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. …

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 important updates to the panel on healthcare activities at both the federal and state levels.

Adam Carlson, senior vice president, advocacy, provided a federal update covering a range of topics, including federal funding, tariffs, the 340B program and more. John Karasinski, senior director, communications, shared updates on the association’s Medicaid communications strategies, highlighting efforts to promote the vitality of the program in Michigan. Karasinski also detailed MHA activities related to media engagement, action alerts, advocacy campaigns and recent public polling released by the Protect MI Care Coalition.

In addition, the panel received presentations on nurse practitioner scope of practice legislation and insurance coverage for annual mental health exams.

The panel acted on one issue, making the recommendation that the MHA to firmly oppose any site-neutral payment policies proposed in Michigan.

For more information on the MHA Legislative Policy Panel, contact Adam Carlson at the MHA.

MHA Monday Report Jan. 27, 2025

Legislation on Maternal Healthcare Access and Preserving Healthy Michigan Plan Coverage Becomes Law

Gov. Whitmer signed several bills Jan. 21 aimed at improving maternal healthcare access, equity and outcomes, as well as preserving eligibility for those under the Healthy Michigan Plan. The MHA worked extensively with bill sponsors …


Legislative Policy Panel Acts on AI & Credentialing Policy

The MHA Legislative Policy Panel met virtually Jan. 22 to develop recommendations on legislative and policy issues impacting Michigan hospitals. The meeting began with Carlos Jackson from The Cornerstone Group, the MHA’s Washington DC-based government …


Now Accepting Nominations for the 2025 MHA Ludwig Community Benefit Award

The MHA is now accepting nominations for its 2025 MHA Ludwig Community Benefit Award. Michigan hospitals and health systems have a long-standing commitment to offering a wide range of services that enhance the health and …


Medicare and Medicaid Enrollment Update

The MHA updated its analysis of Medicaid and Medicare enrollment based on December 2024 data. The analysis includes program enrollment as a percentage of each county’s total population and the split between fee-for-service and …


Registration Open for 2025 Human Resources Conference

Registration is now open for the 2025 MHA Human Resources Conference, scheduled for March 25 from 8:30 a.m. to 3:30 p.m. at the Crowne Plaza Lansing. The event offers attendees an opportunity to expand their …


YesRx Hosts Cancer Medication Donation Drive

The MHA is committed to efforts that expand access to services and mitigate barriers to timely and effective treatments. YesRx is a statewide cancer drug repository program, accepting donations of unopened cancer medications through partnerships …


MHA Podcast Explores Strategies to Enhance Workplace Safety, Security

The MHA released a new episode of the MiCare Champion Cast exploring the latest on healthcare workplace safety with Brian Uridge, MPA, CPP, CHPA, CTM, senior director at the University of Michigan Department of Public …


Keckley Report

Game On: Team Trump aims to Shake up Healthcare with Rules, Laws, Appointments and Swagger

“Hovering over Team Trump’s agenda is the reality that Americans think the country is heading in the wrong direction and trust in its institutions including the health system is at a historic low. Restoring confidence will be a gargantuan task.

Team Trump will use Executive Orders, personnel appointments, court challenges, and legislation to advance its healthcare agenda powered by its ‘take no prisoners’ operating mode whereby the ends are justified by means. Every sector in healthcare will be impacted, some more than others. … Reacting to changes in the current environment of U.S. healthcare resulting from Team Trump is necessary and time-consuming, but neglecting thoughtful consideration about the system’s long-term future and its role in “improving the state of the world” is fatalistic.  Both need attention.”

Paul Keckley, Jan. 20, 2024


News to Know

The MHA will host the webinar How Federal Grant Funding Covers IT Department Costs Feb. 7 with Endorsed Business Partner Scaled Data Health to share how government funding, along with their innovative programs, can save hospitals significant dollars.

Legislative Policy Panel Acts on AI & Credentialing Policy

Carlos Jackson with The Cornerstone Group provides a federal update during the MHA Legislative Policy Panel Jan. 22.

The MHA Legislative Policy Panel met virtually Jan. 22 to develop recommendations on legislative and policy issues impacting Michigan hospitals.

The meeting began with Carlos Jackson from The Cornerstone Group, the MHA’s Washington DC-based government affairs representation providing a federal update. Carlos focused on policy changes being enacted and considered by the new administration and Congress.

The MHA advocacy team then shared a state legislative update, including a recap of the 2024 lame duck session, in particular the MHA successfully prevented harmful government-mandated nurse staffing ratio legislation and harmful changes to Michigan’s medical liability system. The panel also received an update on introduced legislation that would affect the Earned Sick Time Act, as well as the 340B drug pricing program.

