MHA Monday Report June 20, 2022

MHA Monday Report

capitol buildingBehavioral Health Supplemental Budget, Policy Bills Advance


Ask Congress to Support SAVE Act to Protect Healthcare Workers

The Safety from Violence for Healthcare Employees (SAVE) Act is newly proposed federal legislation to give healthcare workers the same legal protections against assault and intimidation that flight crews and airport workers have under federal law. U.S. Reps. Madeleine Dean (D-PA) and Larry Bucshon, MD …


MHA CEO Brian Peters; Beth Bedra, RN, patient safety officer, ProMedica Monroe Regional Hospital, and Sarah Scranton, MPA, vice president, safety and quality, MHA and MHA Keystone executive director.

ProMedica Monroe Regional Hospital Receives Q1 MHA Keystone Center Speak-up! Award

The Michigan Health & Hospital Association (MHA) Keystone Center honored Beth Bedra, patient safety officer at ProMedica Monroe Regional Hospital, June 9 with the quarterly MHA Keystone Center Speak-up! Award. …


Paul KeckleyThe Keckley Report

May 2022 CPI Report: Healthcare Prices Up, Especially Insurers

“Comparatively, healthcare has seen relatively constrained price increases while the rest of the economy’s price hikes have soared: In the last 12 months, the energy index rose 34.6%–the largest 12-month increase 2005, the food index increased 10.1%–the first increase of 10% or more since 1981, vs. 4.0% for medical care–notably the lowest 12 month increase of any category in the CPI.”

Paul Keckley, June 13, 2022


News to Know

The MHA has submitted comments regarding the proposed rule to update the fiscal year 2023 Medicare fee-for-service inpatient prospective payment system.

MHA Monday Report June 13, 2022

MHA Monday Report

capitol buildingHouse and Senate Continue Health Policy Testimony


MHA Draft Comments on IPPS Proposed Rule Available for Member Review

The MHA has drafted comments regarding the fiscal year 2023 Medicare proposed rule to update the Medicare fee-for-service inpatient prospective payment system (IPPS). Hospitals are encouraged to review the impact of the proposed rule on …


The Keckley Report

Medicare Trustees Report is Misleading, Especially for Hospitals

“Last Thursday, the Medicare Trustees released their latest assessment of the long-term adequacy of the Trust Funds that reimburse [healthcare providers on] behalf of Medicare’s 64 million seniors andPaul Keckley disabled adults. …

“This report is the Trustees’ 57th. Its projections are developed in two time-frames … A careful read provides a cautionary view about future Medicare funding adequacy.”

Paul Keckley, June 6, 2022


News to Know

The MHA is developing an advocacy day specially designed for small or rural hospital members. Rural Advocacy Day will be held Sept. 21 at the MHA Capitol Advocacy Center in downtown Lansing.

MHA in the News

MHA CEO Brian Peters expressed the MHA’s support for the Michigan Department of Licensing and Regulatory Affair’s new implicit bias training requirement for all professions licensed or registered under the Public Health Code in a story by Michigan Capitol Confidential.

MHA Monday Report June 6, 2022

MHA Monday Report

capitol building

Legislators Discuss New Healthcare-related Bills


Jase Bolger Addresses Legislative Policy Panel

The MHA Legislative Policy Panel convened May 25 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals. The meeting was highlighted by a presentation from former State House Speaker Jase Bolger on the Michigan …


MHA Integral in Development of New BSN Proposal

The MHA, the Michigan Community College Association, Michigan Independent Colleges and Universities and the Michigan Association of State Universities released June 1 a collaborative proposal to invest state funds in expanding access to bachelor of science in nursing (BSN) degree programs to the state’s …


Governance Fellowship ApplicationsJune 30 is Application Deadline for MHA Excellence in Governance Fellowship

Applications are due June 30 for the 2022-2023 class of the MHA Excellence in Governance Fellowship, which will be held from October 2022 through June 2023. Board members and executives who want to hear more about the fellowship experience can watch a video of  graduates’ testimonials explaining …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — Healthcare Transparency and the Flaws of RAND 4.0

MHA CEO Brian Peters reviews the efforts hospitals are taking to improve healthcare transparency while addressing the flaws of the RAND 4.0 study.


