MHA Monday Report Dec. 15, 2025

Unemployment Benefit Waiver Bill Clears Senate; International Physician Legislation Advances

Legislation to waive the collection of improper unemployment benefits cleared the Michigan Senate in a unanimous vote, while bills creating a new pathway for internationally educated physicians advanced in the House during the week of …


2026 MHA Healthcare Leadership Academy Registration Now Open

The MHA is pleased to offer its popular Healthcare Leadership Academy in 2026. In partnership with Executive Core, two power-packed modules in February and May will feature leadership 360 feedback with personalized executive coaching, the …


Survey Seeks Insights on Rural Veterans’ Healthcare Needs

A needs assessment survey supported by the Michigan Center for Rural Health, the Improving Veterans Access to Healthcare and the Frontier Veterans program is seeking to identify the needs of veterans and their providers in …


MDHHS Launches 2025 Customer Satisfaction Survey for Public Health Laboratory Partners

The Michigan Department of Health and Human Services (MDHHS) Bureau of Laboratories is inviting public health partners to complete the 2025 Customer Satisfaction Survey by Dec. 31, 2025, to gather feedback that will help improve statewide …


Building Trust and Access to Key Services Addressed by MHA Health Access & Community Impact Council

The MHA Health Access & Community Impact Council held its second meeting of the program year Dec. 4, diving into priority areas outlined in the 2025-26 MHA Strategic Action Plan. Guided by co-chairs Jeremy Cannon, …


Members of the Henry Ford Health Doula Program team.

Hospitals Help: Henry Ford Health’s Hospital-Based Doula Program

To help address the alarming rate of maternal and infant mortality, Detroit-based Henry Ford Health established a hospital-based doula program in 2024 that makes a trained professional available to provide emotional, physical and educational support …


Keckley Report

Health system transformation: why outsiders want it and insiders resist

“Key Takeaways:

  • A challenging economic climate means continuing health industry profitability is unlikely.  
  • The majority of Americans want systemic changes the system’s insiders resist.
  • Longterm, inattention to structural flaws will result in an inadequate public utility that serves all but a few that can afford more. …

As a result, the health industry’s become an enemy to the population it’s pledged to serve. Institutional distrust for government, organized religion and big business now includes the health system, especially among young Americans. …”

Paul Keckley, Dec. 7, 2025


News to Know

MHA Endorsed Business Partner CorroHealth is offering an opportunity to help members get ahead of 2026 budget pressures in coding and clinical documentation improvement.


MHA in the News

Common Ground published a story Dec. 9 on the behavioral health collaborative that the MHA has launched to address postpartum depression and perinatal mood disorders. Lauren LaPine-Ray, vice president, policy and rural health, MHA, is …

MHA Monday Report Dec. 8, 2025

Stop the Bleed Legislation Advances, Preadmission Screening Bill Introduced

Legislation protecting good Samaritans who apply bleeding-control techniques passed the Senate Civil Rights, Judiciary and Public Safety Committee, while a bill modifying timeline requirements for preadmission screening assessments of Medicaid patients was introduced during the …


CMS Releases 2026 Home Health PPS Final Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule updating the home health prospective payment system (PPS) for calendar year 2026. Highlights of the rule include: An updated 30-day …


MDHHS Launches RHTP Listserv to Share Program Updates

The Michigan Department of Health and Human Services (MDHHS) recently launched a Rural Health Transformation Program (RHTP) listserv to provide timely updates, announcements and resources related to the state’s implementation of the program. Hospitals, health …


Health Access & Community Impact Office Hours Launch

The MHA Health Access & Community Impact Office Hours series kicked off Nov. 24 with a session highlighting 211 and its role in addressing food access amid ongoing challenges related to food insecurity. Sarah Kile, …


Nominations Open for 2026 Michigan Hometown Health Hero Awards

The Michigan Public Health Week Partnership, a coalition of 13 statewide organizations that include the MHA, is seeking nominations by Friday, Dec. 19, for individuals and organizations that have contributed to improving the health and …


MHA Rounds graphic of Brian PetersMHA CEO Report — Dedicated to Care Every Day of the Year

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 …


Centering Lived Experiences to Improve Maternal Care: Reflections from the Birth Experience Project

Over the past year, I supported the Birth Experience Project, a mixed-methods study examining how Black women across Michigan experience pregnancy, labor and delivery, and postpartum care. As part of this effort, I assisted in analyzing …


Keckley Report

The 10 Healthcare Headlines you Might See in 2026

“2026 is a mid-term election year. In 2016 (Trump 45 Year One), Republicans controlled 31 governorships and 68 legislative chambers. This January, the GOP will control 26 governorships and 57 legislative chambers– a 15% reduction on both. Politics is divided, affordability matters most to voters and healthcare is a high-profile target for campaigns so humility, thoughtful messaging backed by demonstrable actions will be an imperative for every healthcare organization.

