MHA Monday Report Nov. 14, 2022

MHA Monday Report

MI Vote Matters logoRecapping 2022 Election Results

Midterm election results are in, bringing new leadership to the Michigan Legislature and a returning administration at the top of the ticket. Election 2022 will bring significant change to Lansing, as Democrats will now control the Governor’s office and both chambers of the state legislature for the first time since 1984 …


capitol buildingLegislature Returns for Lame Duck Session

The legislature returned during the week of Nov. 7 to vote on legislative leadership and kickoff the 2022 lame-duck session. Only a handful of MHA-tracked bills saw action, including legislation to implement the new federal Rural Emergency Hospital (REH) designation …


CMS Finalizes Rate Cuts in 2023 Medicare Physician Fee Schedule

The Centers for Medicare & Medicaid Services (CMS) recently released the 2023 Medicare Physician Fee Schedule (PFS) final rule, effective Jan. 1, 2023. The rule reduces the PFS conversion factor by $1.55 (4.7%) to $33.06 in a calendar year (CY) 2023 from $34.61 in CY 2022 …


October MA Enrollment Increases by 17,000 Beneficiaries

Medicare Advantage (MA) enrollment in Michigan totaled approximately 1.22 million in October, an increase of 17,000 beneficiaries since July. The October enrollment is spread across 48 MA plans that are currently operating in the state …


The MHA Keystone Center Offers Ongoing Workforce Well-Being Courses

Through a partnership with the Duke Center for Healthcare Safety and Quality, the MHA Keystone Center is pleased to offer the second iteration of its WELL-B webinar series geared to support healthcare workers experiencing burnout …


The Keckley Report 

Paul KeckleyThe Physician Pay Rule in Context: Profession “Heal Thyself”

“Last Tuesday, the Center for Medicare and Medicaid Services (CMS) published its 2023 payment schedule for physicians along with changes in the Medicare shared savings program, outpatient, behavioral and home health services…

Healthcare is at a crossroad. Physicians are caught in the crossfire of policies to lower health costs and capital necessary to transform the system from specialty care and volume-based incentives to value and wellbeing.”

Paul Keckley, Nov. 7, 2022


Laura AppelMHA in the News

The MHA received media coverage on the continued surge of RSV cases across Michigan’s pediatric hospitals that is stressing hospital capacity during the week of Nov. 6. Laura Appel, executive vice president …

MHA Monday Report Nov. 7, 2022

MHA Monday Report

MHA Board of Trustees Advances Strategic Action Plan, Affirms Policy Panel Legislative Recommendations

The MHA Board of Trustees began their Nov. 2 meeting with a review of key communication strategies to assist hospitals and health systems to “tell their stories” about the unprecedented financial and workforce challenges they currently face and how they are adapting to meet the critical healthcare and economic development needs of their communities …


Logo for MI Vote Matters, Tuesday Nov. 8Healthcare Community Urged to Vote in Nov. 8 General Election

The MHA encourages its staff, members and other stakeholders in the healthcare community to vote in the state’s general election Nov. 8.- Polls will be open from 7 a.m. to 8 p.m. …


Parents Urged to Take Preventive Measures as Pediatric Beds Fill Up

Michigan children’s hospitals and pediatric healthcare leaders are raising awareness about a pediatric hospital bed shortage and urging the public to help prevent respiratory illnesses, which are rapidly spreading in the form of respiratory syncytial virus (RSV) and influenza …


CMS Releases Final Rule to Update OPPS

The Centers for Medicare and Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service (FFS) outpatient prospective payment system (OPPS) effective Jan. 1, 2023 …


Provider Enrollment Requirements Reinstated Effective Dec. 1, 2022

The Michigan Department of Health and Human Services (MDHHS) issued MMP 22-38 COVID-19 Response: Termination of Bulletin MSA 20-28, which reinstates provider enrollment requirements …


CMS Releases Final to Update Medicare PPS Effective 2023

The Centers for Medicare and Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service home health (HH) prospective payment system (PPS) effective Jan. 1, 2023 …


