MHA CEO Report — Violence Is Not Part of the Job

MHA Rounds graphic of Brian Peters

“Fear is not a good motivator.” — Edgar Schein

MHA Rounds graphic of Brian PetersHealthcare workers accept extraordinary responsibility in their role as caregivers for their community, but fearing for their own safety is never something they should have to accept as part of the job.

During Workplace Violence Prevention Month, we must be clear in our conviction that ensuring the safety of healthcare workers is not optional.

Violence against healthcare workers is rising at a concerning rate. According to a 2025 American Hospital Association report, up to 76% of healthcare workers have reported experiencing violence. Hospitals refuse to accept this as the status quo. Across the state, our members are investing in security enhancements, strengthening de‑escalation training and reinforcing the message that hospitals are places of healing.

But hospitals cannot solve this growing crisis on our own.

Without intentional policy solutions, efforts to reduce violence against healthcare workers will not meet the scope and severity of the problem. Healthcare workers deserve the same legal and workplace safeguards afforded to others who serve the public, like flight attendants and first responders. The MHA continues to advocate for legislation that will cement the expectation that assaulting healthcare workers will not be tolerated into law.

A fragmented approach to addressing workplace violence isn’t sustainable, which is why our members remain actively engaged in coordinated statewide mitigation efforts. Just last month, hospital HR leaders gathered at our annual HR conference and participated in a workplace violence reduction panel discussion. This October, our Safety & Quality Symposium will continue that focus with programming centered on worker safety. The MHA Keystone Center, a certified patient safety organization, supports this work year‑round by facilitating a member‑led workplace safety collaborative and offering educational opportunities, security risk assessments and trainings in partnership with MHA‑endorsed business partner Tarian.

Healthcare workers are there for us during our most vulnerable moments. It is our responsibility to be there for them as well by building cultures of safety that extend not only to patients, but to those supporting and providing care.

During Workplace Violence Prevention Month, and every month thereafter, we must reaffirm our commitment to prioritizing safety and advancing comprehensive solutions that support staff well-being. Protecting healthcare workers is not only fundamental to our values, but also to our ability to deliver the care our communities deserve.

As always, I welcome your thoughts.

Member Resource Available – Workplace Safety Posters

The MHA developed workplace safety posters for members to display throughout their facilities communicating the consequences of committing physical harm toward healthcare workers or hospital property. The informational posters are geared toward patients, families and visitors, with a couple of creative options available in two sizes. With the help of MHA Endorsed Business Partner AMN Healthcare Language Services, Spanish and Arabic versions are also available. Complimentary copies of the materials are available to MHA members by request through an online order form. Non-members may purchase materials at cost. Questions about materials may be directed to the MHA.

Media Recap: Healthcare Affordability and Access

MHA CEO Brian Peters bylined an op-ed Feb. 16 in The Detroit News, highlighting Michigan hospitals’ understanding of the financial strain that rising healthcare costs are creating and reinforcing their commitment to being part of the solution.

Peters outlines how hospitals are confronting the same cost pressures affecting households and businesses, including workforce shortages, supply chain costs and increased cybersecurity demands. He emphasizes that amid these challenges, hospitals are committed to collaboration, working alongside policymakers, employers and community partners to advance solutions that improve affordability while protecting access to care for all Michiganders.

Lauren LaPineLauren LaPine-Ray DrPH, MPH, vice president, policy and rural health, MHA, was quoted in a Feb. 17 Bride Magazine story expressing concern for emergency room (ER) capacity following Oakland Community Health Network’s recommendation to direct mental health patients to the ER amid paused operations at the county’s resource and crisis center.

Members with questions regarding media requests should contact Elise Gonzales at the MHA.

Michigan Health & Hospital Association Reacts to Executive Budget Recommendations

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

While we are still reviewing the proposed executive budget, we are encouraged to hear that access to affordable healthcare is a top priority for Gov. Whitmer. We look forward to working alongside the governor and legislative leaders to ensure the 2027 budget mirrors the commitment they made in last year’s budget to fully fund Medicaid. Because of their actions, 1 in 4 Michiganders kept their health insurance through Medicaid, while many others maintained access to important healthcare services with state funding, such as the rural access pool and obstetrical stabilization fund.

