MHA Supports Expanded Medicaid Coverage for Postpartum Mental Health Screenings

The MHA recently submitted comments to the Michigan Department of Health and Human Services in support of the proposal to expand Medicaid coverage for maternal mental health screenings up to 12 months postpartum.

Postpartum depression affects one in eight individuals, with symptoms often appearing months after childbirth. At nine to 10 months postpartum, 7.2% of individuals report depressive symptoms, many for the first time, highlighting the need for extended screening.

The MHA noted the importance of using validated tools like the Edinburgh Postnatal Depression Scale and aligning with recommendations from national medical organizations will help identify and treat more cases of postpartum depression. Extending coverage will close care gaps, improve outcomes for families and strengthen maternal and infant health statewide.

Members with questions may contact Lenise Freeman at the MHA.

MHA CEO Report — Patients Over Politics

MHA Rounds image of Brian Peters

MHA Rounds graphic of Brian Peters“Happy are those who dare courageously to defend what they love.”  — Ovid

Most people will find themselves in a hospital at one point or another, whether it’s to hold a loved one’s hand, welcome a child or receive needed – perhaps even life-saving – care.

I’m no exception. Like many others have done before and since, my wife and I looked to the team at Corewell Health Devos Children’s Hospital to keep our daughter safe and healthy while she was fighting for her life in their neonatal intensive care unit some 19 years ago (a story I recently shared on the MiCare Champion Cast). Needless to say, it’s in those moments that we realize just how personal – and non-partisan – healthcare truly is.

As an association, it’s our job to protect Michigan hospitals and safeguard healthcare services for patients and communities. That’s why in recent months we’ve spoken out against attacks to Medicaid – and why now – we’re ringing the alarm on the devastating impact proposed House budget cuts would have if signed into law.

Political posturing aside, here are the facts: Michigan hospitals stand to lose more than $2.5 billion under House Bill 4706, which would directly impact patient access to care in hospital beds, labor and delivery units, emergency departments, cancer treatment and many other vital service lines across the state. As we stated repeatedly during the debate on “One Big Beautiful Bill Act (OBBBA),” when service lines and hospitals close, access is not only lost for Medicaid recipients – it is lost for everyone.  In addition, this funding keeps our incredibly dedicated healthcare workers employed. The House-proposed budget puts more than 20,000 Michigan hospital jobs at risk and could result in a $4.9 billion loss to the state’s economy.

While some politicians point fingers, Michigan hospitals are focused on patients. It’s time to put egos aside and act as a united front when it comes to protecting access to care, helping our communities thrive and showing up for those who care for us all in times of joy, uncertainty and crisis.

We cannot let partisanship put lives at risk. On behalf of our MHA family, I ask you to show courage in speaking truth to power. I ask you to join me in urging lawmakers on both sides of the aisle to protect essential hospital funding by visiting our MHA Legislative Action Center.

As always, I welcome your thoughts.

MHA Monday Report Aug. 25, 2025

CMS Releases FY 2026 Final Rule for Skilled Nursing Facilities

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service prospective payment system for skilled nursing facilities for fiscal year (FY) 2026. Key provisions include: Increasing the per-diem federal rate …


MHA Community Benefits Survey for FY 2024 Now Open

The MHA is now accepting submissions for the fiscal year (FY) 2024 Community Benefits Survey. Member hospitals are encouraged to participate, as the survey results are vital to demonstrating the value of hospital community benefit …


Trustee Webinar Outlines the OBBBA Impact

The MHA will host the webinar Understanding the One Big Beautiful Bill Act (OBBBA) and Board Planning for the Impact from 8 to 9 a.m. Sept. 24. The session is designed for trustees and hospital leaders and will highlight considerations …


MHA EBP care.ai Shares Case Study on Virtual Care Expansion

MHA Endorsed Business Partner (EBP) care.ai recently shared an insightful case study on how a 22-bed virtual care pilot with Henry Ford Health is expanding across 13-acute care hospitals, including a chief nursing informatics …


Keckley Report

The Medical Profession at a Crossroad

“When I was a grad student at Ohio State in the ‘70’s, one of the most challenging courses I took was “Primary Research Methods in Analyzing Public Data” –an elective. …

The data show the majority of physicians are unhappy and uncertain about the future of the profession. The data show they’re working harder and doing more with less. The data show they’re concerned about the future of the health system and think it’s heading in the wrong direction. The data show employed physicians are increasingly dissatisfied in their hospital and private equity relationships. The data show that physicians share of the growing health spending pie is shrinking: from 21.1% in 2000, to 20.1% in 2023 and projected to 19.9% in 2025 and 19.5% in 2033. And data show the profession, along with nurses and pharmacists, enjoys the public’s trust to figure things out. …

Might defining a vision for a transformed ‘U.S. System of Health’ be the focus for the medical profession? There’s plenty of data to digest to deliberate objectively. Its willingness and ability to set aside its factionalism for the greater good is the biggest question facing the profession. And the widely-recognized dysfunction of the current U.S. health system presents the urgent opportunity for the profession to step forward. That’s the cross facing the profession.”