MHA Supports Increased Access to Affordable Post-Secondary Education

The MHA, along with stakeholders across diverse fields, supported record state investment in Michigan’s future workforce. On October 11th, the Governor signed Public Act 212 of 2022 establishing the Michigan Achievement Scholarship, and applications starting with students in the high school class of 2023 will now be eligible for increased state financial aid …


CE Credits Available for Unionization and Legal Guidelines Webinar

The webinar Dispelling Misinformation About Unionization and Legal Guidelines 8:30 – 10 a.m. ET Nov. 11 has been approved by HR Certification Institute® (HRCI®) for 1.5 hours …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — Your Vote Matters

At the MHA, we often say that politics is not a spectator sport. It requires continual engagement and relationship building so that when you are in a crisis and need assistance, you have trusted friends you can turn to …


The Keckley ReportPaul Keckley

The Three Blind Spots in Hospital Strategic Plans

“For 40 years, I have facilitated Board Retreats for hospitals, health systems, insurance plans and medical groups. At no time has the level of uncertainty about the future for hospitals been as intense nor the importance of a forward-looking strategic vision and planning been as necessary as now. The issues are complicated: lag indicators about demand, clinical innovations, reimbursement, costs et al are a foreboding backdrop for these discussions. And three issues have surfaced as blind spots in the environmental assessments and deliberations preceding the plan …”

Paul Keckley, Oct 31, 2022


Michigan Harvest GatheringsNews to Know

Many Michigan hospitals are underway with their Michigan Harvest Gathering campaign which runs through Nov. 18. Online donations by hospital employees and community members to the Michigan Harvest Gathering program can be made through the Food Bank Council of Michigan’s website …


MHA in the News

The MHA received media coverage on the surge of RSV cases across Michigan’s pediatric hospitals during the week of Oct. 31. The coverage included several comments provided to news outlets and the distribution of a press release Nov. 4 to statewide media …

MHA Podcast Explores Program Year Priorities with Michigan Medicine

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 this episode, MHA CEO Brian Peters is joined by T. Anthony Denton, J.D., MHSA, senior vice president and CEO of University of Michigan Health – Michigan Medicine, and 2022-2023 Chair of the MHA Board of Trustees. The two explore priorities for the new program year along with efforts underway to address workforce challenges, improve health equity and support sustainability.

Denton has a vast history working in healthcare – from human resources to administrative operations. He has worked on master program and facility planning, capital investments, workforce planning and execution, environmental sustainability, social determinants of health and programs that create positive community impact. He also serves on state, national and community boards and was recently chair of the MHA political action committee – also known as Health PAC – that raised more than $400,000 toward advocating for communities and healthcare organizations.

Part of the episode’s discussion focuses on The Pavilion at University of Michigan Health, a 12-story hospital breaking ground on their Ann Arbor campus. Denton shares insight on what led to the project, along with some key sustainability considerations as construction continues. The new adult inpatient facility is scheduled to open for patient care in the fall of 2025.

This podcast 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. It is currently available via SpotifyiTunes and SoundCloud.

For more information, visit micarematters.org. Members with questions or who would like to submit ideas for future podcasts should contact Lucy Ciaramitaro at the MHA.

MHA Monday Report Oct. 3, 2022

MHA Monday Report

capitol buildingEconomic Development Supplemental Passed by Michigan Legislature

The Michigan Legislature was back in session the week of Sept. 26 to finish voting on a multitude of bills as committees and the full body met for the last time before the Nov. 8 election …


Workforce Funding ReportMHA Distributes Workforce Grant Report to Legislature

Based on requirements in legislative boilerplate, the MHA created and distributed to the Michigan Legislature Sept. 28 a report on the results of the state healthcare workforce grant, which brought $225 million to Michigan hospitals for workforce recruitment, retention and training …


MDHHS Releases Proposed Policy for Attending Physician Claims

The Michigan Department of Health and Human Services (MDHHS) released a proposed policy to update existing policy for the attending provider field on institutional hospital inpatient and outpatient claims …


MHA Keystone Center Presents Annual Health Equity Summit

Registration is now open for the Michigan Health Equity Summit that will take place in-person at Lansing Community College West Campus and virtually from 9 a.m. to 3:30 p.m. ET on Nov. 3.


