MHA Monday Report May 29, 2023

MHA Monday Report

Michigan Society of Anesthesiologists Address Legislative Policy Panel

The MHA Legislative Policy Panel convened May 24 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals. The meeting was highlighted by a presentation on potential state licensure of …


Bcapitol buildingills on Healthy Michigan Plan Improvements and Tax Credit for Clinical Preceptors See Action

Action was taken the week of May 22 on a variety of bills that would make improvements to the Healthy Michigan Plan, require adult changing tables be included in future construction or renovation projects and …


capitol building

Governor Signs Red Flag Laws

Legislation to create Extreme Risk Protection Orders (ERPOs) was signed by Gov. Whitmer May 22. These new public acts allow for certain individuals, including healthcare providers, to file an ERPO if a person is a …


MHA Continues Work Towards Chemotherapy Drug Shortage

The MHA has been in frequent contact with members of the Michigan Congressional delegation since the association was made aware of shortages of the chemotherapy drugs carboplatin and cisplatin. Representatives Debbie Dingell (D-Ann Arbor) and …


Licensing and Regulatory Updates

The Michigan Department of Licensing and Regulatory Affairs recently published updated rules related to hospitals. Those updates include the following: Final EMS Life Support Agencies and Medical Control Rule The final rule, effective May …


CMS Releases Medicare Wage Index Information

The Centers for Medicare & Medicaid Services (CMS) recently released the timetable and preliminary hospital data that will be used to develop the Medicare wage index for fiscal year 2025, which begins Oct. 1, …


MHA Enrollment Data Analysis Expansion

The MHA recently expanded its analysis of enrollment data to reflect Medicare and Medicaid enrollment as a percentage of each county’s total population and the split for Medicare and Medicaid between fee-for-service and managed care …


MHA Keystone Center Cohosting Caregiver Navigation Roundtable

The MHA Keystone Center is partnering with the Michigan Health Endowment Fund and RUSH University Medical Center to host a virtual roundtable from 10 to 11:15 a.m. June 21 on implementing caregiver navigation programs in …


Person and Family Engagement Leaders Explore PFE Roadmap

Approximately 80 leaders responsible for quality, safety and patient experience and patient care participated in an MHA webinar to review the newly released MHA Person & Family Engagement (PFE) Roadmap, which includes recommended policies to re-engage …


2023 Ludwig Nominee: Hurley Patient Advocate Seeks to Address Barriers to Care

Since 1990, the MHA has honored member healthcare organizations working to enrich the overall welfare of their local communities through the Ludwig Community Benefit Award. This year, the MHA is excited to showcase all award nominees, …


The Keckley Report

Paul KeckleySocial Determinants of Health: Lots of Talk, Modest Results

“For healthcare, this divergence of views is problematic the proposed debt ceiling compromise includes reducing SNAP benefits (Supplemental Nutrition Assistance Program), imposing work requirements for “able-bodied” Medicaid recipients and cutting community health centers budgets—all hit low-income and underserved populations hardest. In these populations, social determinants of health (SDOH) i.e., food insecurity, unsafe/unhealthy housing, inadequate transportation et al play a central role in their health and its costs, but not much is done. …

Abundant health services research points to one conclusion: the inadequacy of solutions to the nation’s burgeoning social issues aka ‘social determinants of health’ results in poorer health status and higher health costs. Disparities persist. Structural flaws and divergent views about public health have calcified its neglect. It’s’ a disconnect the health system is prompted to fix. …”

Paul Keckley, May 22, 2023


MHA CEO Brian Peters appears on the Michigan Business Beat.

MHA in the News

The MHA received media coverage the week of May 21 regarding the continued shortage of cancer drugs carboplatin and cisplatin and hospital workforce shortages. MHA representatives appearing in published stories include CEO Brian Peters, Executive …

Michigan Society of Anesthesiologists Address Legislative Policy Panel

MSA President Neeju Ravikant, MD, MS, presents to the MHA Legislative Policy Panel.

The MHA Legislative Policy Panel convened May 24 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals.

The meeting was highlighted by a presentation on potential state licensure of anesthesiologist assistants (AAs) from Michigan Society of Anesthesiologists (MSA) President Neeju Ravikant, MD, MS; Secretary/Treasurer & Legislative Co-Chair Courtney Abernathy, MD; and MSA board member William Peruzzi, MD. Currently Michigan is one of four states that allow practice for AAs via physician delegation. Licensure would still require AAs work under the supervision of a qualified physician anesthesiologist and would have Michigan join 15 other states, the District of Columbia and the US Territory of Guam that have moved over to licensure.

In addition to the presentation, the panel recommended the MHA support telehealth parity and discussed issues around pharmaceutical manufacturers discriminating against covered entities based on their contract pharmacy relationships.

