MHA Monday Report Jan. 30, 2023

MHA Monday Report

The MHA Legislative Policy Panel convened Jan. 25 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals. The meeting was highlighted by a presentation from MHA multi-client lobbying firm Public Affairs Associates on the new political landscape in Michigan. …


Peters Featured on Paul W. Smith Live from Lansing Broadcast

MHA CEO Brian Peters appeared on Detroit’s WJR News Talk Radio’s Paul W. Smith “Live from Lansing” show Jan. 26 as part of its annual coverage of legislative and policy issues facing the state the morning after Gov. Gretchen Whitmer’s State of the State address. …


MHA and Michigan Hospitals Contribute $45,000 Toward Food Insecurity

The MHA and its member hospitals and health systems contributed a combined total of $45,000 toward the 2022 Michigan Harvest Gathering in an effort to combat food insecurity throughout the state. The annual campaign organized by the Food Bank Council of Michigan concluded Jan. 25 …


Comments Due for 340B Administrative Dispute Resolution Process

The U.S. Department of Health and Human Services (HHS) issued a proposed rule Nov. 30 to establish the 340B Administrative Dispute Resolution (ADR) process implementing a formal manner for resolving disputed claims. The ADR process would provide a forum for addressing …


DEA Change in X-Waiver Requirement

President Biden approved the elimination of the DATA Waiver (X-Wavier) requirement and several other prescribing practice changes when he signed Dec. 29 the Consolidated Appropriations Act, 2023. Changes to prescribing practices include: No longer requiring the X-Waiver to treat …


Virtual Training Offered for FY 2020 Medicaid DSH Audit

Myers and Stauffer LC, Michigan’s contractor for the federally mandated Medicaid disproportionate share hospital (DSH) audits, encourages hospital staff to participate in the upcoming virtual training at 10 a.m. Feb. 28. Hospital staff are also encouraged to view a pre-recorded general DSH …


MHA Podcast Explores Working Inside Michigan’s Rural Hospitals

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 episode 24, Ross M. Ramsey, MD, president and CEO of Scheurer Health …


The Keckley Report 

Paul KeckleyThe Missing Piece in the Primary Care Physician Shortage Puzzle

“In its latest assessment of the U.S. physician workforce, the venerable Association of Academic Medical Centers (AAMC) projects a shortage of between 17,800 and 48,000 primary care physicians by 2034. …

The keys to mitigating the primary care shortage are multi-factorial, but technology-enabled self-care must be prioritized as a core competence. It’s the missing piece. …”

Paul Keckley, Jan. 23, 2023


News to Know

  • The Rural Health Redesign Center, the technical assistance provider chosen by the Centers for Medicare & Medicaid Services, in partnership with Mathematica held a with new information for eligible rural hospitals interested in converting to the new Rural Emergency Hospital (REH) designation.
  • The MHA and Comprehensive Reimbursement, Inc. are offering a free Occupational Mix educational webinar at 10 a.m. Jan. 31.

MHA CEO Brian PetersMHA in The News

The MHA received media coverage the week of Jan. 23 regarding the issue of food insecurity, rural healthcare solutions and hospital viability. The MHA contributed a combined total of $45,000 toward the 2022 Michigan Harvest Gathering during the campaign’s luncheon …

MHA Monday Report Oct. 24, 2022

MHA Monday Report

Trustee Forum Converts to Virtual

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 …


Crain’s Healthcare Leadership Summit Features MHA and Hospital Leaders

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….

 


Strategic Action Planning Session with MHA Service Corporation Board

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 …


MHA Podcast Details Upcoming Election

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 …


Recording Available for MHA Strategic Action Plan Review

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 …


MHA Race of the Week – Michigan Attorney General

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 …

 


Paul KeckleyThe Keckley Report

The Lame Duck Session of Congress Will Not Be Lame for Healthcare

“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…”

Paul Keckley, Oct. 17, 2022


News to KnowLogo for MI Vote Matters, Tuesday Nov. 8

  • 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.

 


MHA CEO Brian PetersMHA in the News

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 …

 

MHA Podcast Details Upcoming Election

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, Laura Appel, executive vice president of government relations and public policy at the MHA, discusses the upcoming general election which will set the stage for critical healthcare decisions for Michigan and the nation in the years ahead. Appel explains how voting directly impacts healthcare in Michigan and outlines details on this year’s candidates and ballot proposals.

The episode, currently available via SpotifyYouTube, Apple Podcasts and SoundCloud, also explores examples of past and present legislation that have had a lasting impact on healthcare, along with key dates to keep in mind ahead of Election Day.  

In November, Michigan voters will help elect the next governor, attorney general and secretary of state of Michigan, decide who will represent the state in all 13 Michigan seats in the U.S. House of Representatives, plus cast ballots for all 110 seats of the Michigan House of Representatives and 38 seats of the Michigan Senate, among other contests.

