MHA Monday Report Nov. 21, 2022

MHA Monday Report

Urge Congress to Support Hospitals by Enacting Key Priorities in Lame-duck Session

The American Hospital Association (AHA) recently released an action alert to impress upon lawmakers the immediate need to support hospitals and health systems. It is important the last session days of the year are used as an opportunity to advance key priorities at the federal level …


Webinar Outlines CRNA’s Role in the Future of Clinical Operations

Michigan legislation in 2022 modernized the scope of practice for certified registered nurse anesthetists (CRNAs), eliminating the state requirement that a CRNA must work under direct physician supervision. Hospitals can now choose the anesthesia care model that best fits their location, staffing and resources to offer safe and effective patient care …


Keckley Report 

Paul KeckleyThe Two Lessons Healthcare Should Take from Campaign 2022

“The public’s opinion (vote) on healthcare issues is defined by personal circumstances and core beliefs about a single issue. Most lack an informed view about the entire system. Healthcare must do a better job in educating citizens about our system of health and the roles of personal responsibility, commercial operations and governmental oversight. It must do a better job in understanding consumer needs and expectations especially in younger and independent-minded users.

The healthcare market is not homogenous: a one size fits all approach to service delivery, pricing, and user experiences is short-sighted. While single-issue voter blocks in healthcare matter (i.e., abortion, Medicaid expansion, drug prices, et al), they’re unlikely to advance a system of health that contributes effectively and appropriately to the future of our democracy—a key issue in Campaign 2022.”

Paul Keckley, Nov. 14, 2022


News to Know

  • DataGen is hosting a national webinar to review the 2023 Medicare fee-for-service outpatient prospective payment system final rule and hospital impact analysis at 3 p.m. on Nov. 30, 2022.
  • MHA Endorsed Business Partner NextJob is hosting a free webinar on Actionable Neuroscience Insights for Improved Workplace Performance at noon ET Dec. 7, 2022 to educate employees about the brain processes of perception, cognition and neuro-linguistics and share tips to help improve performance at work.

Laura AppelMHA in the News

The MHA received media coverage during the week of Nov. 14 on financial and staffing challenges impacting hospitals in Michigan and the potential for further state funding support …

Urge Congress to Support Hospitals by Enacting Key Priorities in Lame-duck Session

The American Hospital Association (AHA) recently released an action alert to impress upon lawmakers the immediate need to support hospitals and health systems. It is important the last session days of the year are used as an opportunity to advance key priorities at the federal level. The AHA has already urged congressional leaders to include a number of important provisions in a year-end legislative package to ensure that hospitals and health systems can continue their mission of caring for the communities they serve.

Lawmakers need to hear how managing the aftermath and aftershocks of the biggest public health crisis in a century has left hospitals and health systems facing significant financial and workforce challenges that are jeopardizing access to care for patients. Members are asked to contact their legislators today and continue to make the case why additional support and resources are needed.

Lawmakers should be urged to:

  • Prevent any further damaging cuts to health programs, including stopping the forthcoming 4% Statutory Pay-As-You-Go (PAYGO) sequester.
  • Establish a temporary per diem payment targeted to hospitals to address the issue of hospitals not being able to discharge patients to post-acute care or behavioral facilities because of staffing shortages.
  • Extend or make permanent the low-volume adjustment and the Medicare-dependent hospital programs — critical rural programs that are due to expire on Dec. 16.
  • Make permanent the expansion of telehealth services and extend the hospital-at-home program.

Participate in AHA Advocacy Day on Capitol Hill: Members are asked to inform the MHA if they will be in Washington, D.C. on Dec. 6 and would like to be included in the schedule for visits with members of Congress.

Contact Laura Appel at the MHA for more details.