New MHA Podcast Explores the 340B Drug Pricing Program


Ligature Risks and Regulatory Requirements Reviewed in MHA Webinar

Suicide safety continues to be a priority for accrediting organizations such as the Centers for Medicare & Medicaid Services and The Joint Commission, requiring many providers to evaluate various policies and processes. They include how to keep suicidal patients safe when care is needed outside of …

MHA CEO Rural Round Table Explores Policies, Partnerships


Adam CarlsonCarlson Named to Crain’s 50 Names to Know in Lobbying


Medicare Advantage Enrollment Continues to Rise


The Keckley Report

Paul Keckley

It’s Past Time for a Mental Health Moonshot

“Mental illness involves mood, stress, substance abuse and anxiety disorders and impacts children and adults. Mental illnesses are more common than cancer, diabetes, or heart disease in the U.S. but its been treated as a second-class citizen in the U.S. health system for decades.”

Paul Keckley, May 31, 2022


News to Know

  • The MHA will host a webinar from 11 a.m. to noon ET June 8 with ParaRev to provide an update on the Protecting Access to Medicare Act (PAMA) Lab Test Private Payor Rate Reporting – CMS Update on PAMA Reporting Requirements.
  • MHA Endorsed Business Partner SUNRx will host a 340B Regulatory Brief from 2 to 3 p.m. ET June 14 to provide valuable insights for consideration in the management of participants’ 340B pharmacy strategies. The webinar will cover the current regulatory environment and implications moving forward.

MHA in the News

MHA CEO Brian Peters spoke with Michael Patrick Shiels of Michigan’s Big Show June 3 as part of the Detroit Regional Chamber’s 2022 Mackinac Policy Conference.

MHA Monday Report May 23, 2022

MHA Monday Report

capitol buildingGovernor Signs Healthcare Bills, New Licensing Bill Introduced

The Legislature acted on several healthcare-related bills during the week of May 16. The governor signed several bills into law to plan for new funding from the national opioid settlement and to allow for certain out-of-state prescriptions. In the House …


Annual Meeting icon

Registration Due May 27 for MHA Annual Membership Meeting

The registration deadline for the MHA Annual Membership Meeting is May 27. The in-person event will take place June 29, 30 and July 1 on Mackinac Island. The mobile meeting app for the MHA Annual Membership Meeting features an updated list …


HSSApplications Close May 23 for In-Person Security Risk Assessment Opportunity

The MHA Keystone Center is partnering with MHA Endorsed Business Partner HSS to offer in-person security risk assessments for its members. This assessment aims to provide an objective evaluation of threats to patients and staff and develop a corrective action plan. …


Webinar Reviews Ligature Risks and Regulatory Requirements

Suicide safety continues to be a priority for accrediting organizations such as the Centers for Medicare & Medicaid Services and The Joint Commission, requiring many providers to evaluate various policies and processes. They include how to keep suicidal patients safe when care is needed …


Hospital Week GraphicMHA Showcases Healthcare Workers for National Hospital Week

Every year, National Hospital Week serves as an opportunity to highlight hospitals, health systems, healthcare workers and the innovative ways they are supporting and connected to the community. For 2022, the MHA celebrated by showcasing member hospital and health system staff across social …


Peters Speaks to Lansing Rotary on Past, Present and Future of Healthcare


MHA Welcomes New Tenants to Headquarters: Canada Geese

The MHA recently became home to a new group of tenants at its Okemos headquarters: a family of Canada geese, including several freshly hatched goslings. The geese originally occupied a section of the headquarters parking lot, where the mother goose nested for many weeks under the guard of father goose. …

The Keckley Report

Paul Keckley

The FTC Will Be Healthcare’s Biggest Headache Until 2025

“In healthcare, the event potentially most consequential to consumers for at least the next 3 years happened last week—the Senate confirmation of Alvaro Bedoya to the Federal Trade Commission. The addition of the 40-year old attorney, professor and digital privacy expert gives Democrats a 3:2 majority at a critical time …”

Paul Keckley, May 16, 2022


News to Know

The deadline is approaching to apply for the Circle of Life Awards, which recognize innovative palliative or end-of-life care providers.