2026 is a HUGE year for U.S. healthcare. The outcome is unknown.”

Paul Keckley, Nov. 23, 2025

MHA Monday Report Nov. 24, 2025

MHA Submits Comments on Proposed Medicaid Mental Health Assessment Policy

The MHA recently submitted comments to the Michigan Department of Health and Human Services on proposed policy 2545-BH, which sets new mental health assessment requirements for Medicaid Health Plan providers caring for Comprehensive Health Care Program enrollees. Although …


2025 Michigan Caregiver Navigation Toolkit Available

In alignment with National Caregiver Month, the MHA Keystone Center recently created the 2025 Michigan Caregiver Navigation Toolkit to support hospitals in their efforts to initiate and enhance caregiver support programming across the state. The …


Report: Access, Affordability & Community Health Improved by Hospital Programming, Investments

The Michigan Health & Hospital Association (MHA) released its 2025 Community Impact Report Nov. 17 highlighting community programming and investments from Michigan hospitals that are improving access to care, addressing affordability and advancing the health of …


MHA Keystone Center PSO Hosts Virtual Care Safe Table

Registration is open for the MHA Keystone Center Patient Safety Organization (PSO) Virtual Care Safe Table in partnership with Henry Ford Health. The event will take place from 12:30 to 4 p.m. Dec. 3 at …


MDHHS Seeks Volunteers to Support Development of New EMS Credentialing Exams

The Michigan Department of Health and Human Services (MDHHS) is developing a Paramedic Exam and an Instructor Coordinator Exam and is seeking volunteers to support the process. Individuals across the Emergency Medical Services (EMS) and …


MHA Keystone Board Reviews Workplace Violence Prevention and Maternal Health Efforts

The MHA Keystone Board of Directors met Nov. 12 to review ongoing work to improve safety and quality across member organizations. The meeting opened with a connect-to-purpose story shared by Keystone Board Chair Doug Dascenzo, …


Caring For Those Who Provide Care

November is National Family Caregiver Month, which recognizes the 63+ million individuals across the United States who support loved ones with health needs every day.  I am one of the 63 million and provide care for both of my parents. …


Keckley Report

For Health Insurers, the Big Questions need Answers

“The federal shutdown ended Wednesday. Congress passed and the President signed a continuing resolution (CR) that extends funding and delays changes to several health programs until January 30, 2026 including community health centers, the National Health Service Corps, teaching health centers, the Acute Hospital-at-Home initiative, telehealth, disproportionate share hospital payment cuts and many others. But extension of the ACA tax credits used by 24 million to purchase coverage at a discount was not included in the deal. The Congressional Budget Office estimates more than 4 million people will lose insurance if the subsidies are not renewed at the end of the year. …

The majority of voters think the political system is not working, lending to hyper-partisanship by establishment players and lack of trust in the status quo. Misinformation is weaponized and ‘blame and shame’ tactics deployed. That’s where U.S. politics is. …

In the peer reviewed literature, health insurance coverage is strongly correlated with better health outcomes, including lower mortality, improved chronic disease management, and increased use of preventive care. But its affordability is increasingly in question.

Tax credits will be in the news until the end of the year and prominent in Campaign 2026 politics but the value proposition on which the industry has operated will be the focus beyond. Like every sector in healthcare, increased scrutiny is certain.”

Paul Keckley, Nov. 16, 2025


New to KnowNews to Know

  • The Centers for Medicare & Medicaid Services recently announced 2026 premiums, deductibles and coinsurance amounts for Medicare Parts A and B.
  • The MHA offices will be closed and no formal meetings will be scheduled Nov. 27 and 28 in honor of Thanksgiving.
  • Due to the holiday, Monday Report will not be published Dec. 1 and will resume its normal schedule Dec. 8.
  • The American Hospital Association released the first three chapter of its 2025 National Governance Report.

