MHA CEO Report — Dedicated to Care Every Day of the Year

MHA Rounds image of Brian Peters

MHA Rounds image of Brian Peters“Love and compassion are necessities, not luxuries. Without them, humanity cannot survive.” — Dalai Lama

During the holiday season, we look forward to annual traditions and time spent with loved ones. While many of us gather around our tables this season, we are all aware of individuals who sacrifice this special time with cherished company to keep the places of healing in our communities open.

Hospitals don’t close for the holidays. They are open 24 hours a day, 7 days a week, 365 days a year. Emergencies don’t check the calendar, and neither do the people who dedicate their lives to responding to them.

Every hospital in Michigan can provide round-the-clock service because of the remarkable network of professionals working there. There are teams of highly skilled clinicians ready at the bedside, but there is also a deep bench of essential staff working diligently behind the scenes. Nurses, physicians, medical assistants and countless other care providers are able to deliver comfort and support when it matters most thanks to the help of many colleagues whose work often goes unseen.

There are environmental services teams who ensure every room is safe and clean, maintenance workers who manage essential systems for heat, power and water, food service workers making meals for staff and patients, and lab technicians providing fast, accurate, results. Our hospitals employ accountants, attorneys, communications and IT professionals, and so many more.

And these individuals aren’t strangers. They are our neighbors, our friends and our family members. They are the people we see at the grocery store, at school events or in line for our morning coffee.

Their commitment means that when a baby spikes a fever or a parent slips on ice, help is always there. Their presence brings reassurance to every family in our community: no matter the hour or the day, hospitals stand ready.

To all those working this holiday season, thank you. You are there when we need you most, and our communities are stronger because of you.

As always, I welcome your thoughts.

MHA Monday Report Nov. 17, 2025

Notable Healthcare Legislation Clears House, Senate Committees

Legislation on physician assistant licensure compact agreements, international medical school graduates, hospital price transparency measures and medical debt collection advanced in the Michigan House and Senate during the week of Nov. 10. In the House …


CMS Releases CY 2026 Physician Fee Schedule Final Rule

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


Congressmen Bergman Supports Save America’s Rural Hospitals Act

U.S. Rep. Jack Bergman (R-MI) recently co-sponsored H.R. 3684, the Save America’s Rural Hospitals Act of 2025, which would strengthen financial stability and access to care for rural hospitals and healthcare providers across the country. …


MHA Board of Trustees Shares Learnings from Ice Storm and Reviews Strategic Action Plan

The MHA Board of Trustees’ Nov. 12 meeting featured presentations from board members Ed Ness, president and CEO, Munson Healthcare; Lydia Watson, president and CEO, MyMichigan Health; and Karen Cheeseman, president and CEO, Mackinac Straits …


New MHA Infographic Showcases Rural Michigan Healthcare Impact

The MHA recently released the infographic Healthcare Impact in Rural Michigan, which highlights how critical access hospitals, sole community hospitals, rural emergency hospitals and birthing hospitals support communities across the state. The infographic highlights the …


New Endorsed Business Partner SmarterDx Provides Clinical AI to Support Financial Outcomes and Quality Scores

The MHA’s Endorsed Business Partner program promotes industry-leading firms. The EBP program connects member hospitals to solutions that alleviate pain points. The MHA recently endorsed SmarterDx, a national leader in revenue integrity solutions, offering advanced clinical …


Webinar Kicks Off MHA Health Access & Community Impact Office Hours

The MHA will host an informational webinar from noon to 12:45 p.m. Nov. 24 featuring 211, in the first session of the Health Access & Community Impact Office Hours series. The series is designed to …


Celebrating the Power — and Promise — of Rural Healthcare

As a healthcare leader, physician and someone born and raised in the Thumb of Michigan, National Rural Health Day is very personal to me, my colleagues and the communities we serve every day at Scheurer Health. …


Keckley Report

Why Healthcare Affordability is Increasingly Problematic to Working Age Populations

In what political pundits called a sweeping win by Democrats in Tuesday’s elections, affordability and costs of living emerged as the issues that mattered most to voters. It’s no surprise.

Since 2019 before the pandemic, prices have increased for American businesses and households due to inflation:

Personal Consumption Expenditures inflation which measures monthly business spending increased 3.5% annually. The Consumer Price Index, which measures monthly changes in household spending increased 3.87% annually over the same period (2019-2025).