MHA in the News

The MHA responded to several media requests the week of May 16 on topics including price transparency, workforce challenges and the shortage of contrast media.

MHA Monday Report May 16, 2022

MHA Monday Report

MHA Covid-19 update

Combating the Novel Coronavirus (COVID-19): Week of May 9

COVID-19 hospitalizations in Michigan have been rising in recent weeks, with 875 adults hospitalized with confirmed or suspected cases on May 11; 77 of that number were in intensive care units. In addition, 36 children were in the hospital with confirmed or suspected cases on that date. A daily average of over 2,700 cases …


Final Procedural Step for CRNA Legislation Completed

Legislation enhancing hospital flexibility for anesthesia care went into full effect May 10 following official confirmation from the Centers for Medicare & Medicaid Services that it had received the letter of attestation sent by the governor. This was the final step needed for the provisions in House Bill …


capitol building

Michigan Legislators Act on Healthcare Bills

Several bills impacting hospitals were acted upon during the week of May 9. Bills to plan for new funding from the national opioid settlement and to allow for certain out-of-state prescriptions were sent to the governor. In the Senate, testimony was taken on a bill to create a new license for …


Annual Meeting icon

MHA Annual Meeting Registration Deadline Approaching

The registration deadline is May 27 for the MHA Annual Membership Meeting June 29, 30 and July 1 on Mackinac Island. COVID-19 vaccination is required for attendees 12 years of age and older; details surrounding the vaccination verification process are outlined on the Code of Conduct …


EIGFFellowship Helps Trustees Think Critically About the Future

Strategic thinking is a critical skill for all healthcare leaders, and the future belongs to organizations whose governing boards, working in strategic partnership with management, help envision the future and assist in discerning and framing questions the organization should ask of itself to prepare for the future. …


Webinar Reviews Infection Control Worksheet Compliance

Antibiotics have transformed the practice of medicine, making once lethal infections readily treatable and other medical advances possible. Like all medications, antibiotics can have serious unintended consequences, such as causing a patient to have an adverse drug reaction or a patient misusing the …


The Keckley Report

Paul Keckley

Overturning Roe v. Wade Creates Immediate Challenges for Healthcare

“Politico broke its story at 8:32 pm last Monday: ‘Supreme Court has voted to overturn abortion rights, draft opinion shows.’ …

“Their reporting was based on a leaked copy of the February 10, 98-page draft of Supreme Court Justice Samuel Alito’s opinion on behalf of the court’s 5 conservative justices …

“The final ruling is expected next month but the immediate implications for the healthcare industry are significant.”

Paul Keckley, May 9, 2022


MHA in the News

The MHA received media coverage the week of May 9 on an upcoming implicit bias training requirement and extending Medicaid coverage to 12 months postpartum.

MHA Monday Report May 9, 2022

MHA Monday Report

capitol building

Budget Bills Advance in House and Senate


Workforce Challenges Focus of GME Advocacy Day


MDHHS Addresses Medicaid Attending Physician Claim Edit

The Michigan Department of Health and Human Services recently issued an L-letter regarding attending physician claim edits that were implemented Jan. 1, 2022. The letter addresses concerns raised by the MHA and hospitals regarding the claim edit that has resulted in denied claims. …


The Keckley Report

Paul Keckley

Why May 2022 is Pivotal to U.S. Healthcare: Four Reasons

“Since March 2020, America’s focus has been on the pandemic. … Since January 2022, the U.S. economy has eclipsed its 41-year record inflation rate … Since February 24, 2022, America’s attention has been drawn to the Ukrainian invasion by Russia and NATO’s response. …

“And starting yesterday, May begins in what is likely the most consequential for healthcare in years due to the cumulative impact …”

Paul Keckley, May 2, 2022


News to Know

  • The Spring 2022 Michigan Health Policy Forum will take place virtually from 1 to 3:30 p.m. May 23.
  • Applications for the 2023 Foster G. McGaw Prize will be accepted through July 30.