Paul Keckley, August 17, 2025


New to KnowNews to Know

The MHA is developing its 2025-2026 events and education calendar, featuring professional development opportunities, networking events and timely, relevant offerings for members.


MHA in the News

The MHA received media coverage during the week of Aug. 18 that continued to focus on the impact the One Big Beautiful Bill Act will have on Medicaid as well as comments related to …

Media Recap: Medicaid and Healthcare Costs

The MHA received media coverage during the week of Aug. 18 that continued to focus on the impact the One Big Beautiful Bill Act (OBBBA) will have on Medicaid as well as comments related to the impact hospital consolidations have on healthcare access.

Gongwer published a story Aug. 20 on the impact hospital consolidations have on healthcare costs and access to care for employees. MHA CEO Brian Peters was quoted in the article disputing the claim that hospitals are profiteers.

“Bashing community hospitals and the 220,000 hospital workers who show up every day of the year to care for Michigan patients is misguided and inflammatory,” said Peters. “Hospitals are focused on providing safe, high-quality, affordable care in every community they serve.”

NPR also published a story following an interview with Peters regarding the impact the OBBBA and new work requirements will have on healthcare in Michigan.

“The state of Michigan Department of Health and Human Services has estimated that as many as 700,000 Michiganders could lose coverage because of the reconciliation bill,” said Peters.

The new work requirements will necessitate that hundreds of thousands of enrollees document their eligibility every six months. Peters noted in the interview that there’s no evidence of widespread waste and abuse in the state’s Medicaid program.

“When you look at the Medicaid population here in the state of Michigan, we know that almost all of those folks are working and working full time,” said Peters.

Members with any questions regarding media requests should contact John Karasinski at the MHA.

MHA Monday Report Aug. 18, 2025

CMS Releases FY 2026 LTCH Prospective Payment System Final Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service long-term care hospital (LTCH) prospective payment system for fiscal year (FY) 2026. Specifically, the …


MHA Keystone Center and MI AIM Announce Recipients of Maternal Health Education Grant

The MHA Keystone Center, in collaboration with the Michigan Alliance for Innovation on Maternal Health (MI AIM), recently announced a partnership with UnitedHealthcare to offer $25,000 grants to birthing hospitals in Michigan to purchase equipment …


CMS Releases FY 2026 Final Rule for Inpatient Rehabilitation Facilities

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service prospective payment system for inpatient rehabilitation facilities for fiscal year (FY) 2026. Key provisions include: …


Keckley Report

Health Industry Notoriety is a Two-Edged Sword: Four Considerations as the Mid-Term Elections Near

“Keeping track of all things healthcare is a formidable task.  Last week’s news is no exception: …

These events and actions illustrate the administration’s “flood the zone” strategy and its propensity to dictate news cycles in media coverage. They also reflect the ubiquitous role played by healthcare in our society as an employer and economic engine.

Collectively, they appear to cast the industry in a negative light reinforcing populist’ suspicions about affordability, price transparency, corporatization and cost-containment. And they lend to growing disfavor among lawmakers, employers and critics. …”

Paul Keckley, Aug. 10, 2025


New to KnowNews to Know

  • Registration is open for the 2025 MHA Communications Retreat from 8 a.m. to 4 p.m. on Wednesday, Oct. 1 at the Henry Center for Executive Development in Lansing.
  • In the latest episode of the MiCare Champion Cast, MHA CEO Brian Peters and MHA Board Chair Bill Manns, president and CEO, Bronson Healthcare, explore what’s top of mind in healthcare as the 2025-2026 program year kicks off.

