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.

MHA Monday Report Sept. 8, 2025

House Budget Threatens Hospitals, Workforce and Patient Access

The budget passed by the Michigan House of Representatives on Aug. 26 includes harmful cuts to hospitals that could jeopardize more than 20,000 jobs, according to the MHA. Estimates released Sept. 3 indicate the cuts …


MHA CEO Brian Peters Responds to House Speaker Comments

MHA CEO Brian Peters responded to negative comments made by Michigan House Speaker Matt Hall (R-Richland Township) during a press conference on Sept. 3. Speaker Hall’s press conference presentation included a segment on hospital funding, …


Sept. 24 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. on Sept. 24. The session is designed for trustees and …


2025 Communications Retreat Qualifies for APR CEU Credit

Registration remains open for the 2025 MHA Communications Retreat scheduled Wednesday, Oct. 1 from 8 a.m. to 4 p.m. at the Henry Center for Executive Development in Lansing. The retreat qualifies for one continuing education …


Webinar Explores Partnerships to Advance Integrated Behavioral Healthcare

The Center of Excellence for Integrated Health Solutions and the American Hospital Association will host the webinar Advancing Integrated Care Via Collaborative Partnerships: Hospitals, Health Systems, Community Mental Health Centers and Certified Community Behavioral Health Clinics, on Tuesday, …


MHA Rounds graphic of Brian PetersMHA CEO Report — Patients Over Politics

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.


Keckley Report

September 2025 for Healthcare: The Four Areas of Focus for Operators

“August passed with a flurry of events that produced emotional whip-lash in the public’s psyche: highs sparked by the engagement of pro-football all-star Travis Kelce to iconic superstar Taylor Swift and the return of college football to a low headlined by another mass casualty incident. This time, a mentally-ill lone gunman murdered two innocent kids and sent 17 wounded to Minneapolis hospitals for care. …

Summer is over. September is here. It’s the month when presumably normalcy returns in most communities and households. Schools start. Pro football starts. Routines are set. It’s the last month of fiscal year 2025 for the federal government and in Michigan and Alabama (46 states began FY26 July 1, NY started April 1 and Texas September 1). It’s when Congress returns from its August recess to wrap up unfinished business for FY25 and organize for FY26 initiatives. It’s when incumbent members of the House and Senate decide whether to run again or not, and when Supreme Court justices and clerks prep for their loaded 2025-2026 docket that features arguments about conversion therapy, the Chevron doctrine and more.

For healthcare organizations, September 2025 will not be normalcy. Business plans and strategies extending through 2027 will be impacted by actions and events that occur in the next 30 days. …“

Paul Keckley, Sept. 1, 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 Endorsed Business Partner CyberForce|Q will host an in-person Coffee & Collab for cybersecurity leaders on Sept. 16 from 8:30 to 9:30 a.m. ET at CyberForce|Q headquarters in Plymouth, MI.
  • In the latest episode of the MiCare Champion Cast, MHA CEO Brian Peters and Tina Freese Decker, MHA, MSIE, FACHE, president & CEO, Corewell Health and 2025 chair of the AHA, explores state and federal healthcare priorities.

MHA in the News

The MHA received media coverage the week of Sept. 1 on the state budget and COVID-19 vaccines. Several news outlets published stories related to the harmful impacts to healthcare found in the state budget bill …

 

Media Recap: State Budget & Vaccines

The MHA received media coverage the week of Sept. 1 on the state budget and COVID-19 vaccines.

Several news outlets published stories related to the harmful impacts to healthcare found in the state budget bill passed by the Michigan House of Representatives.

Adam Carlson9&10 News aired a story Sept. 2 that includes an interview with Adam Carlson, senior vice president, advocacy, MHA, explaining the cuts found in the bill.

“It includes billions of dollars in cuts that impact things like maternal health care payments to physicians and all sorts of other healthcare related cuts that are completely unnecessary,” said Carlson.

The MHA issued a press release Sept. 3 sharing the House version of the budget endangers 20,000 hospital jobs and a $4.9 billion economic loss to the state. This led to a critical reaction from the House Speaker, resulting in stories from The Detroit News and Gongwer. A MHA media statement shared responding to the Speaker’s criticism was released that evening.

“We will not be bullied away from defending our patients. We remain steadfast in our commitment to protecting healthcare access throughout Michigan,” said Peters in the statement, that was included in the Gongwer story.

Lastly, Bridge published an article Sept. 4 providing information on how to access the COVID-19 vaccine. The MHA provided a comment for the story from Gary Roth, DO, chief medical officer, MHA.

“Our role is to support hospitals in their efforts to increase overall vaccination uptake and avoid the spread of vaccine preventable diseases, as the evidence is indisputable that vaccines are the best tool available to prevent severe illness and save lives,” said Roth.

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

MHA CEO Brian Peters Responds to House Speaker Comments

MHA CEO Brian Peters responded to negative comments made by Michigan House Speaker Matt Hall (R-Richland Township) during a press conference on Sept. 3.

Speaker Hall’s press conference presentation included a segment on hospital funding, in which he continually refuted information provided by the MHA regarding House Bill 4706 and its harmful cuts to hospital funding and access to healthcare. Further, the Speaker made direct personal attacks to MHA CEO Brian Peters during the press conference.

Following the press conference, the MHA issued a statement reaffirming Peters’ commitment to protecting healthcare access throughout Michigan.

“The Speaker is wasting Michiganders’ time and resources doubling down on defending these disastrous budget cuts and resorting to personal attacks. Attacking me does not change the real cuts his budget threatens to make against patients, healthcare workers and hospitals. I’m happy to be the target of his outrage and criticism if that distracts him from cutting funding for those who report to work every day to save lives,” said Peters.

The MHA encourages members to contact their lawmakers through its action alert and continue to advocate for a real budget by Sept. 30 that puts patients, providers and hospitals first.

Members with questions may contact the MHA advocacy team.