The panel received updates on other issues including a review of the MHA Strategic Action Plan from MHA CEO Brian Peters, a federal update from federal lobbyist Carlos Jackson with Cornerstone Government Affairs and state updates on the budget and nurse staffing ratio legislation.

For more information on the MHA Legislative Policy Panel, contact Adam Carlson at the MHA.

MHA Celebrates National Hospital Week with Messages from Michigan Leaders

During the week of May 7, the MHA celebrated National Hospital Week (NHW) by sharing a series of videos featuring healthcare, education, government and agriculture leaders across the state thanking Michigan hospitals and healthcare workers for the profound impact they have across communities.

The campaign, based on the American Hospital Association theme #WeAreHealthcare, reached more than 27,000 people and resulted in nearly 3,000 engagements across social media platforms. The Michigan leaders featured in the series included:

  • MHA CEO Brian Peters.
  • Governor Gretchen Whitmer.
  • MHA Board Chair T. Anthony Denton, Senior Vice President and Chief Environmental, Social and Governance Officer, U-M Health.
  • Speaker of the House Joe Tate.
  • Senate Republican Leader Aric Nesbitt.
  • Dan Hurley, CEO of the Michigan Association of State Universities.
  • Michelle Lantz, CEO of the Greater Lansing Food Bank.

Additionally, the MHA shared content from Michigan hospitals thanking the healthcare workforce and highlighting the critical role they play in advancing the health of patients and communities. NHW efforts are a continuation of the MHA’s efforts around telling the story of Michigan hospitals, health systems and healthcare workers. Members with questions may contact Lucy Ciaramitaro at the MHA.

 

Hillsdale Podcast Explores Hospital Financial Viability, Workforce Restoration and More

MHA CEO Brian Peters joins Jeremiah Hodshire, CEO of Hillsdale Hospital, and Rachel Lott, Chief Communications Officer at Hillsdale Hospital.

In conjunction with the MiCare Champion Cast, Hillsdale Hospital released an episode of the Rural Health Rising podcast April 27 featuring MHA CEO Brian Peters. Joining hosts Jeremiah Hodshire, CEO of Hillsdale Hospital, and Rachel Lott, Chief Communications Officer, Peters explores the state of healthcare as the MHA and member hospitals approach a new program year.

Each week, Rural Health Rising covers healthcare triumphs, challenges and opportunities facing rural America. On Episode 101: The State of Healthcare in Michigan, Peters, Hodshire and Lott cover:

  • How hospital’s financial viability impacts Michigan patients and healthcare delivery – especially in rural communities.
  • What action lawmakers can take to continue supporting Michigan hospitals and health systems.
  • Challenges and opportunities in Michigan’s behavioral healthcare system.
  • How to get involved and advocate for local hospitals and healthcare workers.

The episode, which also serves as Ep. 28 of the MiCare Champion Cast, is available to stream on SpotifyYouTubeApple Podcasts and SoundCloud.

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. Each month, the podcast features interviews with healthcare policy experts in Michigan on key issues that impact healthcare and the health of communities.

Members with questions or who would like to submit ideas for future podcasts should contact Lucy Ciaramitaro at the MHA. Those interested in learning more about Rural Health Rising are encouraged to visit the Hillsdale Hospital website.

MHA Monday Report March 6, 2023

MHA Monday Report
During the week of Feb. 27, the Michigan Legislature passed a supplemental appropriation bill that included $75 million to help address the ongoing staffing crisis in hospitals. The appropriation was part of House Bill 4016. …

Application Period Begins for Michigan Opioid Treatment Access Loan Repayment Program

Applications for the Michigan Opioid Treatment Access Loan Repayment Program (MIOTA) will be accepted from Feb. 27 through March 13. MIOTA is a medical education debt repayment program focused on incentivizing healthcare providers to begin …


mha advancing safe care awardNominations Being Accepted for 2023 Advancing Safe Care Award

To recognize Michigan hospitals that are tackling issues daily to make care safer and more dependable, the MHA is accepting nominations for its annual Advancing Safe Care Award. Eligible nominees include teams from hospitals across …


Registration Open for MHA Human Resources Member Forum

The MHA will host an in-person Human Resources Member Forum at the MHA Headquarters in Okemos from 8:30 a.m. to noon April 26, with a virtual option available as well. The forum is structured as …


AMN Healthcare B.E.SmithUsing Interim Leadership to Strengthen Organizational Agility

AMN Healthcare / B.E. Smith has a track record of success in providing experienced interim leaders to fill open positions while clients conduct searches for a replacement. An additional item, AMN Leadership / B.E. Smith is excited to offer is …


MHA CEO Report — The Challenges for Rural Hospitals

Having just returned from the annual American Hospital Association Rural Health Care Leadership Conference, where I was joined by a strong contingent of MHA members and staff, the future of our rural hospitals has been top of mind.