MHA Monday Report Aug. 11, 2025

MHA Trustee Webinar Outlines Information and Planning for the OBBBA

The MHA will host the webinar Understanding the One Big Beautiful Bill Act (OBBBA) and Board Planning for the Impact from 8 to 9 a.m. ET Sept. 24. The session will explore how the OBBBA …


CMS Releases FY 2026 Final Rule for Inpatient Psychiatric Facilities

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service prospective payment system for inpatient psychiatric facilities for fiscal year (FY) 2026. Key provisions …


CMS Releases FY 2026 Hospital Inpatient Prospective Payment System Final Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service inpatient prospective payment system for fiscal year (FY) 2026. Highlights of the final rule include: …


MHA Podcast Explores Healthcare Priorities with 2025-2026 Board Chair Bill Manns

The MHA released a new episode of the MiCare Champion Cast exploring what’s top of mind in healthcare as the 2025-2026 program year kicks off. The episode, hosted by MHA CEO Brian Peters, features MHA …


Keckley Report

July 2025 Actions are the Turning Point for U.S. Healthcare

“July 2025 will be the month U.S. healthcare leaders recognize as the industry’s modern turning point. Consider…

Collectively, these actions reflect rejection of the health industry by the GOP-led Congress. It follows 15 years of support vis a vis the Affordable Care Act (2010) and pandemic recovery emergency funding (2020-2021). In that 15-year period, the bigger players got bigger in each sector, investment of private equity in each sector became more prevalent, costs increased, affordability for consumers and employers decreased, and the public’s overall satisfaction with the health system declined precipitously. …

The landscape for U.S. healthcare is fundamentally changed as a result of the July actions noted above. It is compounded by public anxiety about the economy at home and global tensions abroad.

These July actions were a turning point for the industry: responding appropriately will require fresh ideas and statesmanship. Transparency about prices, costs, incentives and performance is table stakes. Leaders dedicated to the greater good will be the difference.”

Paul Keckley, Aug. 3, 2025


New to KnowNews to Know

MHA Endorsed Business Partner Vault Verify is hosting a live webinar on HR’s Growing Role in Data Protection from 1 to 2 p.m. ET Aug. 13.


Lauren LaPineMHA in the News

The MHA received media coverage the week of Aug. 4 on hospital cost pressures, behavioral health partnerships and the impact of Medicaid cuts. Gongwer published a story Aug. 4 about a PricewaterhouseCoopers report that reviews …

MHA Trustee Webinar Outlines Information and Planning for the OBBBA

The MHA will host the webinar Understanding the One Big Beautiful Bill Act (OBBBA) and Board Planning for the Impact, from 8 to 9 a.m. ET Sept. 24. The session will explore how the OBBBA would enact nearly $1 trillion in cuts to the Medicaid program, potentially reducing access to care across the country.

The webinar will cover several board-level considerations, including:

  • The Medicaid provisions within the OBBBA, such as state budgeting reductions, state-directed payments and Medicaid work requirements.
  • The Rural Health Transformation Program and eligible funding activities.
  • Strategies for positive messaging and healthcare policy advocacy.

Hospital board of trustees and other healthcare leaders are encouraged to register. The webinar is free of charge to MHA members.

Questions about MHA membership or registration should be directed to Brenda Carr at the MHA.

MHA Monday Report Aug. 4, 2025

HRSA Announces 340B Rebate Pilot; President Trump Pens Letter on Most Favored Nation Pricing

The Health Resources and Services Administration (HRSA) issued guidance July 31 on a proposal to shift a portion of the 340B drug pricing program away from an upfront discount model to a rebate model. HRSA …


MDHHS to Discuss 2026 Draft Rates for MichiCANS and LOCUS Assessments

The Michigan Department of Health and Human Services (MDHHS) invites qualified mental health providers to attend a MichiCANS Screener and Level of Care Utilization System (LOCUS) All Provider Draft Rate meeting scheduled from 1 – 2 p.m. …


CMS Releases CY 26 PFS Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the physician fee schedule (PFS) for calendar year (CY) 2026. Highlights of the proposal include: Implementing the one-time 2.5% statutory …


MHA Rounds graphic of Brian PetersMHA CEO Report — Hospitals Are Focused on Saving Both Lives and Costs

Hospitals exist to save lives and improve health. Every day, across every ZIP code in Michigan, our community hospitals are the place where babies are born, cancer is fought, lives are saved and families turn in their most vulnerable moments for hope, help and healing. …


Keckley Report

Medicare Report Card on its 60th Birthday: Incomplete

“Wednesday marks the 60th anniversary of Medicare. On July 30, 1965, President Lyndon Johnson signed the Social Security Act (HR 6675) at the Harry S. Truman Presidential Library in Independence, MO issuing the first Medicare card to “Give ‘em hell Harry” who had proposed universal coverage in 1945 against fierce opposition from the American Medical Association who labelled it socialized medicine.