But in the same period, prices for healthcare services–hospitals, physician services, insurance premiums and long-term care–have taken an odd turn: for businesses, they’ve decreased but for consumers, they increased. It reflects the success whereby businesses have shifted health benefits costs to employees or suspended benefits altogether, and it explains why consumers are bearing more direct responsibility for healthcare costs and are increasingly price sensitive. …

Healthcare service providers can ill afford to neglect affordability. It more than measuring medical debt, posting prices and referencing concern on websites. It’s about earning the trust and confidence of future generations through concrete actions that increase household financial security beginning with healthcare spending. …”

Paul Keckley, Nov. 9, 2025


New to KnowNews to Know

MHA members are encouraged to register for the webinar How Leading Health Systems Are Rebuilding Talent Pipelines — and Keeping Them Full Through Early Student Loan Support, led by Clasp, scheduled from 9 to 9:30 a.m. Dec. 2.


MHA in the News

9&10 News aired a story Nov. 11 about how health insurance rate increases will lead to lower health insurance enrollment, harming healthcare access. MHA CEO Brian Peters is quoted in the story expressing the need …

9&10 News: Rising insurance rates threaten healthcare access in Northern Michigan

9&10 News aired a story Nov. 11 about how health insurance rate increases will lead to lower health insurance enrollment, harming healthcare access.

MHA CEO Brian Peters is quoted in the story expressing the need to protect existing healthcare coverage tools, such as the enhanced premium tax credits.

“We cannot afford to do any more damage to what is already a fragile healthcare ecosystem in the state of Michigan,” said Peters.

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

MHA Monday Report Nov. 10, 2025

Congressman Bergman Co-Sponsors Critical Access Hospital Relief Act

U.S. Rep. Jack Bergman (R-MI) recently co-sponsored HR. 538, the Critical Access Hospital Relief Act of 2025, which would remove the 96-hour physician certification requirement for inpatient services at critical access hospitals. The bill, introduced in January 2025, would amend …


State and Medical Partners Urge Michiganders to Get the COVID-19 Vaccine

To help ensure access to the COVID-19 vaccine for all residents, the Michigan Department of Health and Human Services, Department of Licensing and Regulatory Affairs and Department of Insurance and Financial Services …


MMMS and FIMR Aligned Recommendations to Improve Maternal and Infant Health

The Michigan Maternal Mortality Surveillance (MMMS) and Fetal Infant Mortality Review (FIMR) programs recently released aligned recommendations at improving outcomes across the maternal and infant health continuum. MMMS reviews cases of maternal deaths that occur …


Honoring Veterans Through Improved Access & Care Coordination

When observing Veterans Day, it’s important to recognize how healthcare organizations can meaningfully work together to improve health outcomes and address the unique needs of service members and their families. …


Key Findings from the Michigan Interpreter Needs Assessment Report

Understanding the critical role interpreters play in hospitals, the MHA Health Foundation recently contributed funding to support the Michigan Department of Licensing and Regulatory Affairs in conducting a needs assessment of Michigan’s interpreter landscape. …


MHA Rounds graphic of Brian PetersMHA CEO Report — Streamlining Medicaid Work Requirements

As states work toward establishing Medicaid work requirements that are a core element of H.R. 1, it’s more important than ever that we reduce the administrative burden associated with verification for beneficiaries. …


Keckley Report

The Structural Flaws that Must be Fixed to Transform the U.S. Health System

“Such is the case for health insurance coverage for millions in the U.S. as the federal government shutdown enters Week 6. Democrats are holding out for continuation of Affordable Care Act (ACA) insurance subsidies that enable 22 million to “buy” insurance cheaper, and Republicans are holding out for federal spending cuts reflected in the One Big Beautiful Act (July 2025) that included almost a trillion reduction in Medicaid appropriations thru 2036.

ACA subsidies at the heart of the shutdown successfully expanded coverage in tandem with Medicaid expansion but added to its costs and set in motion corporatization and consolidation in every sector of the health system. The pandemic exposed the structural divide between public health programs and local health systems, and insurance premium increases and prior authorization protocols precipitated hostility toward insurers and blame games between hospitals, insurers and drug companies for perpetual cost increases. …

Sixteen years later, healthcare is once again the eye of the economic storm. Insiders blame inconsistent regulatory enforcement and lack of adequate funding as root causes. Outsiders blame lack of cost controls. consolidation and disregard for affordability. Thus, while attention to subsidized insurance coverage and SNAP benefits might temporarily calm public waters, they’re not the solution. …

Healthcare’s the same. Outside forces seen or not will impact its future dramatically. Plans have to be made though Black Swans like the pandemic are inevitable.  But long-term planning built on plausible bets are necessary to every healthcare organization’s future.”

Paul Keckley, Nov. 2, 2025


New to KnowNews to Know

  • MHA offices will be closed and no formal meetings will be scheduled Nov. 11 in honor of Veterans Day.
  • The MHA will host a virtual member forum from 8:30 to 9:30 a.m. Nov. 7 to outline the MHA 2025-26 Strategic Action Plan approved by the MHA Board of Trustees.
  • Amy Brown, chief nursing officer, MHA, recently joined MHA Endorsed Business Partner (EBP) AMN Healthcare on the episode “Empowering Nurses Through Advocacy and Innovation” of the Elevate Care Podcast.
  • MHA EBP SunRx is continuing a webinar series about 340B Rebate Model Briefings on Nov. 13 and Nov. 20.