MHA in the News

MHA EVP Laura Appel appears in a State of Reform article on bills that would create specialty integrated plans to cover specialty behavioral health benefits.

MHA Monday Report May 2, 2022

MHA Monday Report

Michigan Legislature Continues Work on Budget, Opioid Settlement Fundscapitol building


MHA Unemployment Compensation Program Receives National Recognition


MDHHS Proposes to Cover Doula Services for Medicaid Beneficiaries

The Michigan Department of Health and Human Services recently released a proposed policy for Medicaid coverage of doula services effective Oct. 1, 2022, contingent upon approval by the Centers for Medicare & Medicaid Services. The MHA supports this proposal and agrees with …


Annual Meeting iconMHA Annual Membership Meeting Returns to In-person Format

The 2022 MHA Annual Membership Meeting will return to an in-person meeting June 29, 30 and July 1 on Mackinac Island. COVID-19 vaccination is required for attendees 12 years of age and older, and details surrounding the vaccination verification …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — GME’s Role in the Healthcare Talent Pipeline

MHA CEO Brian Peters reviews the vital role of graduate medical education in the healthcare talent pipeline.


EIGF

Trustees Play Significant Role in Healthcare Recovery

COVID-19 has reshaped the healthcare environment. Emerging trends will have implications for years to come and the way hospitals and boards lead through recovery — be it financial, clinical or emotional  …


The Keckley Report

Paul Keckley

The Long-term Consequence of Physician Employment in U.S. Healthcare

“The short-term impact of physician employment is closely monitored. But the long-term consequence of employed physicians is somewhat unclear. Currently, four major players are prominent in the mix; physician employment plays a critical role in each.”

Paul Keckley, April 25, 2022


News to Know

The MHA will host a lunch and learn webinar from noon to 12:45 p.m. ET May 11 with MHA Endorsed Business Partner NextJob to provide an update on the latest labor market trends and leading practices to attract and keep valuable employees.


MHA in the News

The MHA received media coverage the week of April 25 on rural hospital challenges and COVID-19 hospitalizations.

MHA Monday Report April 25, 2022

MHA Monday Report

capitol building

Senate Moves Appropriations Subcommittee Budgets and Advances Opioid Settlement Legislation

The Michigan Senate Appropriations Subcommittee on Health and Human Services reported out April 20 their budget recommendation for the fiscal year 2023 budget beginning Oct. 1. Senate Bill 828 protects hospital priorities including maintaining funding for the Healthy Michigan Plan …


DIFS Utilization Review Decisions Favor Hospitals

The Michigan Department of Insurance and Financial Services (DIFS) issued in early April two important utilization review decisions in favor of hospitals related to auto no-fault insurance reimbursement. Under the new system enacted as part of Public Act 21 of 2019, hospitals …


LARA Rules Requiring Implicit Bias Training Take Effect June 1

The Department of Licensing and Regulatory Affairs (LARA) revised Public Health Code Rules requiring implicit bias training for all professions licensed or registered under the Public Health Code, except for Veterinary Medicine, effective June 1. …


CMS Releases FY 2023 Proposed Rule to Update Hospital IPPS

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service hospital inpatient prospective payment system for fiscal year 2023. When all proposed changes are considered, the rule is expected to result in a net decrease …


Cybersecurity Member Forum Scheduled for June 2

The MHA will host a cybersecurity member forum from 9 a.m. to 3 p.m. June 2 at the Henry Center for Executive Development. Increasing cybersecurity threats support the need for leaders to identify vulnerabilities of medical devices and supply chains, to select staff who can lead threat mitigation …