The MHA MI Vote Matters 2022 election webpage provides the latest information about the election. Members are encouraged to use #MIVoteMatters to join the election 2022 conversation on social media and follow along for the MHA’s Race of The Week series to learn more about candidates and ballot proposals.

The MiCare Champion Cast 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.

Members with questions or who would like to submit ideas for future podcasts should contact Lucy Ciaramitaro at the MHA.

MHA Monday Report Oct. 17, 2022

MHA Monday Report

Legislative Policy Panel Convenes for Program Year

The MHA Legislative Policy Panel convened Oct. 12 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals …


MDHHS Releases Medicaid Rate Increase Policies

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 …


MHA Keystone Center Presents Annual Health Equity Summit

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 …


ED MOUD Funding Available – Applications Due Dec. 16

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 …


Webinar Prepares for The Joint Commission and CMS Health Equity Requirements

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 …


MHA Podcast Explores Program Year Priorities with Michigan Medicine

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 …


MHA Race of the Week – Michigan Supreme Court

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 Keckley Report

Paul KeckleyIs the Honeymoon Over for Medicare Advantage?

“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.”

Paul Keckley, Oct. 10, 2022


Logo for MI Vote Matters, Tuesday Nov. 8News to Know

  • The last day to register online to vote in the Nov. 8 election is Oct. 24, 2022.
  • 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.

MHA Podcast Explores Program Year Priorities with Michigan Medicine

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 SpotifyiTunes 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.

MHA Creates Workforce Sustainability Communications Toolkit

As hospitals and health systems across Michigan continue to face workforce challenges, the MHA has developed a downloadable communications toolkit focused on workforce sustainability. The toolkit includes:

  • Community letter template.
  • Infographic.
  • Letter-to-the-editor template.
  • Key messaging.
  • Newsletter template.
  • Social media posts.
  • Social media graphics.
  • Website banners and buttons.

Modifiable Canva templates are available upon request. The MHA also encourages those who haven’t to share the Crain’s Detroit Business op-ed recently published from MHA CEO Brian Peters on the unsustainable financial strain currently being experienced by Michigan hospitals and health systems.

Questions about the toolkit can be sent to Lucy Ciaramitaro at the MHA.

MHA Podcast Explores the 340B Drug Pricing Program

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, Karen Cheeseman, CEO of Mackinac Straits Health System (MSHS) and Leah Heffernan, retail pharmacy director at MSHS, explain what the 340B drug pricing program is and how it benefits Michigan’s rural communities.

The federal 340B Drug Pricing Program requires that drug companies sell discounted prescription drugs to entities that provide care in underserved communities, including those in rural communities like MSHS. Those interested in helping protect 340B can visit the MHA Legislative Action Center to contact state lawmakers in a few quick steps.

Cheeseman has been with the health system for 17 years, previously serving as chief operating officer and, prior to that, chief human resource officer. She is a member of the American College of Healthcare Executives and served on both the Small and Rural Health Council and Legislative Policy Panel at the MHA. Heffernan has been with Mackinac Straits as a retail pharmacy director for three years, working daily to ensure all operations run smoothly at the system’s retail pharmacy.

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.

MHA Showcases Healthcare Workers for National Hospital Week

Hospital Week Graphic

Every year, National Hospital Week serves as an opportunity to highlight hospitals, health systems, healthcare workers and the innovative ways they are supporting and connected to the community. For 2022, the MHA celebrated by showcasing member hospital and health system staff across social media channels. Each day of the week, short videos featured staff from across the state — nurses, volunteers, technicians, etc. — sharing what they love about working in healthcare.

The videos aligned with the American Hospital Association’s #WeAreHealthcare efforts, offering a more local perspective from caregivers who have taken on unimaginable challenges and risen to the occasion repeatedly over the course of the pandemic. Submissions came from healthcare workers across the state, including staff from Beaumont Health, Henry Ford Health, Hurley Medical Center, Pine Rest Christian Mental Health Services and Sparrow Health System.

The videos totaled more than 40,000 impressions (the number of times content was seen) and more than 1,500 engagements across Facebook, Twitter and Instagram. Questions about the MHA’s 2022 National Hospital Week campaign should be directed to Lucy Ciaramitaro at the MHA.

Combating the Novel Coronavirus (COVID-19): Week of March 21

MHA Covid-19 update

MHA Covid-19 updateWith the number of new cases trending downward, Michigan hospitals continued to have patients with severe cases of COVID-19 in their intensive care units (ICUs). As of March 25, 100 Michiganders with confirmed or suspected COVID-19 were in ICUs, 44 of them on ventilators. They were among the 516 adults and 22 children hospitalized with confirmed or suspected cases that day.

The MHA continues to keep members apprised of pandemic-related developments affecting hospitals through email updates and the MHA Coronavirus webpage. Important updates are outlined below.