Trustee Member Forum Outlines Membership Strategies

The MHA will host a Trustee Member Forum from noon to 4:30 p.m. Nov. 2 at the MHA Headquarters in Okemos for trustees from MHA member organizations to explore the MHA’s 2022-2023 program year’s strategic action plan, which the MHA Board of Trustees approved in August …


Revised Doula Services Policy Released by MDHHS

The Michigan Department of Health and Human Services recently released a second proposed policy to establish coverage for doula services effective Jan. 1, 2023. The MHA supports this proposal and agrees with the MDHHS statement that the policy will improve birth outcomes …


Webinar Highlights Diverse Perspectives and Collaboration to Improve Strategic Goals

Now is the time to maximize board resources to design healthcare that is affordable, equitable and focused on your community’s needs. To effectively create strategies, an organization’s leadership must agree on the approach, terminology and …


MHA Race of the Week – Michigan Governor

The MHA’s Race of the Week series highlights the most pivotal statewide races and ballot questions for Election 2022. The series will provide hospitals and healthcare advocates with the resources they need to make informed decisions on Election Day, including candidates’ views and background …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — Michigan Hospitals: Benefitting Communities in Significant Ways

Fall is officially upon us. At the MHA, that means a new program year is well underway, we have a new Strategic Action Plan in place and are preparing for the November election which is now just weeks away…


Paul KeckleyThe Keckley Report

The Winners and Losers in US Healthcare Thru 2025: What to Expect

“With 6 weeks to the mid-term election, one thing is certain: healthcare issues will be prominent in campaign rhetoric but the reality is not much will change until after 2024. Economic conditions, Congressional dysfunction and effective advocacy efforts by trade groups representing hospitals, drug and device manufacturers, and health insurers will limit major reforms… ”

Paul Keckley, Sept. 26, 2022


Logo for MI Vote Matters, Tuesday Nov. 8News to Know

  • As Election Day nears, the Citizens Research Council of Michigan is hosting a free webinar from 10 to 11:30 a.m. Oct. 5 on the three proposed constitutional amendments that will appear on the Nov. 8 ballot.

Laura Appel speaks with WILX.

MHA in the News

Below is a collection of headlines from around the state that include interviews or statements from MHA representatives.

MHA Monday Report Sept. 26, 2022

MHA Monday Report

Michigan Hospitals Invested $4.2 Billion in Community Programming Mid-pandemic


Legislature Returns to Continue Healthcare-related Work


MHA Hosts Valuable Advocacy Events


MHA Launches Physician Membership with AAPL Partnership

The MHA and the American Association for Physician Leadership (AAPL) announced a partnership Sept. 22 that will provide leadership education and training to MHA physician members. The announcement expands the range of benefits offered through …


Michigan Healthcare Leaders Speak on Clinical Genomics During White House Panel


Webinar Highlights Discipline Required to Accomplish Strategic Goals

Now is the time to maximize board resources to design healthcare that is affordable, equitable and focused on your community’s needs. To effectively create strategies, an organization’s leadership must agree on the approach, terminology and …


Suicide Prevention Focus of AHA Trustee Insights

September is National Suicide Prevention Awareness Month and an opportunity to be reminded of the many resources available to support emotional well-being. The September edition of Trustee Insights, the monthly digital package from the American Hospital …


The Keckley Report

The two changes most likely in the value agenda of the U.S health system

“This week, the celebration of Queen Elizabeth’s life will take center stage leading up to her funeralPaul Keckley September 19. The 96-year old’s longevity, the mystique of the monarchy and Britain’s oversized role in Western culture will be table talk. …

The structure of the UK and US health systems are different. Per the Organisation for Economic Co-operation and Development, the health system in the US is more expensive, more fragmented and less effective in optimizing the population’s health than the [National Health Service] and many other developed systems. Several factors explain the difference: social determinants, violence, unit prices paid for drugs, specialty care and hospitals in the U.S. and others.”