MHA in the News

The MHA received media coverage during the week of Nov. 17 covering the Rural Health Transformation Program, the MHA’s Community Impact Report and medical debt. Bridge published a story Nov. 19 on the Rural Health …

MHA Monday Report Nov. 17, 2025

Notable Healthcare Legislation Clears House, Senate Committees

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


CMS Releases CY 2026 Physician Fee Schedule Final Rule

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


Congressmen Bergman Supports Save America’s Rural Hospitals Act

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


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

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


New MHA Infographic Showcases Rural Michigan Healthcare Impact

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


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

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


Webinar Kicks Off MHA Health Access & Community Impact Office Hours

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


Celebrating the Power — and Promise — of Rural Healthcare

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


Keckley Report

Why Healthcare Affordability is Increasingly Problematic to Working Age Populations

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

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

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

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

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

Paul Keckley, Nov. 9, 2025


New to KnowNews to Know

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


MHA in the News

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

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 Monday Report Nov. 3, 2025

Compact Bills Receive Bipartisan Support in Michigan House

The Michigan House of Representatives passed legislation during the week of Oct. 27 to add the state to the speech-language pathologist and audiologist licensure compact, as well as the professional counselor licensure compact. House …


MHA Keystone Center Annual Report Highlights Safety and Quality Initiatives

The MHA Keystone Center recently released its 2024-25 annual report, which demonstrates Michigan hospitals’ commitment to improving outcomes and advancing care. The report highlights MHA Keystone Center-led safety and quality initiatives, including: A five-year collaboration with …


First Legislative Policy Panel Meeting of New Program Year

The MHA Legislative Policy Panel held its first meeting of the 2025-26 MHA program year at the MHA Capital Advocacy Center on Oct. 29 to develop recommendations on legislative issues impacting Michigan hospitals. The meeting …


Superior Health Recruiting Hospitals, Clinics and Nursing Homes for Quality Improvement Assistance Program

The Superior Health Quality Alliance – a coalition of eight Midwest healthcare quality improvement organizations, including the MHA Keystone Center – is actively recruiting participants for the Centers for Medicare & Medicaid Services (CMS) 13th …


Small or Rural Council Kicks off 2025-26 Program Year

The MHA Small or Rural Hospital Council convened its first meeting of the 2025–26 program year, chaired by Ross Ramsey, CEO, Scheurer Health. The meeting focused on the Rural Health Transformation Program (RHTP), state and federal budget …


AAP and Common Health Coalition Review Updated Vaccine Guidance

The American Academy of Pediatrics (AAP) and the Common Health Coalition hosted the webinar “Hot Topics on Respiratory Vaccines: Clearing the Air on Liability and Practice Considerations” Oct. 21. Legal, clinical and communication experts discussed …


In Case You Missed It

MHA Supports Expanded Medicaid Coverage for Postpartum Mental Health Screenings

The MHA recently submitted comments to the Michigan Department of Health and Human Services in support of the proposal to expand Medicaid coverage for maternal mental health screenings up to 12 months postpartum. Postpartum depression affects one in eight individuals, …


Investing in Rural Hospitals Means Investing in Rural Michigan

When the One Big Beautiful Bill Act was signed into law in July, it created the Rural Health Transformation Program, a five-year, $50 billion investment in rural healthcare. The MHA Board of Trustees took swift action empowering an MHA board-appointed task force charged with creating …


Keckley Report

Focus Group Insight: Do Consumers Care about Healthcare Prices (Really)?

“Efforts to activate consumer attention to healthcare prices is very much a work in process despite significant policy efforts toward price transparency for drug prices and hospital “shoppable” services. To date, results have been modest.

Might that change? That’s the question Boards and C Suites across the health continuum must answer. Insiders think it’s unlikely; outsiders hope they’re wrong. If price transparency is the pre-cursor improved value in healthcare spending for most services, the proof is lacking to date.

Do Consumers Care about Healthcare Prices (Really)? Some do. More will. And all say it’s important. But until and unless price comparison becomes a staple in American household spending behavior, little will change.  …

Like healthcare, frontline workers take the heat when policies and procedures fall short. While C suites are under pressure to operate profitably, frontline teams absorb the hits. I found myself reflecting on our frontlines who experience the same every day and have written commendation letters to AA for the “above and beyond” help I got from the Charlotte service desk that got me home eventually.”