Legislative Action Will Assist Hospitals in Providing High-quality Care

The Legislature has sent Senate Bill (SB) 247 to Gov. Gretchen Whitmer to be signed into law, making significant changes to prior authorization in the state of Michigan. The MHA-supported  bill would shorten the timelines for approval of authorization requests, ensure that emergency care can be provided without prior approval, and require insurers to post their prior authorization policies on their website and accept electronic requests, among other improvements to the process.

Whitmer signed SBs 246 and 435, increasing forgivable loan amounts for health professionals who work in medically underserved communities as part of the Michigan Essential Health Provider Program and expanding the physician specializations that qualify for the program to include behavioral health professionals. The new law also extends the sunset on the interstate Physician Licensure Compact, ensuring that physicians coming to Michigan from another compact state can quickly become licensed to practice in the state.

More information on these bills and other legislation affecting hospitals is available in a related article.

Vaccination Progress Among Michiganders Highlights Racial Disparities

More than 60% of all Michigan residents aged 5 and older are fully vaccinated against COVID-19. However, only slightly more than 40% of Black residents are among those fully vaccinated. Nearly 28% of Michigan children aged 5 through 11 years have received their first dose of the vaccine, but fewer than 17% of Black Michigan children in that age range have received their first dose. Providers should continue efforts to reach families with young children and nonwhite patients to reduce the disparities in the impact of COVID-19 on different populations. For information on vaccines, contact Ruthanne Sudderth at the MHA.

MHA Creates State/Federal COVID-19 Guidelines Tracker

The MHA recently developed a tracking tool outlining state and federal COVID-19 protocols for healthcare personnel. The document is updated as agencies revise their guidelines or mandates and includes vaccination, masking and COVID-19 testing guidelines from both the Centers for Disease Control and Prevention and the Michigan Department of Health and Human Services (MDHHS). The downloadable tool can also be found on the MHA website on the COVID-19 Resources page under Resources for Healthcare Professionals. Members with questions may contact Lucy Ciaramitaro at the MHA.

Additional information on the COVID-19 pandemic is available to members on the MHA Community Site and the MHA COVID-19 webpage. Questions on COVID-19 and infectious disease response strategies may be directed to the MDHHS Community Health Emergency Coordination Center (CHECC).

Combating the Novel Coronavirus (COVID-19): Week of March 14

MHA Covid-19 update

MHA Covid-19 updateAs Michigan begins the third year of living with COVID-19, new cases, hospitalizations and deaths are trending downward and hopes are high that a new variant will not emerge to cause another surge of disease. The state reported there were 2,770 cases recorded for March 17 and 18 (including about 825 cases attributable to older lab results), 648 adults and children were hospitalized with confirmed and suspected cases, and 50 deaths caused by the disease were recorded over the two-day period. These numbers are fractions of what was seen in December and January, when Michigan hospitals were at or near inpatient capacity.

The MHA continues to keep members apprised of pandemic-related developments affecting hospitals through email updates and the MHA Coronavirus webpage. Important updates are outlined below.

MIOSHA Will Not Increase COVID-19 Inspections of Healthcare Facilities

Barton Pickelman, director of the Michigan Occupational Safety and Health Administration (MIOSHA) within the Department of Labor and Economic Opportunity, has confirmed that MIOSHA will not be conducting additional, focused, COVID-19 compliance inspections of healthcare facilities in Michigan. Although a March 2 memo issued by the federal Occupational Safety and Health Administration (OSHA) announced a 90-day COVID-19-focused inspection initiative for hospitals and skilled nursing care facilities, Pickelman noted that MIOSHA and other state plans are not required to adopt the federal OSHA initiative. Because MIOSHA has already conducted state emphasis programs for healthcare over the past two years, it is not adopting the federal inspection initiative.

Separate from the OSHA inspections, surveyors from the Michigan Department of Licensing and Regulatory Affairs (LARA) will continue to check for compliance with requirements of the Centers for Medicare & Medicaid Services and state licensing agencies during regular survey visits or in response to specific complaints. LARA will confirm that facilities have written policies and protocols in place surrounding COVID-19 screening processes, are following their policies as written, and that these policies and protocols can allow either active or passive screening procedures, consistent with guidance from the Centers for Disease Control and Prevention (CDC).

For more information, contact Laura Appel or Amy Barkholz at the MHA.

MHA Creates State/Federal COVID-19 Guidelines Tracker for Providers

To help hospitals and health systems keep track of COVID-19 guidelines, the MHA has developed a document outlining state and federal COVID-19 protocols for healthcare personnel, including vaccination, masking and COVID-19 testing guidelines from both the CDC and the Michigan Department of Health & Human Services (MDHHS). The downloadable tool can be found on the MHA’s website on the COVID-19 webpage under Resources for Healthcare Professionals. Those with questions may contact Lucy Ciaramitaro at the MHA.

Additional information on the COVID-19 pandemic is available to members on the MHA Community Site and the MHA COVID-19 webpage. Questions on COVID-19 and infectious disease response strategies may be directed to the MDHHS Community Health Emergency Coordination Center (CHECC).