Paul Keckley, Sept. 19, 2022


News to KnowLogo for MI Vote Matters, Tuesday Nov. 8

As Election Day nears, the MHA continues to offer complimentary MI Vote Matters informational posters and the 2022 Candidate Guide for members’ use in encouraging their communities to vote.


MHA in the News
Brian Peters

The MHA received media coverage on several topics during the week of Sept. 12. Areas of focus included the Economic Impact of Healthcare in Michigan report and the new national rural emergency hospital (REH) designation. …

MHA Monday Report Sept. 19, 2022

MHA Monday Report

MHA Launches MI Vote Matters Campaign to Encourage Voter Participation Nov. 8Logo for MI Vote Matters, Tuesday Nov. 8

The upcoming general election will set the stage for critical healthcare decisions for Michigan and the nation in the years ahead. In November, Michigan voters will help elect the next governor, attorney general and secretary …


Legislation Introduced to Regulate Temporary Staffing Agencies

capitol background


Strategic Planning Webinar Available for Hospital Leadership


Paul KeckleyThe Keckley Report

Health System Distrust Contributes to Poor Health and Avoidable Cost

“This week, the celebration of Queen Elizabeth’s life will take center stage leading up to her funeral September 19. The 96-year old’s longevity, the mystique of the monarchy and Britain’s oversized role in Western culture will be table talk. …

The structure of the UK and US health systems are different. Per the Organisation for Economic Co-operation and Development, the health system in the US is more expensive, more fragmented and less effective in optimizing the population’s health than the [National Health Service] and many other developed systems. Several factors explain the difference: social determinants, violence, unit prices paid for drugs, specialty care and hospitals in the U.S. and others.”

Paul Keckley, Sept. 12, 2022


News to Know

MHA Endorsed Business Partner ParaRev will host two free webinars this month.


MHA in the News

MHA CEO Brian Peters

MHA Monday Report Sept. 12, 2022

MHA Monday Report

Healthcare Remains Michigan’s Largest Private-sector Employer Despite Pandemic Losses

The Partnership for Michigan’s Health reports healthcare directly employed nearly 572,000 Michigan residents in 2020, demonstrating that healthcare continues to be the largest private-sector employer in the state despite staffing losses attributed to the COVID-19 pandemic. The 2022 release …


Lt. Gov. Hosted at Capitol Advocacy Center


MHA Drafts Comments on 340B Provisions and REH Payment Policies


MHA Offering Basics of Case Management Boot Camp


Implicit Bias Trainings Available to Meet LARA Requirement


Webinar Explores Guidelines for Strategic Planning


Virtual Nurse Preceptor Academy Supports New Employee Training and Retention


MHA CEO Report – Time to Focus on Cybersecurity


AHA Trustee Insights Outlines Financial Turnaround and Succession Planning


Paul KeckleyThe Keckley Report

In Campaign 2022, Healthcare Voters Will Matter More

“Today begins the countdown to election day November 8: in 63 days, voters will elect 36 Governors, 30 State Attorneys General, 27 Secretaries of State, 35 US Senators, 435 US House of Representatives and State Legislators in 46 states. It’s a consequential election for the country and for its healthcare industry…

Campaigns will avoid healthcare issues other than abortion. Conceding that healthcare is expensive and access uneven, most midterm campaigns will default to partisan themes…”

Paul Keckley, Sept. 6, 2022


News to Know

  • The deadline to provide contact information in preparation for the state’s anticipated grant program to implement an Emergency Department Medication for Opioid Use Disorder program has been extended to Sept. 23.