The Keckley Report

Paul KeckleyStrategery in Healthcare: Are Insiders Prepared to Shift?

“Healthcare’s insiders talk good games but default to incrementalist’ strategery not because the future is an unknown. It’s because many boards are uncomfortable with ‘too much’ change or, in some cases, executive comp is geared to risk avoidance and short-term financial success. Often, excuses masquerade as reasons. That’s why outsiders are gaining ground on insiders.

Healthcare’s future is not a repeat of its past. Strategery in every organization needs a fresh look– especially among its insiders.“

Paul Keckley, Feb. 27,2023


News to Know

  • The MHA is offering its popular Healthcare Leadership Academy program on March 13-15 and May 15-16.
  • Registration is now open for the MHA Keystone Center Safe Patient Handling Conference.

MHA Monday Report Feb. 20, 2023

MHA Monday Report

Innovative Solutions Explored by MHA Service Corporation Board

The MHA Service Corporation board began its Feb. 8 meeting addressing current strategic priorities including exploring innovative solutions to support hospital financial viability, workforce restoration and wellbeing, behavioral health improvements, health equity and more. The board considered strategies to continue …


MHA Keystone Center and MVC Release Statewide Childbirth Outcomes Report

The MHA Keystone Center and the Michigan Value Collaborative (MVC) developed and released a statewide report Feb. 2 on birth outcomes following recently released data from the Centers for Disease Control and Prevention in an effort to support maternal health …


Nominations Open for the 2023 Healthcare Leadership Award

The annual presentation of the MHA Healthcare Leadership Award honors those who have demonstrated outstanding leadership within individual facilities and in their communities. Nominations for exceptional healthcare trustees, executives, physicians, nurses or other leaders for …


headphones with heart icon in middle.MHA Podcast Explores the Community Benefit of 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 26, Helen Johnson, …


The Keckley Report

Paul KeckleySOTU 2023 Takeaways for Healthcare: Surprises, Implications

“The spontaneous reaction to the President’s commentary on Medicare was the biggest surprise of the night! It’s especially significant as 2024 Presidential campaigns launch in the next 90 days (Haley this week) and Congress grapples with the debt ceiling and appropriations to Medicare, Veterans Health, Medicaid, pandemic preparedness and public health to name a few. ….”

Paul Keckley, Feb. 13, 2023


News to Know

The Michigan Society of Healthcare Risk Management is now accepting nominations for the Paul Venzke Award for Outstanding Performance in the field of Healthcare Risk Management. …


T. Anthony Denton.

MHA in the News

The MHA received media coverage the week of Feb. 13 regarding challenges impacting hospital viability in Michigan and on a statement released by MHA CEO Brian Peters following the shooting Feb. 13 on the campus of Michigan State University …

MHA Monday Report Feb. 13, 2023

MHA Monday Report

MHA Board of Trustees Reviews State and Federal Advocacy Options to Further Strategic Priorities

The MHA Board of Trustees began its Feb. 8 meeting with a federal advocacy briefing from federal lobbyist Carlos Jackson with Cornerstone Government Affairs. Jackson highlighted the policy and funding threats and opportunities healthcare providers …


capitol buildingFiscal Year 2024 Executive Budget Recommendation Released

Gov. Whitmer released her executive budget recommendation Feb. 8 for fiscal year 2024. The proposed budget fully protects traditional hospital line items for Medicaid and the Healthy Michigan program, continues targeted rate increases from recent budget cycles and includes …


MHA and Rural Members Advocate on Capitol Hill

The MHA and rural hospital leaders visited Capitol Hill in Washington D.C. Feb. 7-9 to advocate for specific rural healthcare policies as part of the National Rural Health Association’s Rural Health Policy Institute event. …


Registration Available for MHA Keystone Center Safe Patient Handling Conference

Registration is now open for the MHA Keystone Center Safe Patient Handling Conference. The all-day event will take place April 13 at the Ann Arbor Marriott Ypsilanti at Eagle Crest. In partnership with the MHA Keystone Center, EarlyMobility.com …


January MA Enrollment Increases by 33,000 Beneficiaries

Medicare Advantage (MA) enrollment in Michigan totaled approximately 1.25 million in January, an increase of 33,000 beneficiaries since October. The January enrollment is spread across 48 MA plans that are currently operating in the state, …


The Keckley Report

Paul KeckleyWave Two Value-Based Care: The Five Market Shifts that Will Reset the Payment Environment for Providers

“Wave One of the Value Based Care environment was marginally effective: CMS’ alternative payment models showed promise but savings to Medicare fell short of expectations per MedPAC. Medicare Advantage enrollment grew but plan sponsors were overpaid by Medicare. Hospital avoidable readmissions and complications efforts have been successful but the pandemic economy decapitated hospital resources necessary to compete in the value-based environment. Wave One is a mixed bag. …