MHA CEO Report — The Reality Behind a Hospital Ribbon-Cutting

MHA Rounds graphic of Brian Peters

MHA Rounds graphic of Brian Peters

Hospital ribbon-cutting ceremonies tend to spotlight the new and modern elements of a hospital expansion: bright windows, sleek patient rooms or advanced diagnostic technology. But what you don’t see is often more important than what you do.

Behind nearly every new facility is a story of aging infrastructure, outdated equipment and community needs that have outgrown what a hospital’s existing buildings can provide. Many hospitals operate buildings that are decades old – some built long before today’s medical technology, infection control standards or patient-centered design principles even existed.

Aging facilities often have electrical systems that can’t support modern equipment, rooms that limit the physical safety and efficiency of frontline workers, HVAC systems not suitable for infection control, or layouts that slow down emergency response or patient flow. Hospitals replace facilities because community needs can no longer be met with outdated structures, not because they want something new.

Expansion of facilities or technology, also referred to as capital projects, are funded through a mix of sources. These often include donors and philanthropic gifts, grants from foundations or government programs, bond financing, occasional state or federal appropriations and hospital capital budgets, which are built from small operating margins over the course of multiple years. These new facilities are not paid for directly from patient bills.

Even in years when hospitals have positive margins, these average margins are typically around only one to three percent and are reinvested directly back into patient care, safety improvements and facility upgrades. These reinvestments in new construction are about preserving access and modernizing care; not profit.

New buildings or service lines often emerge because patients travel long distances for essential care, equipment is too outdated to repair, demand for services like cancer care, imaging or behavioral health has grown, or because safety standards require major updates. A hospital that upgrades its cancer center or brings 3D digital mammography closer to home is reducing travel burdens, improving outcomes and keeping care local.

Behind Every Ribbon are Years of Work and Analysis

Before any groundbreaking, hospitals spend years evaluating whether renovation is possible or if replacement is more cost-effective. Hospitals also consider how to minimize disruption to patient care and what community health data shows about long-term needs. Finally, with all those factors considered, hospitals and health systems then determine how to secure funding without burdening patients.

The result may look like a brand-new facility, but it represents years of planning, prudent budgeting and community-focused decision-making.

In an era when headlines move fast, communities may question why hospitals announce expansions at the same time they face workforce shortages or reimbursement challenges. The answer is simple: capital investments and operational budgets are not the same.

A hospital can be financially strained day to day while still needing to replace unsafe or outdated infrastructure. So next time you see your local hospital celebrating the grand opening or ribbon cutting of a new facility or technology, you can join in the celebration by knowing that your community, family and friends are receiving high-quality, modern care for decades to come, all close to home.

As always, I welcome your thoughts.

Peters Extends Condolences to Whitmer Family

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

On behalf of the Michigan Health & Hospital Association, I want to extend my sincere condolences to Governor Whitmer and her family on the passing of her father, Mr. Whitmer.

Mr. Whitmer was a respected leader and trusted partner in the Michigan healthcare community. As the CEO of Blue Cross Blue Shield of Michigan, he worked with providers to tackle the state’s most complex healthcare challenges, always emphasizing collaboration and innovation. His commitment to improving care has left a lasting impact that will inspire healthcare leaders for years to come.

MHA Monday Report Jan. 12, 2026

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Webinar to Highlight Effective Cyber Incident Response

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MHA Rounds image of Brian PetersMHA CEO Report — 2026, A Pivotal Year for Healthcare

As we look toward the year ahead, one thing is clear: healthcare will remain at the forefront of public debate. We’ve seen time and again how healthcare delivery is shaped by policy decisions. …


Keckley Report

Healthcare 2026: Three Realities

“Congress returns to DC this week to debate the merits of extending the advanced premium tax credits that enable coverage for 4 million in a climate of high anxiety about U.S. intervention in Venezuela and heightened tension with Russia and China.