Paul Keckley, Oct. 26, 2025


New to KnowNews to Know

  • 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 (SAP) approved by the MHA Board of Trustees.
  • MHA Endorsed Business Partner (EBP) CommerceHealthcare® will host the webinar Navigating Medical Debt: Trends and Strategic Responses from 11 to 11:30 a.m. ET Nov. 4.
  • MHA EBP SunRx is hosting a 340B Regulatory Brief webinar at 2 p.m. EDT Nov. 4 with Bharath Krishnamurthy, health policy & analytics, American Hospital Association.

MHA in the News

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 …

MHA Monday Report Oct. 27, 2025

Speech-Language Pathologist Medicaid Coverage and Critical Incident Stress Management Services Legislation Advances

Legislation improving coverage policies for speech-language pathologists and broadening those included under Critical Incident Stress Management services advanced in the Michigan House of Representatives during the week of Oct. 20. House Bill …


CMS Releases Updated Guidance During Federal Government Shutdown

The Centers for Medicare & Medicaid Services (CMS) recently instructed all Medicare Administrative Contractors to lift the hold and begin processing fee-for-service claims dated Oct. 1 and after. The action follows the hold on …


Webinar to Review MHA 2025-26 Strategic Action Plan

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 (SAP) approved by the MHA Board of Trustees. The 2025-26 SAP maintains …


MHASC Board Engages in Strategic Planning Retreat

The MHA Service Corporation (MHASC) board met Oct. 21 to discuss healthcare market strategies to identify, diversify and grow solutions for MHA members and clients. The board’s strategic planning retreat focused on creative ideation and …


MHA Hosts Conversation on Strengthening Michigan’s Healthcare Workforce

The MHA convened more than 90 individuals on Oct. 16 for a Healthcare Careers Conversation event. Human resources professionals, clinical leaders, education and workforce partners gathered to explore ideas for growing the healthcare pipeline. As part …


MHA Shares Recent Medicare and Medicaid Enrollment Analysis

The MHA recently updated its analysis of Medicaid and Medicare enrollment based on September 2025 data. The analysis includes program enrollment as a percentage of each county’s total population and the split between fee-for-service and …


Strengthening Health Literacy Through Better Communication

In healthcare, words can be as powerful as medicine. A patient’s ability to understand their diagnosis, treatment options or discharge instructions can directly influence their recovery and long-term health. Yet too often, communication between clinical experts …


Keckley Report

Will Healthcare’s Big Tents Pivot?

“As the federal government shutdown enters its third week, U.S. healthcare is in the crosshairs.

The federal government U.S. spent 27% of its total spending on healthcare last year and projects to spend at least 5.5% more every year through 2035. In that period, it will grow from 18% of the U.S. GDP to 21%. It’s labor intense, capital intense, fragmented, highly regulated and high profile. Its growth is the result of increased demand, clinical and technologic innovations and higher unit prices for hospital care, specialty drugs and insurance premium increases. Thus, when the U.S. economy is doing well, healthcare does even better. And when the U.S. economy slumps, it does well producing job growth and earnings above peer industries.

Healthcare spending is not insulated from broader economic forces requiring messaging by ‘Big Four’ and by each member to be more clear, more accurate and less misleading. The big question each must ask Members and Boards is this: ‘are we prepared to pivot from the status quo to a better system of health might require uncomfortable changes necessary to serve the greater good?

The erosion of public trust and confidence in our political system is instructive. Healthcare can (and must) do better.

That effort is urgently needed. The Big Four should take the lead together!”