Long-term Acute-care Hospital Payment System Proposed Rule Released

The Centers for Medicare & Medicaid Services recently released a proposed rule to update the Medicare fee-for-service long-term care hospital prospective payment system for fiscal year 2023. …


Webinar Focused on Long-Term Goal Planning and Accountability

Successful stewardship of an organization is central to the role of governance. In many boardrooms, an inward, short-term operational focus robs governing boards of their attention to external forces and long-term strategic imperatives. It takes discipline and a symbiotic relationship between the board …


Nurse Preceptor and Clinical Faculty Academy Available Online

New nurses can be overwhelmed with responsibilities, which is why nurse preceptors make a difference. Nurse preceptors help new nurses develop their professional identity, access appropriate clinical research and learn from mistakes. …


The Keckley Report

Paul Keckley

Why Not-for-profit Hospitals Are Soft Targets

“Last week, the Lown Institute issued its latest report card on not-for-profit hospitals finding most undeserving of their tax breaks. …

“In response, the American Hospital Association (AHA) released a statement criticizing the Lown Institute’s ‘faulty methodology’ and defending hospitals’ use of financial resources.”

Paul Keckley, April 18, 2022

MHA Monday Report April 18, 2022

MHA Monday Report

MHA Covid-19 update

Combating the Novel Coronavirus (COVID-19): Week of April 11

The number of confirmed and suspected cases of COVID-19 in Michigan went up April 7-13 from the previous week, rising from an average of 750 per day to 1,104 per day. Out of the 7,725 confirmed and suspected cases that week, 81 Michiganders …


Board of Trustees Meets at MHA Capitol Advocacy Center

The MHA Board of Trustees met at the MHA’s downtown Lansing offices April 13 and were joined by Michigan House of Representatives Appropriations Committee Chair Thomas Albert (R-Lowell). Albert provided an update on the progress of the fiscal year 2023 state budget, which includes funding for …


capitol building

State Legislature Discusses Multiple Bills Affecting Healthcare


MHA Annual Membership Meeting Registration Open

MHA members will return to an in-person annual meeting June 29 through July 1 on Mackinac Island. COVID-19 vaccination is required for attendees 12 years of age and older; details surrounding the vaccination verification process are outlined …


State Extension of Medicaid/CHIP Coverage for 12 Months Postpartum Approved

The Centers for Medicare & Medicaid Services recently approved an extension of Michigan Medicaid and Children’s Health Insurance Program coverage for 12 months after pregnancy, up from 60 days, effective April 1, 2022. This coverage extension is expected to apply to approximately 16,000 pregnant and …


Skilled Nursing Facility Prospective Payment System Proposed Rule Released

The Centers for Medicare & Medicaid Services recently released a proposed rule to update the Medicare fee-for-service prospective payment system for skilled nursing facilities for fiscal year 2023. …


Proposal Would Update Hospice Payment System

The Centers for Medicare & Medicaid Services recently released a proposed rule to update Medicare fee-for-service hospice payment rates, wage index, beneficiary cap amount and quality reporting program requirements for fiscal year 2023, which begins Oct. 1, 2022. …


EIGFExcellence in Governance Fellowship Prepares Trustees to Lead

The MHA Excellence in Governance Fellowship is the best choice to help prepare health organization board members to excel in performing their vital responsibilities as hospitals and health systems navigate an environment where COVID-19 is endemic. Launched 20 …


MHA Comments on Telecommunications/Broadband Rules for Rural Hospitals

The MHA submitted a comment letter April 14 on behalf of its rural hospital members to the Federal Communications Commission in response to its request for input on proposed rulemaking to improve the Rural Health Care Program. …


New Podcast Explores Social Determinants of Health with Wright Lassiter

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. …


Workplace Safety and Minority Health Recognized in April

National organizations are recognizing April as Workplace Violence Awareness Month and Minority Health Month, each of which are key priorities for the Michigan Health & Hospital Association. The Alliance Against Workplace Violence is leading efforts for Workplace Violence Awareness Month while the U.S. …


The Keckley Report

Paul Keckley

U.S. Healthcare and Inflation: A Tipping Point

“Inflation hit a 40-year high of 7.9% in the first quarter of 2022. Driven by higher gas and food prices, the average household’s expenses have increased $433/month this year and the end is not in sight.