MHA Monday Report Nov. 14, 2022

MHA Monday Report

MI Vote Matters logoRecapping 2022 Election Results

Midterm election results are in, bringing new leadership to the Michigan Legislature and a returning administration at the top of the ticket. Election 2022 will bring significant change to Lansing, as Democrats will now control the Governor’s office and both chambers of the state legislature for the first time since 1984 …


capitol buildingLegislature Returns for Lame Duck Session

The legislature returned during the week of Nov. 7 to vote on legislative leadership and kickoff the 2022 lame-duck session. Only a handful of MHA-tracked bills saw action, including legislation to implement the new federal Rural Emergency Hospital (REH) designation …


CMS Finalizes Rate Cuts in 2023 Medicare Physician Fee Schedule

The Centers for Medicare & Medicaid Services (CMS) recently released the 2023 Medicare Physician Fee Schedule (PFS) final rule, effective Jan. 1, 2023. The rule reduces the PFS conversion factor by $1.55 (4.7%) to $33.06 in a calendar year (CY) 2023 from $34.61 in CY 2022 …


October MA Enrollment Increases by 17,000 Beneficiaries

Medicare Advantage (MA) enrollment in Michigan totaled approximately 1.22 million in October, an increase of 17,000 beneficiaries since July. The October enrollment is spread across 48 MA plans that are currently operating in the state …


The MHA Keystone Center Offers Ongoing Workforce Well-Being Courses

Through a partnership with the Duke Center for Healthcare Safety and Quality, the MHA Keystone Center is pleased to offer the second iteration of its WELL-B webinar series geared to support healthcare workers experiencing burnout …


The Keckley Report 

Paul KeckleyThe Physician Pay Rule in Context: Profession “Heal Thyself”

“Last Tuesday, the Center for Medicare and Medicaid Services (CMS) published its 2023 payment schedule for physicians along with changes in the Medicare shared savings program, outpatient, behavioral and home health services…

Healthcare is at a crossroad. Physicians are caught in the crossfire of policies to lower health costs and capital necessary to transform the system from specialty care and volume-based incentives to value and wellbeing.”

Paul Keckley, Nov. 7, 2022


Laura AppelMHA in the News

The MHA received media coverage on the continued surge of RSV cases across Michigan’s pediatric hospitals that is stressing hospital capacity during the week of Nov. 6. Laura Appel, executive vice president …

Legislature Returns for Lame Duck Session

capitol building

capitol buildingThe legislature returned during the week of Nov. 7 to vote on legislative leadership and kickoff the 2022 lame-duck session. Only a handful of MHA-tracked bills saw action, including legislation to implement the new federal Rural Emergency Hospital (REH) designation.

During the House Health Policy Committee, Senate Bill (SB) 450 received another hearing and was reported to the full House of Representatives. SB 450, introduced by Sen. Jim Stamas (R-Midland), would ensure visitors of cognitively impaired patients are permitted in healthcare facilities. The bill would prohibit the directors of the Michigan Department of Health and Human Services (MDHHS) or a local health officer from issuing an order that prohibits a patient representative from visiting a cognitively impaired individual in a healthcare facility. As written, the legislation does not prevent a healthcare facility from implementing reasonable safety measures for visitors and will still allow for facilities to limit the number of representatives per patient. The MHA is neutral on the bill and will continue to monitor any action taken.

MHA staff was also in attendance to support House Bill (HB) 6380. Introduced by Rep. Andrew Fink (R-Hillsdale), HB 6380 would make the necessary changes to state law to allow for Michigan hospitals to pursue a new federal designation of REH status. An REH designation comes with significant requirements such as limiting total beds to 50, maintaining an average length of stay of 24 hours or less and a required transfer agreement with a level I or II trauma center. Hospitals that choose to convert to an REH will receive enhanced federal reimbursement to provide critical emergency and outpatient services, especially in geographic areas. The MHA provided testimony on the bill in September and will continue to advocate for its passage before the end of the year.

On the Senate side, the Health and Human Services Committee took action on SB 1172, introduced by Sen. Stephanie Chang (D-Detroit). SB 1172 would amend the Mental Health Code to allow for conservation officers to transport behavioral health patients to the proper care setting. Currently, conservation officers and Michigan’s state parks and public venues are required to contact another form of law enforcement if they encounter someone experiencing a mental health crisis. The MHA is supportive of SB 1172, which will help shorten patient wait times for these particular cases.

If members have questions about these issues or any others impacting healthcare, please contact Adam Carlson at the MHA.