The Panel chose to act on two issues, making recommendations related to artificial intelligence (AI) and credentialing policy. The first recommendation directs the MHA AI Task Force to asses any AI legislation to ensure bill language does not impact hospital usage of AI in care delivery. The second recommendation focused on improving the provider credentialing process.

For more information on the MHA Legislative Policy Panel, members may contact Adam Carlson at the MHA.

MHA Monday Report Nov. 4, 2024

Behavioral Health Bills Advance, Other Bills Discussed in State Legislature

Several bills impacting healthcare and hospitals were advanced through committees in the state Senate during the week of Oct. 28. The Senate Health Policy Committee unanimously approved Senate Bills (SB) 916 – 918, led by Sen. …


First Legislative Policy Panel Meeting of New Program Year

The MHA Legislative Policy Panel held their first meeting of the MHA program year at the MHA Capital Advocacy Center Oct. 30 to develop recommendations on legislative issues impacting Michigan hospitals. Chad Tuttle, SVP, clinical …


Strategic Planning Session Update with MHA Service Corporation Board

The MHA Service Corporation (MHASC) board met Oct. 24 to discuss healthcare market strategies to identify, diversify and grow solutions for MHA members and clients. The board retreat focused on how the MHASC can support …


Webinar Recap: Special Pathogen Response Systems of Care

The MHA hosted a webinar Oct. 23 overviewing the National Special Pathogen System (NSPS) of care. The NSPS is a tiered system with four facility levels that have increasing capabilities to care for suspected …


MHA Shares September Medicare and Medicaid Enrollment Analysis

The MHA updated its analysis of Medicaid and Medicare enrollment based on September 2024 data. The analysis includes program enrollment as a percentage of each county’s total population and the split between fee-for-service and …


Webinar Explores AI Policy and Strategy for Boards and Leaders

The MHA will host the webinar How Boards and Leaders Can Deploy AI Responsibly and Ethically, scheduled 4:30 – 6 p.m. ET, Dec. 3. The webinar will cover a framework to govern the approach, policies and procedures …


Keckley Report

Looking to 2025: The Stop-Gap Actions likely on Healthcare’s 8 Most Urgent Issues

“Last week, I wrote about three predictions for healthcare regardless of next week’s the election results:

  1. States will be the epicenter for healthcare legislation and regulation; federal initiatives will be substantially fewer.
  2. Large employers will take direct action to control their health costs.
  3. Private equity and strategic investors will capitalize on healthcare market conditions.

As these play out, eight major issues will get attention vis a vis stop-gap measures reflecting regulator and elected officials’ responsiveness to industry pressure and voter sentiment …

These issues are not new to healthcare: they’ve prompted endless symposia, sponsored white papers and discussion by trade associations, special interests and think tanks offering solutions beneficial to preserving their view of what’s needed. What’s new is the public’s distaste for the status quo in healthcare: in every major poll conducted since the pandemic, trust and confidence in the health system has been low and majorities have said the status quo is unsatisfactory.

Thus, stop-gap measures serve two purposes: they enable elected officials and government agency personnel to demonstrate responsiveness to important issues and they provide foundations for additional rules, laws and actions downstream. They’re a start.”

Paul Keckley, Oct. 28, 2024


News to Know

The general election is Tuesday, Nov. 5. Polls open at 7 a.m. and close at 8 p.m. Voters in line at 8 p.m. can still cast ballots. The MHA strongly encourages voter participation, knowing those …


MHA CEO Brian Peters

MHA in the News

Becker’s Hospital Review published an article Oct. 31 that includes responses from MHA CEO Brian Peters and other MHA members. Becker’s asked C-suite executives from hospitals and health systems across the U.S. to share their …

First Legislative Policy Panel Meeting of New Program Year

The MHA Legislative Policy Panel held their first meeting of the MHA program year at the MHA Capital Advocacy Center Oct. 30 to develop recommendations on legislative issues impacting Michigan hospitals.

Chad Tuttle, SVP, clinical shared services, Corewell Health, chairs the panel this year with Amanda Shelast, president, Marshfield Medical Center – Dickinson, serving as vice chair. Carlos Jackson with Washington D.C.-based Cornerstone Government Affairs provided a federal update, covering what is at stake in the 2024 election and post-election lame-duck healthcare priorities. MHA CEO Brian Peters also reviewed the MHA 2024-25 strategic action plan.

The Panel took two action items on cybersecurity and pediatric long-term care.