“It is taking its toll on consumers– disproportionately in lower income households, rural communities, the unhealthy and frail elderly and non-white populations. Recent polling underscores the gravity of the public mood.”

Paul Keckley, April 11, 2022


News to Know

  • The MHA will host a webinar from noon to 12:30 p.m. ET April 27 to discuss compliance support for the No Surprises Act.
  • The MHA will host a webinar from 10 to 11 a.m. ET April 28 with ParaRev to provide coding and billing guidance related to COVID-19.
  • MHA CEO Brian Peters issued a statement April 13 on the tragic shooting of Patrick Lyoya.

MHA Monday Report April 11, 2022

MHA Monday Report

MHA Covid-19 update

Combating the Novel Coronavirus (COVID-19): Week of April 4

The Michigan Department of Health and Human Services reported there were an average of 752 new confirmed and suspected COVID-19 cases per day from April 2 through April 6. As of April 6, 453 adults and 17 children were hospitalized with confirmed and suspected cases; 96 adults were in intensive care units, 39 of them …


capitol building

Prior Authorization Bill Signed into Law

Legislation to decrease wait times for commercial insurance prior authorization requests was signed into law by Gov. Gretchen Whitmer April 7. Senate Bill 247, introduced by Sen. Curt VanderWall (R-Ludington), will shorten the timeline for approval to seven calendar days or 72 hours for urgent requests, as well as ensure that …


Medicaid Proposed Policy to Allow Back Transfers for NICU Infants

The Michigan Department of Health and Human Services recently released a proposed policy, effective July 1, 2022, allowing authorization for return transfers of stabilized infants from a neonatal intensive care unit back to the community hospital from which the patient was …


Proposed Rule to Update Inpatient Rehabilitation Facilities Payment for FY 2023

The Centers for Medicare & Medicaid Services recently released a proposed rule to update the Medicare fee-for-service prospective payment system for inpatient rehabilitation facilities for fiscal year 2023, which begins Oct. 1, 2022. Key highlights of the proposal include …


CMS Releases FY 2023 Proposed Rule for Inpatient Psychiatric Facilities

The Centers for Medicare & Medicaid Services recently released a proposed rule to update the Medicare fee-for-service prospective payment system for inpatient psychiatric facilities for fiscal year 2023, which begins Oct. 1, 2022. Key highlights of the proposal include …


Webinar Focused on Governance and Leadership Accountability

Where is the line between governance and management? The truth is each board must set its own boundaries on governance versus management decisions, and boards must continuously revisit this line. The webinar You and Your Board: Creating a Synergistic Combination, offered from noon to 1 p.m. April 27 …


MHA Hosts Twitter Chat on Emergency Department Medication for Opioid Use Disorder

The MHA hosted a one-hour Twitter chat March 4 to discuss Emergency Department (ED) Medication for Opioid Use Disorder (MOUD). The chat allowed participants to engage with their peers and share information and resources related to ED MOUD, as many of these programs help address …


Explore Resources During Workplace Violence Awareness Month

Healthcare workers across the country are experiencing a growing rate of incidents of violence against front-line caregivers, including workers in Michigan. In fact, healthcare workers are nearly four times more likely to experience violence than individuals in other industries, according to the …


Paul KeckleyThe Keckley Report

Medicare Trustees’ NHE Report: Interesting Read but Understandably Flawed

“Last Monday, Medicare Trustees released the 56th edition of their National Health Expenditures (NHE) Forecast for 2021-2030 which is widely used by policymakers and operators to gauge what’s ahead for U.S. healthcare. Regrettably, it’s flawed.”

Paul Keckley, April 4, 2022


News to Know

The Circle of Life Awards recognize innovative palliative or end-of-life care providers that measure and evaluate the impact of their work on patients, family and/or the community. Part 1 applications for the 2023 awards will be accepted through May 31.