Paul Keckley, Oct. 19, 2025


MHA in the News

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. …

MHA Monday Report Oct. 20, 2025

DIFS Releases Bulletin Protecting COVID-19 Vaccinations

The Michigan Department of Insurance and Financial Services (DIFS) issued a bulletin on Oct. 16, advising health insurers in the individual and small group markets to continue covering COVID-19 vaccinations without cost-sharing. The bulletin was …


McLaren Greater Lansing Hospital Nurse Honored with MHA Keystone Center Speak-up! Award

The MHA Keystone Center recognized Rachel Heise, BSN, RN at McLaren Greater Lansing Hospital, as its MHA Keystone Center Speak-up! Award recipient for the second quarter of 2025. The Speak-up! …


FBCM Hosts Inaugural Michigan Food as Medicine Summit

The Food Bank Council of Michigan (FBCM) brought together over 250 healthcare, community organization, government and other key industry leaders for the state’s inaugural Food as Medicine Summit. The two-day event aimed to build cross-sector …


MHA’s Lauren LaPine-Ray Recognized in 40 Under 40 in Public Health

Lauren LaPine-Ray, vice president, policy and rural health, has been recognized as one of the 40 Under 40 in Public Health in recognition of her work at the MHA. The de Beaumont Foundation announced the …


Rural Health Today Podcast on Breaking Down Barriers for Rural Health Providers

MHA Endorsed Business Partner ModusOne Health was recently featured on the Rural Health Today, hosted by JJ Hodshire, president and CEO, Hillsdale Hospital. The episode “Breaking Down Barriers for Rural Healthcare Providers with …


AHA Trustee Insights Highlights Aging Population and Cybersecurity Oversight

The October edition of Trustee Insights, the monthly digital package from the American Hospital Association, highlights podcasts, videos, webinars and other resources on today’s most pressing issues. The issue examines the nation’s aging population and …


Keckley Report

Healthcare’s Biggest Blindspot: Household Financial Insecurity

“The U.S. health industry revolves around a flawed presumption: individuals and families are dependent on the health system to make health decisions on their behalf. It’s as basic as baseball and apple pie in our collective world view. …

Healthcare organizations must rethink their orientations to patients, enrollees and users. All must embrace consumer-facing technologies that empower individuals and households to shop for healthcare products and services deliberately. In this regard, some insurers and employers seem more inclined than providers and suppliers, but solutions are not widely available. And incentives to stimulate households to choose “high value” options are illusory. Data show carrots to make prudent choices work some, but sticks seem to stimulate shopping for most preference-sensitive products and services.

The point is this: the U.S. economy is slowing. Inflation is a concern and prices for household goods and necessary services are going up. The U.S. health industry can ill-afford to take a business-as-usual approach to how our prices are set and communicated, consumer debt collection (aka “rev cycle”) is managed and how capital and programmatic priorities are evaluated. …”

Paul Keckley, Oct. 12, 2025


New to KnowNews to Know

MHA Endorsed Business Partner Wakely recently released its quarterly insights including the white paper, ACO Foundations: Four Pillars for Successful Risk Management in Value-based Contracts.

MHA Monday Report Oct. 13, 2025

Healthcare Funding Protected in New State Budget Signed by Gov. Whitmer

The Michigan Legislature’s newly passed state budget, which protects all existing healthcare funding, was signed into law Oct. 7 by Gov. Whitmer. Public Act 22 of 2025, sponsored by Rep. Ann Bollin (R-Brighton), passed by both …


Community Benefit Collaborative Members Gather for Kickoff Event

The MHA brought together the Community Benefit Collaborative members for a daylong kickoff event on Oct. 2 to network and learn from peers across the state conducting community benefit work in chronic disease, behavioral health …


CDC Updates Guidance for COVID-19 and Chickenpox Vaccines

The Centers for Disease Control and Prevention (CDC) recently updated its guidance for the COVID-19 and varicella (chickenpox) vaccines. The CDC’s decision uses an individual-based decision-making framework, referring to vaccination decisions made through shared clinical …


Strengthening Rural Healthcare Through Smarter Physician Recruitment

MHA Endorsed Business Partner AMN Healthcare recently released the Rural Physician Recruiting Challenges and Solutions white paper, produced by its Physician Solutions division (formerly Merritt Hawkins). The resource identifies several approaches to address these challenges: Recruiting physicians …


Investing in Rural Hospitals Means Investing in Rural Michigan

When the One Big Beautiful Bill Act was signed into law in July, it created the Rural Health Transformation Program, a five-year, $50 billion investment in rural healthcare. The MHA Board of Trustees took swift action empowering an MHA board-appointed task force charged with creating …