Each sector in healthcare—hospitals, physician services, long-term care, insurers, life science manufacturers, enablers and advisors—is vulnerable. None welcomes unflattering attention and all spend heavily on messaging and advocacy to protect themselves.  All recognize the elephant in the room—large employers that have patiently funded the system’s profitability and value protective regulation that limit disruption. And in all, implementation of AI solutions that lower operating costs and streamline performance is THE immediate priority.

The realities of 2026 for healthcare are foreboding: business as usual is not an option.”

Paul Keckley, Jan. 4, 2026


MHA in the News

The MHA received media coverage during the week of Jan. 5, covering the increasing rate of flu-related hospitalizations in Michigan. Both Bridge and Michigan Public published stories during the week based on interviews with Jim …

MHA CEO Report — 2026, A Pivotal Year for Healthcare

MHA Rounds graphic of Brian Peters

MHA Rounds graphic of Brian Peters“The best way to predict the future is to create it.” — Peter Drucker

As we look toward the year ahead, one thing is clear: healthcare will remain at the forefront of public debate. We’ve seen time and again how healthcare delivery is shaped by policy decisions. In an election year, and at a time when families and employers alike are feeling the strain of rising healthcare costs, it is more important than ever to prioritize electing policymakers who are committed to working alongside those serving our communities every day to develop thoughtful, informed solutions.

Despite rising costs for highly skilled clinical and non-clinical labor, medications, medical supplies, emerging medical technology and cybersecurity, along with persistent workforce shortages and supply chain challenges, hospitals continue to put patients first. They remain committed to delivering safe, high-quality care, even as they treat older, sicker patient populations – many of whom experience food insecurity, housing challenges and transportation barriers. Hospitals are open 24/7/365.  There are no days off.  We treat the most complex cases, often with multiple comorbidities and the attendant risk that accompanies them.  And we don’t refuse care to patients based on their ability – or inability – to pay.

All of this comes at a cost, and while we own our share of the affordability crisis, as we pointed out in a recent op-ed, pointing the finger solely at hospitals is patently unfair.  As healthcare takes center stage this election cycle, it is critical that these realities are reflected in policy discussions.

Toward the end of 2025, we saw a preview of how legislation will influence coverage, reimbursement and accessibility in 2026. More than a half a million Michiganders received healthcare coverage through an Affordable Care Act health plan in 2025. With the loss of enhanced premium tax credits, more than 50 percent of those individuals are expected to forgo coverage due to costs.  We’ve seen this movie before: loss of coverage and rising levels of uncompensated care is what led directly to the passage of the Affordable Care Act.

We know that when individuals delay or opt out of care because of cost, the consequences are far-reaching. Patients who could have received lifesaving, preventive care from a primary care provider instead arrive in emergency rooms needing more complex, intensive treatment after their condition worsens. This system does not work for anyone. As more individuals seek emergency and hospital care without coverage, it drives up costs and limits access to care for patients and families throughout our communities.

As we repeatedly pointed out during the debate over the federal reconciliation bill, H.R. 1, the healthcare ecosystem is complex and interrelated.  When hospital reimbursement is cut in the Medicaid or Medicare programs – or if insurance market changes result in fewer individuals with comprehensive coverage – the resulting service line reductions or eliminations affect everyone in the community.  As a result, everyone involved in delivering and supporting healthcare has a shared responsibility to address the affordability crisis. In 2026, we have the opportunity to come together for critical conversations about the future of healthcare. Hospitals remain committed to uplifting solutions that ensure healthcare remains within reach for all.

As always, I welcome your thoughts.

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

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CMS Releases CY 2026 Physician Fee Schedule Final Rule

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Congressmen Bergman Supports Save America’s Rural Hospitals Act

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

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New MHA Infographic Showcases Rural Michigan Healthcare Impact

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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

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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.