The Panel adopted a position of neutrality on Senate Bills (SB) 888892. The Panel directed the MHA to continue conversations with legislators regarding new requirements related to cybersecurity to recognize and support hospitals as victims of these attacks. SBs 888 – 892 require entities that have access to Michigan resident’s personal information to maintain security procedures for the protection of that information. It also establishes processes for notifying the state and impacted residents of data breaches.

The Panel also heard an update on House Bill (HB) 5974 related to the creation of prescribed pediatric extended care facilities. The Panel asked several questions about the purpose and effectiveness of the legislation. Reintroduction of HB 5974 is likely in the 2025-26 legislative session, giving the Panel another opportunity to consider the concept as introduced, as well as alternatives.

For more information on the MHA Legislative Policy Panel, members may contact Adam Carlson at the MHA.

MHA Meritorious Service Award Recognizes Dr. Hamel

Dr. Loren Hamel speaks at the 2018 MHA Annual Meeting.
Dr. Loren Hamel speaks at the 2018 MHA Annual Meeting.
Dr. Loren Hamel speaks at the 2018 MHA Annual Meeting.

The MHA announced the 2024 winner of its highest achievement award during the association’s Annual Membership Meeting June 27. Receiving the award for his decades of healthcare leadership is Loren Hamel, MD, president, Corewell Health in Southwest Michigan.

Hamel has been closely involved with the MHA for 18 years, highlighted by serving as MHA Board Chair for the 2017-18 program year. His tenure on the board lasted seven years and ended in 2019. He has continued serving in a leadership role as the co-chair of the MHA Public Health Taskforce since 2022. He also served on various MHA committees, councils and task forces, including the Legislative Policy Panel, the Safety & Quality Committee, the Strategic Planning Committee and the Task Force on Future Health Insurance Markets.

Dr. Hamel has been closely involved with healthcare in southwest Michigan, where he practiced medicine as a family physician for 23 years. He currently leads care delivery for three hospitals, 53 outpatient locations, telehealth initiatives and approximately 500 independent, affiliated and employed physicians in Southwest Michigan. Hamel also served as Chief Executive Officer of Lakeland Health for nine years and held various other executive roles with the organization prior to their integration with the former Spectrum Health in 2018 and his current position with Corewell Health.

Lakeland Health was formed through the integration of Watervliet Hospital, Southwestern Medical Clinic and Hospice at Home, which Dr. Hamel led. He also helped drive investments in several facilities that include the Pine Ridge Rehabilitation Center, Merlin and Carolyn Hanson Hospice Center and the Corewell Health Lakeland Hospitals Marie Yeager Cancer Center. Corewell Health Lakeland Hospitals – St. Joseph Hospital also completed a 260,000-square-foot renovation and expansion in 2022.

In addition to his role as a healthcare executive, Dr. Hamel served his alma mater Andrews University in Berrien Springs in several roles, including as a clinical professor, director of the university’s health services, president of the alumni association and board member. Dr. Hamel retires from his role at Corewell Health June 30, 2024.

MHA Monday Report May 20, 2024

Legislature Advances MHA Supported Policy Bills; Budgets Moves Through Senate

The Michigan Senate advanced their chamber budgets for the upcoming fiscal year during the week of May 13. The Senate’s budget recommendations for the Department of Health and Human Services continues vital funding for Medicaid, …


House Campaign Committee Chairs Address Legislative Policy Panel

The MHA Legislative Policy Panel met at the MHA Capital Advocacy Center May 15 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals. The meeting was highlighted by presentations …


CDC Urges Hospitals to Complete mPINC Survey

The 2024 Centers for Disease Control and Prevention (CDC) national survey of Maternity Practices in Infant Nutrition and Care (mPINC) will close June 10. The CDC seeks to assess maternity care practices that influence how …



Rural Emergency Hospital Improvement Act Introduced in the U.S. Senate

U.S. Sens. Jerry Moran (R-KS) and Tina Smith (D-MN) introduced the Rural Emergency Hospital Improvement Act May 14 to bolster rural healthcare. Senate Bill 4322 aims to address critical gaps in rural healthcare infrastructure by …


MHA Podcast Explores Benefits, Challenges of Virtual Care in Behavioral Health

The MHA released a new episode of the MiCare Champion Cast exploring how clinicians are navigating virtual care in the behavioral health space. The episode, released during Mental Health Awareness Month, features two providers from Pine Rest Christian Mental Health Services. …


The Keckley Report

Hospitals at a Crossroad: Reactive Navigation or Proactive Orchestration?

“The U.S. economy is strong but growing numbers in the population face financial insecurity and economic despair. Increased out-of-pocket costs for food, fuel and housing (especially rent) have squeezed household budgets and contributed to increased medical debt—a problem in 41% of U.S. households today. Hospital bills are a factor. …

For most hospitals, a decision to invest and behave as if the future is a repeat of the past is a calculated risk. Others with less stake in community health and wellbeing and greater access to capital will seize this opportunity and, in the process, disable hospitals might play in the process.