MHA in the News

MHA CEO Brian Peters

MHA Monday Report Aug. 29, 2022

MHA Monday Report

Behavioral Health Legislation Introduced in State House

capitol building

New legislation to make changes to the screening process for potential admission to inpatient psychiatric care for behavioral and mental health patients was introduced Aug. 17 in the Michigan House of Representatives. Rep. Graham Filler …


Court of Appeals Rules for Providers in ANF Case


CMS Releases FY 2023 Final Rule to Update Skilled Nursing Facilities PPS


CMS Wage Data Revisions Due Sept. 2


Member Feedback Requested on Proposed Telemedicine Policy


Paul KeckleyThe Keckley Report

Game On: FTC Takes on Hospital Consolidation via COPA Dismantling

“The Federal Trade Commission (FTC) issued a scathing 20-page report last Monday criticizing hospital Certificate of Public Advantage (COPA) agreements and urging state lawmakers to suspend their use. …

The FTC has its sights on hospital consolidation: it’s high on the list of industries where its activist’ muscle is likely to be flexed more frequently and effectively. … Like strong bipartisan support for the Hospital Price Transparency Rule, it reflects the FTC’s rejection of hospital claims about inadequate reimbursement by payers including Medicare and Medicaid, price gauging by device, drug and technology suppliers and unfair competition from insurers and niche providers often funded by private investment to optimize profits at the expense of hospitals.

And it offers a solution that’s strong on populist appeal but weak on practical implementation in the current hospital environment: competition vs. consolidation. Regulatory Constraints on hospitals like EMTALA and others are not applied to insurers and retailers who offer a widening range of care management services in direct competition with hospitals. The playing field is increasingly tilted against hospitals.

Paul Keckley, August 22, 2022


News to Know


MHA in the News

MHA CEO Brian Peters

MHA Monday Report Aug. 1, 2022

MHA Monday Report

Healthcare Community Urged to Vote in Aug. 2 Primary ElectionMI Vote Matters


Fiscal Year 2023 State Budget Signed

capitol background


Register Now for MHA Rural Advocacy Day


Proposal Released to Update Medicare Outpatient Prospective Payment System


CMS Wage Data Revisions Due Sept. 2


U.S. House Passes Advancing Telehealth Beyond COVID-19 Act


Implicit Bias Trainings Available to Meet LARA Requirement


CMS Seeks Comment on Rural Emergency Hospital Proposed Rule


Online Nurse Preceptor Academy Helps Acclimate New Nurses


MHA CEO Report — Benefits of the State Budget

MHA Rounds Report - Brian Peters, MHA CEO


Paul KeckleyThe Keckley Report

The U.S. Economy at the 2022 Mid-point: Three Immediate Implications for Healthcare

“The labor market is tight. Inflation is at a 40-year high. Consumers are worried but still spending. And this week, 5 key indicators of the economy’s strength/vulnerability will be reported. … Collectively, these indicators are likely to show an economy in stress. … So, what’s that mean for healthcare?”

Paul Keckley, July 25, 2022


News to Know


MHA in the News

MHA CEO Brian Peters

MHA Monday Report July 18, 2022

MHA Monday Report

Combating the Novel Coronavirus (COVID-19): Week of July 11MHA Covid-19 update


Member Feedback Requested on Rural Emergency Hospital Proposed Rule


CMS Proposes Rate Cuts in 2023 Medicare Physician Fee Schedule


Medicaid Will Allow Authorization of Return Transfers for NICU Patients


MHA Service Corporation Board Celebrates Partnerships and Successes


C.S. Mott Children’s Hospital Nurse Receives Q2 MHA Keystone Center Speak-up! Award

 


New Physician Recruiting Data and Insights Provided by Merritt Hawkins


Paul KeckleyThe Keckley Report

It’s Time for Hospitals to Implement Plan B

“This weekend, hospital leaders will gather in San Diego for the American Hospital Association’s Annual Leadership Summit. … ‘Transformation’ will be a frequent theme: most hospitals recognize their future is not a repeat of their past. … But Plan A is a short-term solution; Plan B is a decidedly different future state for hospitals.  Some will successfully pursue it; others will elect to watch and wait.”

Paul Keckley, July 11, 2022


News to Know

  • Registration will open Sept. 6 for Michigan’s 2022 Fall Immunization Conferences, which will be held on eight separate dates throughout the state between Oct. 4 and Nov. 2.
  • For the remainder of the summer, the Monday Report will be published every other week. The next editions will arrive in inboxes Aug. 1, Aug. 15 and Aug. 29.