Keckley Report

Shutdown Impact: The Affordable Care Act 2.0 Takes Center Stage

“In 2009, I facilitated discussions with key health industry trade associations and the White House Office of Health Reform focused on reforms to reduce costs, increase insurance coverage and improve quality by 2019. It was the Obama administration’s aim to use the health system’s bulk as a lever to stimulate recovery from the 2008-2009 recession and simultaneously increase coverage through Medicaid expansion and marketplace subsidies that for lower-income households. …

The current federal government shutdown is a tipping point for healthcare in the U.S. It’s about more than extended subsidies per Dem’s and holding the line on spending per Republicans. It’s about a growing sense of helplessness among the majority and resentment among many that institutions like the federal government, higher education, big business and healthcare are no longer motivated to serve interests beyond themselves. …

Some will harken back to the Affordable Care Act in 2010 when coverage was also the issue. We’re there again. But the bigger issue is this: extending subsidies and maintaining coverage will not lower spending or transform U.S. healthcare to an affordable, accessible, appropriately structured system of health.

The moral high ground for healthcare is in jeopardy and its direction unclear. Perhaps PPACA 2.0 is an answer. Doing nothing isn’t.”

Paul Keckley, Oct. 5, 2025

MHA Monday Report Oct. 6, 2025

Michigan Legislature Passes State Budget, Preserves Healthcare Funding

The Michigan House of Representatives and Michigan Senate passed a state budget protecting all existing healthcare funding on Oct. 3. House Bill 4706, sponsored by Rep. Ann Bollin (R-Brighton), passed by both chambers, includes …


CMS Shares Updates for Medicare Operations During Federal Shutdown

The Centers for Medicare and Medicaid Services (CMS) recently directed Medicare Administrative Contractors to hold Medicare fee-for-service claims for ten business days due to the expiration of several Medicare payment provisions and the Oct. …


Hospital Communicators Gather at MHA Communications Retreat

The 2025 MHA Communications Retreat brought together about 100 communications, marketing and public relations professionals from MHA-member facilities Oct. 1 to network and learn from peers across the state. The agenda featured sessions on reputation management …


CE Credits Available for Maternal Health Quality Improvement Modules

Continuing education (CE) credits are now available for obstetric teams that complete the Michigan Alliance for Innovation on Maternal Health (MI AIM) virtual modules. The approximately three-hour series consists of the following modules: MI AIM …


MDHHS Introduces New Provider Updates Under Michigan’s Mental Health Framework

The Michigan Department of Health and Human Services (MDHHS) recently introduced new requirements under the state’s Mental Health Framework to strengthen assessments, referrals and care coordination for Medicaid enrollees. These changes take effect beginning October …


MHA Rounds image of Brian PetersMHA CEO Report — Launching Collaboratives to Improve Community Health

In the healthcare community, we know that a person’s health is shaped outside the four walls of a hospital and our support must expand beyond acute care. The MHA recently launched community benefit collaboratives with …


Keckley Report

Who Owns the Public’s Health?

“September 2025 marks a significant shift in U.S. health policy, especially its approach to the public’s health. …

Public health is a vital part of the U.S. health system but a stepchild to its major players. In reality, the U.S. operates a dual system: one that serves those with insurance (public and private) and another for those without. Public health programs like SNAP, HeadStart, Federally Qualified Health Centers et. al., serve lower income and under-insured populations and integrate with local delivery systems emergency services and during mass-events like pandemics, mass-casualties and disease outbreaks. Funding for public health programs is 2-5% of total health spending shared between local, state and federal governments.

Studies show food, housing and income insecurity—areas targeted by public health– correlate to chronic disease prevalence and health costs. Unlike most developed systems of the world which operate at a lower cost and produce better population-health outcomes, our system perpetuates a structural divide between healthcare and public health. Integrating the two is a necessary strategy for system transformation, but a difficult task given entrenched animosity toward “the system” held by public health leaders and funding pressures.  The bridge between public health and the healthcare delivery systems is a two-lane road with lots of potholes at the federal level, and sometimes better in local communities. But funding seems to be an afterthought unless local communities deem it vital.”

Paul Keckley, Sept. 28, 2025


New to Know

News to Know

  • MHA Endorsed Business Partner (EBP) SunRx is hosting a 340B Regulatory Brief webinar Nov. 4 at 2 p.m. EDT with Bharath Krishnamurthy, health policy & analytics, American Hospital Association.
  • The American Hospital Association (AHA) is accepting applications for the AHA’s 2026 Dick Davidson NOVA Award.