MHA in the News

Bridge published a story Nov. 5 sharing five reasons why health insurance rates are rising at increasing rates in the state, which included workforce challenges, expiring enhanced premium tax credits, inflation and drug prices. …

MHA CEO Report — Streamlining Medicaid Work Requirements

MHA Rounds image of Brian Peters

“Alone we can do so little, together we can do so much.” — Helen Keller

MHA Rounds image of Brian PetersAs states work toward establishing Medicaid work requirements that are a core element of H.R. 1, it’s more important than ever that we reduce the administrative burden associated with verification for beneficiaries. Medicaid work requirements aim to advance accountability, but if not implemented correctly, they can increase costs for everyone and remove safety nets for those who need it most.

When reporting systems are confusing or overly complex, individuals that satisfy the requirements can still lose coverage simply because they can’t navigate the paperwork. When qualified individuals go without coverage, they tend to delay seeking care until a problem has worsened unnecessarily; at the same time, hospitals end up managing more uncompensated care. And when more people go uninsured, healthcare costs rise, affecting affordability for everyone.

The solution lies in intentional implementation. Michigan can successfully streamline the verification process by automating data sharing across agencies, offering multiple reporting options and communicating requirements clearly. In short, we need to follow the lead of some of the most successful and innovative companies in the private sector, such as Amazon and Uber, and make this process as user-friendly as possible.

By focusing on efficiency and simplicity, Michigan can protect taxpayer dollars, support employment and keep healthcare more affordable with an effective Medicaid work requirement program. The MHA is committed to working closely with all parties toward this goal.

As always, I welcome your thoughts.

Peters Expresses Value of Hospitals While Insurance Premiums Rise

The MHA received media coverage during the week of Oct. 27 as MHA CEO Brian Peters discussed the value of hospitals in light of rising insurance premiums.

MIRS published a story Oct. 30 looking at the cost drivers of increasing insurance rates, interviewing several healthcare and association leaders. Peters mentioned the various costs that have increased for hospitals that are necessary to continue to provide accessible and quality services to patients, including labor, drugs, infrastructure and medical liability.

Peters also shared how “a relatively unhealthy population” showing up with “inadequate health insurance” leads to higher utilization and costs in the system.

Gongwer and The Detroit News published articles Oct. 31 on the topic as well, following approval of the 2026 health insurance rate change requests by the Michigan Department of Insurance and Financial Services. Peters highlighted the importance of extending the enhanced premium tax credits at the federal level.

“If the Affordable Care Act passage has proved anything, it’s that we can do a much better job of dealing with these health care challenges if people have coverage, and it’s good coverage, meaning not skinny plans, where you’ve got enormous co-pays and deductibles,” said Peters to The Detroit News.

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

FREEP Op-Ed: Access to Care is a Promise — and Hospitals Are Keeping It

The Detroit Free Press published an op-ed Oct. 21 from MHA CEO Brian Peters that affirms the commitment of hospitals to patients and shares the actions hospitals are taking to keep costs low for patients. Those include moving care to more affordable settings, using lower-cost medication alternatives when appropriate, improving care coordination and expanding the behavioral health workforce.

Peters highlights the cost pressures impacting hospitals, including the rise in prescription drug costs, labor and inflation. He also discusses how public reimbursements routinely fail to cover the cost of that care and the issues it can cause to access to healthcare services when combined with rising costs.

“We’re the backbone of access: the nurse at the bedside at 3 a.m., the surgical team on call, the therapist helping a child walk again. Michigan hospital teams will keep showing up with compassion and professionalism,” Peters said.

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

MHA Monday Report Sept. 22, 2025

MHA EventsHospital Nurses Ensure Healthcare Stays Top of Mind for State Legislators

The Michigan Organization for Nursing Leadership and the American Nurses Association of Michigan hosted more than 75 nurses from across the state for an advocacy day at the Michigan State Capitol on Sept. …


Michigan House Passes Important Medical Decisionmaker Legislation

The Michigan House of Representatives unanimously approved legislation Sept. 18 to establish next-of-kin designation, allowing certain family members of an incapacitated patient to make medical decisions on their behalf. House Bills 4418 and 4419, sponsored …


MHA Keystone Center PSO Hosts Human Errors and Design Thinking Safe Table

Registration is open for the MHA Keystone Center Patient Safety Organization (PSO) Human Errors and Design Thinking Safe Table. The event will be held from 10 a.m. to 3 p.m. on Oct. 1 at the …


