MHA CEO Report — A Legislative Year to Remember

Given that the Michigan Legislature has officially adjourned sine die, it is now an appropriate time to reflect on the success of our MHA advocacy throughout 2023. As always, healthcare was in the spotlight as a political and public policy …

The Keckley Report

Keckley Poll: Which Institution is Best Positioned to Solve the Health System’s Flaws?

“In The Keckley Poll conducted November 13-16, 2023 among 817 U.S. adults, 69% agreed that “the health system is fundamentally flawed and needs major change.” This view is held even more among working age adults, women and those in good/fair health and less by seniors and those in poor health. …

These data confirm a public view that the status quo is unsatisfactory to the vast majority of Americans. While each of the 5 institutions asserts its unique role and value proposition in the scheme of U.S. healthcare, none stands out for its differentiated commitment to the greater good. …

This polling suggests it’s time for the industry to consider the public we serve instead of ourselves. Some do it better than others today, but lacking a systemic strategy engaging all sectors to address the health and wellbeing of the entire population affordably, incrementalism will continue, sectarianism will escalate and the system effectiveness will erode. And none of the major institutions is prepared to lead that process. …”

Paul Keckley, Nov. 27, 2023

News to Know

New MHA associate member HSG Advisors is a national healthcare consulting firm that partners with hospitals and health systems to transform their approach to markets, services and providers for improved growth and operational and financial sustainability.

MHA in the News

The MHA received media coverage the weeks of Nov. 20 and Nov. 27 regarding nurse staffing in hospitals and an Upper Peninsula healthcare provider talent survey. The coverage includes quotes from MHA CEO Brian Peters. …

MHA Monday Report Nov. 20, 2023

November 20, 2023November 17, 2023 Monday Report

2023 Legislative Session Recap

The Michigan Legislature officially adjourned sine die for the calendar year Nov. 14. The top priority for the association this fall was opposing harmful, one-size fits all nurse staffing ratio legislation (House Bills 4550-4552 and …

MHA Board of Trustees Advances Strategic Action Plan, Focus on Workforce Support and Medicaid Maximization

The MHA Board of Trustees focused most of their Nov. 8 meeting on targeted actions in advancement of their 2023-2024 Strategic Action Plan, which outlines the association’s priorities for the year ahead and identifies those …

MHA Policy Experts Join Mental Health Association Panel Event

The Mental Health Association in Michigan hosted the annual Michigan Partners in Crisis event Nov. 3, bringing together industry experts to explore the theme Bridging the Gap in Mental Health Care. Elizabeth Kutter, senior director …

MHA Issues Statement on National Rural Health Day

The following statement can be attributed to Brian Peters, CEO of the Michigan Health & Hospital Association. “As we celebrate National Rural Health Day, we want to express our gratitude to all our rural hospitals …

MHA Podcast Uplifts National Rural Health Day feat. Munson Healthcare

MHA Virtual DEI Certificate Program Approved for CME and Nursing Credits

Registration is open for the Diversity, Equity and Inclusion in Healthcare certificate program Dec. 7 and Dec. 8 from 11 a.m. to 3 p.m. EST. The event, hosted by the Michigan Health & Hospital Association …

The Keckley Report

2024 is a Make-or-Break Year for Physicians

At the interim meeting of the American Medical Association House of Delegates Saturday in National Harbor, MD, President Jesse Ehrenfeld, MD, MPH, urged physicians to take action: “Medicine is not just at a crossroads…it’s at a crisis.” He’s right: 2024 is a make-or-break year for the profession. …

The issues for the medical profession go well-beyond burnout and finances. Though pushback against the Final Rule is understandable, it must be considered in a broader context. Medicare funding is in the cross hairs of budget hawks in Congress and rating agencies (Moody’s November 13, 2023) have downgraded the nation’s debt citing deficits, spending (including Medicare) and political polarization as root causes. And 2024 is an election year in which the economy is the key issue topping the domestic agenda and healthcare affordability a key focus along with access to abortion services. …

Paul Keckley, Nov. 13, 2023

News to Know

TELUS Health CBT (formerly known as AbilitiCBT by LifeWorks) is now offered by TELUS Health, a global leader in total wellbeing.

MHA in the News

The MHA received media coverage the weeks of Nov. 6 and Nov. 13 regarding a committee hearing on proposed nurse staffing ratio legislation. Additional topics covered include hospital market activity, behavioral health, the state’s STEMI …

MHA Monday Report Nov. 13, 2023

November 13, 2023November 12, 2023 Monday Report

House Committee Hears Testimony on One-Size-Fits-All Nurse Staffing Ratios

The House Health Policy Committee held a testimony-only hearing Nov. 9 on mandated nurse staffing ratio legislation, House Bills 4550-4552. The proposed bills would mandate one-size-fits-all nurse staffing ratios for all Michigan hospitals. The legislation, which does not create more nurses nor solve staffing

CMS Finalizes Physician Fee Schedule for 2024

The Centers for Medicare & Medicaid Services (CMS) released the calendar year 2024 Medicare Physician Fee Schedule final rule Nov. 2, aimed at promoting healthcare equity and expanding access to essential services for Medicare beneficiaries. These policies include several crucial areas, …

2024 Medicare Home Health Final Rule Released

The Centers for Medicare and Medicaid Service recently released a final rule to update the home health (HH) prospective payment system (PPS) for calendar year 2024. The rule includes updates to the Medicare fee-for-service HH PPS payment …

Minimum Staffing Standards for Long-Term Care Facilities

The Centers for Medicare & Medicaid Services released a proposed rule Sept. 1, to establish minimum staffing standards for long-term care facilities, as part of the Biden Administration’s Nursing Home Reform initiative. The MHA supports the goal to ensure safety and …

OPPS 2024 Final Rule Released

The Centers for Medicare and Medicaid Services recently released a final rule to update the Medicare fee-for-service outpatient prospective payment system (OPPS) effective Jan. 1, 2024. The rule: Provides a net 2.1% to the outpatient conversion factor for hospitals that …

Reaching Rural: Advancing Collaborative Solutions Fellowship Program

The U.S. Department of Justice, Bureau of Justice Assistance announced a new cohort for the Reaching Rural: Advancing Collaborative Solutions Fellowship program Nov. 2. This year-long program will help rural leaders find solutions to substance use and misuse within their community through collaboration with …

The Keckley Report

The Conundrum facing Not-for-Profit Hospital Systems

“Does hospital ownership matter? According to a study published last week in Health Affairs Scholar, NOT MUCH. That’s a problem for not-for-profit hospitals who claim otherwise. …

The issues facing not-for-profit hospitals in the U.S. are unique and complex. Per the commentary of the CSOs, their market conditions are daunting and major changes in their structure, funding and regulation unlikely. That means lack of public understanding of their unique role is a conundrum.”

Paul Keckley, Nov. 6, 2023

The Keckley Report

The Keckley Report

The Keckley Report

The Keckley Report

The Keckley Report

The Keckley Report

The Keckley Report

The Keckley Report

The Keckley Report

The Keckley Report

Michigan Health & Hospital Association

mihospitalassoc