The Wave Two Value Agenda in U.S. healthcare will impact every player and be messy. The backdrop of the 2024 Campaign cycle and post-pandemic economy mean impetus will shift from resource-constrained Medicare to the private sector as both offer significant but distinct opportunities for lower spending. And the revolution of generative AI assures shortcomings of the system—diagnostic error, administrative waste, fraud—will be widely exposed. …”

Paul Keckley, Feb. 6, 2023


News to Know – Feb. 13, 2023

  • Prospective payment system hospitals are reminded that any requests for corrections to the January public use file data being used by the Centers for Medicare and Medicaid Services to develop the fiscal year 2024 Medicare wage index must be received, along with supporting documentation, by the Medicare Administrative Contractor by Feb. 15, 2023.
  • The MHA is offering its popular Healthcare Leadership Academy program on March 13-15 and May 15-16.
  • MHA Endorsed Business Partner Demand Workforce/Qodex will host a free 30-minute webinar on Mission Impossible: Let’s Talk About How to Heal Your Staffing Crisis at noon ET Feb. 22 to discuss healthcare trends in staffing including creative approaches to deliberately using your nursing workforce.

MHA in the NewsMHA CEO Brian Peters

The MHA received media coverage the week of Feb. 6 regarding a variety of topics, including the fiscal year 2024 executive budget recommendation, the role food insecurity has as a social determinant of health, the new state House Behavioral …

MHA Monday Report Feb. 6, 2023

MHA Monday Report

MHA Testifies During First House Health Policy Committee Hearing

The first hearing of the new legislative session for the House Health Policy Committee was held Feb. 2. Led by Chair Julie Rogers (D-Kalamazoo), new committee members heard testimony from advocacy organizations about the state of public health in Michigan. …


Implicit Bias Trainings Available to Meet LARA Requirement

The Department of Licensing and Regulatory Affairs revised Public Health Code – General Rules to allow asynchronous teleconferences or webinars as acceptable modality of training as part of the implicit bias training standards for all professions licensed or registered under …


MHA Ludwig Community Benefit Award Accepting Nominations

Hospitals taking part in local efforts to enrich the overall welfare of their communities are encouraged to nominate those programs for the 2023 MHA Ludwig Community Benefit Award. First presented in 1990, the annual award honors MHA-member healthcare …


MHA Annual Meeting Sponsorship Opportunities Available

Just as hospitals and health systems have changed their strategies to adapt to the new environment, MHA education programming and sponsorships have changed to deliver more value. The MHA team are designing in-person events tied to the priorities of the …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — Medical Liability and Denney Damages

In last month’s CEO Report, we focused on the new political environment in Lansing, with a host of first-time lawmakers taking office, Democrats assuming majority control of both chambers of the legislature and a host of …


The Keckley Report

Paul KeckleyThe Big Tech Advantage in U.S. Healthcare

“This week, 100 of the Fortune 500 will report earnings for 2022 and heightened attention will be on four tech giants–Apple Inc., (AAPL); Amazon (AMZN) Meta Platforms Inc.(META) and Alphabet Inc.(GOOG). Comparatively, reports this week by Pfizer, Merck and Eli Lilly will get industry attention but news about these technology-giants will extend to a much wider audience. Why? …

2023 will be pivotal to U.S. healthcare’s future: it’s the transition year from pandemic adaptation buoyed by emergency-relief funds and opportunistic private equity plays in capital-starved sectors to a normalcy that’s unprecedented. … “

Paul Keckley, Jan. 30, 2023


Brian PetersMHA in The News

The MHA received media coverage the week of Jan. 30 regarding the 340B drug pricing program and the lack of child psychiatrists in northern Michigan. Crain’s Detroit Business published an op-ed Feb. 1 from MHA CEO Brian Peters on …

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 …

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.

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. The MHA sponsored the program, with the broadcast hosted at downtown Lansing’s Courtyard by Marriott.

As part of the program lineup, Smith spoke with Peters about the state of hospitals and the many challenges they face, including workforce sustainability, behavioral health and financial viability. Other notable interviewees during the event included Whitmer; Senate Minority Leader Aric Nesbitt (R-Lawton), Sen. Sam Singh (D-East Lansing) and Wayne County Executive Warren Evans.

The State of the State address the previous evening primarily focused on lowering costs for Michigan residents, economic development, expanding education opportunities and public safety and gun violence prevention. One specific item mentioned by Whitmer relevant to hospitals is the intention to reduce the age to qualify for Michigan Reconnect from 25 years old to 21. Doing so would increase the number of individuals eligible to pursue scholarships to qualify for scholarships to pursue high-demand healthcare credentials.

As a sponsor of the event, the MHA developed a 60-second message for airing before and during the broadcast. For more information, contact John Karasinski at the MHA.