Near-term reactive navigation vs. long-term proactive orchestration–that’s the crossroad in front of hospitals today. Hopefully, during National Hospital Week, it will get the attention it needs in every hospital board room and C suite. …”

Paul Keckley, May 12, 2024


News to Know

The Michigan Department of Licensing and Regulatory Affairs is requesting feedback to understand the challenges of obtaining a license.


MHA CEO Brian PetersMHA in the News

Crain’s Grand Rapids published an article May 16 on the release of Rand Corp. study on hospital pricing. Michigan reportedly has the third lowest hospital care costs relative to Medicare in the country, although the …

House Campaign Committee Chairs Address Legislative Policy Panel

House Campaign Committee Chairs Rep. Bill G. Schuette (R-Midland) and Rep. Regina Weiss (D-Oak Park) present during the MHA Legislative Policy Panel meeting.

The MHA Legislative Policy Panel met at the MHA Capital Advocacy Center May 15 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals.

The meeting was highlighted by presentations from each political party’s House Campaign Committee Chair. Rep. Bill G. Schuette (R-Midland) represented the Republications and Rep. Regina Weiss (D-Oak Park) presented for the Democrats. Each lawmakers highlighted the importance of the upcoming election, as all 110 Michigan House of Representatives seats will be on the ballot.

Regarding action items, the panel made two recommendations. The first is for the MHA to support House Bills (HB) 4746 to expand the range of healthcare professionals who can testify that a patient required Assisted Outpatient Treatment (AOT) and modifies the procedures for diverting individuals charged with misdemeanor offenses to AOT. The panel also recommends the MHA continues to work to ensure patient safety and equitable access is protected, including a collaboration with hospitals, in legislation that proposes the integration of community midwifery care into the healthcare continuum.

The panel received additional updates on state legislative activities regarding Medicaid funding, the state budget and the state workforce.

For more information on the MHA Legislative Policy Panel, contact Adam Carlson at the MHA.

MHA Monday Report March 18, 2024

MHA Monday Report

Legislative Policy Panel Recommends Policy Positions

The MHA Legislative Policy Panel met virtually March 13 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals. The meeting began with an update from MHA CEO Brian Peters on the MHA strategic action plan. …


National Rural Health Association Funding Opportunities Available

The National Rural Health Association recently announced two new funding opportunities to support initiatives that will improve healthcare access in rural communities. The Rural Utilities Service, a Rural Development agency of the United States Department of Agriculture …


MHA Unemployment Compensation Program Receives National Recognition

The MHA Unemployment Compensation Program (UCP) was recognized by the National Association of State Workforce Agencies (NASWA) March 14 for the MHA UCP’s commitment to utilizing the NASWA’s nationwide, web-based system SIDES …


Applications Open for Excellence in Governance Fellowship

Applications are currently being accepted for the 2024-2025 Excellence in Governance Fellowship, which will be held from October 2024 through June 2025. The MHA Excellence in Governance Fellowship is available to healthcare board members looking for innovative, …


Secure Your Spot: Register Now for the 2024 Communications Retreat

Registration remains open for the 2024 MHA Communications Retreat scheduled Tuesday, May 7 from 8:30 a.m. to 4 p.m. at the Henry Center for Executive Development in Lansing. Current registration includes representation from hospitals and health systems throughout the state. The MHA Communications …


The Keckley Report

Has U.S. Healthcare reached its Tipping Point?

“I believe the U.S. health system as we know it has reached its tipping point. The big-name organizations in every sector see it and have nominal contingency plans in place; the smaller players are buying time until the shoe drops. But I am worried. …

It’s time to start an adult conversation about the future of the system. The starting point: acknowledging that it’s not about bad people; it’s about systemic flaws in its design and functioning. Fixing it requires balancing lag indicators about its use, costs and demand with assumptions about innovations that hold promise to shift its trajectory long-term. It requires employers to actively participate: in 2009-2010, Big Business mistakenly chose to sit out deliberations about the Affordable Care Act. And it requires independent, visionary facilitation free from bias and input beyond the DC talking heads that have dominated reform thought leadership for 6 decades. …”

Paul Keckley, March 11, 2024


News to Know

  • Members are encouraged to register for a free webinar from 11:30 a.m. to 12:15 p.m. ET March 20 to learn why onsite risk assessments are important.
  • The MHA will host a webinar with ModusOne Health to help members maximize quality metrics and reimbursements from 11:30 a.m. to 12:30 p.m. ET on March 27.