State’s Chief Medical Executive Issues Standing Recommendation for COVID-19 Vaccine Access

Michigan’s Chief Medical Executive, Dr. Natasha Bagdasarian, issued a Standing Recommendation on Sept. 19 that expands eligibility for COVID-19 vaccines, ensuring access for all residents six months and older. The recommendation follows Executive Directive 2025-7 from Governor …


Latest AHA Trustee Insights Explores Board Culture and Workforce Strategy

The September edition of Trustee Insights, the monthly digital package from the American Hospital Association (AHA), highlights the podcasts, videos, webinar and other resources available on today’s most pressing issues. The issue provides a checklist for …


Keckley Report

Healthcare: Lost but Making Record Time

‘“Lost but making record time”—that’s an apt description of where U.S. healthcare is. Attributed to Yankee’s legend Yogi Berra, it captures the absurdity of misguided efficiency and unbridled innovation without direction. The growing level of anxiety, frustration, uncertainty and even fear that grips the nation is also at play in across every organization in healthcare. The destination for the industry is unknown, but the pace is quickening. …

I am optimistic about U.S. healthcare’s future because each of the changes above is resident and ‘newer and better’ is necessary to our collective success. The big unknown is who will step forward to lead healthcare’s response. Being ‘lost but making record time’ is not a plan, it’s an excuse.’”

Paul Keckley, Sept. 14, 2025


New to Know

News to Know

The American Hospital Association (AHA) is accepting applications for the AHA’s 2026 Dick Davidson NOVA Award.

 

 

MHA Monday Report Sept. 15, 2025

MHA Hosts Successful Community Impact Advocacy Day

The MHA hosted more than 110 hospital leaders from across the state for a Community Impact Advocacy Day at the Michigan State Capitol on Sept. 10. Hospital leaders spoke with lawmakers on pressing hospital and …


Registration for 2025 Communications Retreat Closes Sept. 19

Registration closes Sept. 19 for the 2025 MHA Communications Retreat, which will be held from 8 a.m. to 4 p.m. on Wednesday, Oct. 1, at the Henry Center for Executive Development in Lansing. This year’s …


Michigan Hospital Collaboratives Launch to Improve Community Health

More than 50 Michigan hospitals are coming together to improve outcomes in maternal health, behavioral health and chronic disease across the state through new community benefit collaboratives launched by the Michigan Health & Hospital Association …


Keckley Report

It’s the (Health) Economy Stupid!

“Friday’s Labor Department release of its August jobs report prompted political and media pundits to conclude the U.S. economy has entered a period of downturn.

The report showed a light uptick in the unemployment rate to 4.3% and anemic job growth for the month—+22,000 new jobs added offset by adjustments for June and July (-21,000). Those numbers that prompted headlines like these: …

For healthcare, this picture is extremely problematic. Here’s why:

In the 12th paragraph of BLS news release, it noted: “In August, health care added 31,000 jobs, below the average monthly gain of 42,000 over the prior 12 months. Employment continued to trend up over the month in ambulatory health care services (+13,000), nursing and residential care facilities (+9,000), and hospitals (+9,000).” It’s not a new trend: over the last 10 years, healthcare has accounted for a disproportionate share of job growth …

Healthcare is the economy’s most important industry. Modernizing its workforce is the industry’s more urgent challenge. This puts enormous pressure on organizations to re-think “human resources” and modify compensation and performance expectations for every employee.”

Paul Keckley, Sept. 7, 2025


New to Know

News to Know

The American Hospital Association (AHA) is accepting applications for the AHA’s 2026 Dick Davidson NOVA Award.

MHA Hosts Successful Community Impact Advocacy Day

Hospital leaders from across the state of Michigan during the Community Impact Advocacy Day.

The MHA hosted more than 110 hospital leaders from across the state for a Community Impact Advocacy Day at the Michigan State Capitol on Sept. 10.

Hospital leaders spoke with lawmakers on pressing hospital and healthcare issues. Members kicked off the day with a call to action from MHA CEO Brian Peters, stressing the importance for the legislature to pass a real budget that supports patients, providers and hospitals by Sept. 30. Throughout the day, members met with nearly 90 lawmakers and staff to share legislative and budget priorities. Furthermore, hospital leaders had the opportunity to discuss the value and role hospitals play in their communities, including providing specialized healthcare services, investing in local communities, supporting local economies and ensuring all Michiganders have access to high-quality healthcare nearby.

The MHA extends sincere thanks to member hospital leaders, lawmakers and legislative staff who joined to discuss the essential role of Michigan hospitals in communities statewide.

Members with any questions related to the legislation and advocacy efforts may contact the advocacy team at the MHA.