The program began in January 1966 enrolling 19 million in its Part A (hospital) and Part B (ambulatory, physicians) programs. The country was divided over the contentious war in Vietnam and civil rights at home. In the six decades since, the Medicare program has expanded to become the industry’s most important program and society’s most valued safety net. …

So, on Medicare’s 60th birthday, its legacy is a mixed bag: it has provided needed health services to three generations of seniors, but its costs and failure to hardwire an appropriate balance between preventive, chronic and acute and long-term care services remain work not completed.”

Paul Keckley, July 27, 2025


New to KnowNews to Know

  • Registration is open for the 2025 MHA Communications Retreat from 8 a.m. to 4 p.m. on Wednesday, Oct. 1 at the Henry Center for Executive Development in Lansing.
  • The AHA is accepting applications through Sept. 9 for the Quest for Quality Prize, an annual award that honors hospitals and health systems committed to leadership and innovation in improving quality and advancing health.

Laura AppelMHA in the News

The MHA received media coverage during the week of July 28 that continued to focus on the impact the One Big Beautiful Bill Act (OBBBA) will have on Medicaid. WZZM 13 published a story July …

News Coverage Continues Focus on Medicaid

Laura Appel

The MHA received media coverage during the week of July 28 that continued to focus on the impact the One Big Beautiful Bill Act (OBBBA) will have on Medicaid.

Bridge published an op-ed Aug. 1 from MHA CEO Brian Peters refuting public claims defending Medicaid funding cuts in the OBBBA. Peters describes how the cuts will have real consequences for real people, spanning all populations.

“When hospitals lose Medicaid dollars, the burden shifts to other patients, including those with employer-sponsored insurance,” said Peters. “Costs go up. Wait times increase. Local access to specialty care dries up. Employers and families alike will feel the ripple effects, both in their insurance premiums and at the distance they must travel for care.”

WZZM 13 published a story July 30 on the 60th anniversary of Medicare and Medicaid being established by President Lyndon B. Johnson. The story references a media statement published by the MHA on the subject.

Laura AppelA story also aired July 30 during the FOX 47 evening news broadcast about how Medicaid changes in the One Big Beautiful Bill Act (OBBBA) will impact rural healthcare providers. MHA Executive Vice President Laura Appel was interviewed as part of the story.

Appel also appears in a Crain’s Detroit Business article about healthcare affordability that was sponsored by Blue Cross Blue Shield of Michigan (BCBSM). Representatives from various Michigan businesses and healthcare groups were invited to join BCBSM and Crain’s in the executive roundtable.

Appel spoke to the cost pressures impacting hospitals and the role hospitals have in addressing rising healthcare costs.

“Most hospitals across our state are looking for those partnerships because they can’t afford to do it on their own,” said Appel in relation to hospitals pursuing mergers, acquisitions and joint ventures.

Members with any questions regarding media requests should contact John Karasinski at the MHA.

Medicare & Medicaid Improve Michigan’s Health for 60 Years

The following statement can be attributed to Brian Peters, CEO of the Michigan Health & Hospital Association.

Today marks the 60th anniversary of Medicare and Medicaid making a monumental difference in improving the health of Michiganders and supporting healthcare providers.

This anniversary reminds all of us about the value these programs bring to the health of our citizens and access to care throughout Michigan. At a time when the federal government has taken steps to limit these programs that will result in Michigan hospitals losing $6 billion over the next ten years, healthcare providers will continue to do everything in our power to protect these vital programs and the people they serve.

Nearly half of Michigan residents receive health coverage from these two insurance programs, and 40% of all babies born in the state every year are covered by Medicaid, demonstrating the reliance our state has on publicly available health insurance coverage. These programs help vulnerable Michiganders receive preventative care, cancer treatment, and important hospital and post-acute services during their time of need.

Our message to lawmakers is clear: act now to protect these programs before it is too late. If the harmful policies signed into law earlier this month come to pass, we will see less healthcare services offered in all areas of the state, more uninsured and sicker patients, and longer wait times in emergency departments.

The creation of these programs was a huge step forward for the health of our country. We can’t afford to go backwards by undermining Medicare and Medicaid and what they do for millions of Michiganders.