MHA Monday Report March 30, 2026

Governor Whitmer Signs Interstate Medical Licensure Compact Bill

Gov. Whitmer signed House Bill 5455, now Public Act 6 of 2026, into law March 26. This came ahead of the deadline for the state to continue participation in the Interstate Medical Licensure Compact without …


Clinical Laboratory Fee Schedule Data Reporting Period Opens May 1

The Consolidated Appropriations Act of 2026, signed into law Feb. 3, includes updates to the Medicare Clinical Laboratory Fee Schedule under the Protecting Access to Medicare Act. These updates include a data …


MDHHS Finalizes Medicaid Policy Updates to Mental Health Framework

The Michigan Department of Health and Human Services (MDHHS) recently finalized Medicaid policy updates to the Michigan Mental Health Framework. It reflects several changes from the proposed version related to assessment use, timing and provider eligibility. …


Continuum of Care Consortium Seeks Member Participation

The Michigan Department of Licensing and Regulatory Affairs Bureau of Survey and Certification is organizing a Continuum of Care Consortium. This group is designed to bring together hospital and long-term care providers …


Stryker Issues Cyber Incident Response Certification Letter

Following a recent cyberattack at Stryker Corporation, the company issued a Stryker Cyber Incident Response Certification Letter on March 16 to update its customers on the ongoing situation. The letter includes information on product safety, communication with Stryker sales …


Hospitals Help: McLaren Launches AI Tool to Identify Heart Disease Risk Sooner

Michigan hospitals are finding innovative ways to improve patient outcomes and remove barriers to timely care. One example of this comes from McLaren Health Care and its McLaren Heart & Vascular Institute, who recently launched …


Keckley Report

It’s March Madness for Hospitals

“Hospitals represent 31% of total health spending in the U.S. They directly employ 52% of the nation’s 1.1 million physicians and 44% of the 18 million in the healthcare workforce. Many operate ‘related’ businesses including insurance companies, nursing home and long-term care services, fitness facilities and some are investors in private equity funds and joint ventures pursuing innovations in care delivery and more. …

For hospitals, this is March Madness! Strategies to manage demand, reduce costs and leverage favorable operating margins (enjoyed by some) need refreshing because the environment has fundamentally changed. Governing boards and C suites in hospitals face some tough questions about how, and how fast their environment will change. The Big C’s (Costs, Corporatization, Competition, Compliance, Capital, Coverage) are a useful place to start…

These are not comprehensive but they’re directionally accurate: the future for hospitals is not a repeat of the past. The market has fundamentally changed.

The blame and shame game played by the industry’s major sectors—hospitals, insurers, drug companies—has not made life better for the citizens it serves. The public’s asking for something better, and elected officials are on their side.

March Madness is reality for hospitals. It requires fresh thinking and uncomfortable adjustments. It’s not optional.”

Paul Keckley, March 22, 2026


New to KnowNews to Know

The MHA membership will convene in person for the MHA Annual Membership Meeting June 24–26. The annual meeting will feature an outstanding lineup of experts discussing key topics, including public perception and affordability. Members are encouraged to register by …


MHA in the News

The MHA received media coverage during the week of March 23 on key issues affecting access to care and the healthcare workforce. MLive, Gongwer and the Michigan Advance reported on the bipartisan agreement to extend …

Clinical Laboratory Fee Schedule Data Reporting Period Opens May 1

The Consolidated Appropriations Act of 2026, signed into law Feb. 3, includes updates to the Medicare Clinical Laboratory Fee Schedule (CLFS) under the Protecting Access to Medicare Act (PAMA). These updates include a data reporting period from May 1-July 31, 2026, based on private payer data collected from Jan. 1-June 30, 2025, and a delay of planned payment reductions through 2026. PAMA reformed the CLFS into a single national fee schedule based on private market data from “applicable laboratories” serving Medicare beneficiaries, including hospital outreach, independent and physician office laboratories.

Additional updates under PAMA include:

  • Delays CLFS rate reductions of up to 15% through Dec. 31, 2026.
  • Updates private payer data that the Centers for Medicare & Medicaid Services (CMS) will use to set the 2027 CLFS rates by shifting the data collection period to Jan. 1 through June 30, 2025, rather than the same period in 2019.
  • Establishes the May 1-July 31, 2026 data reporting period for applicable laboratories, to allow the CMS to calculate CLFS rates that will be effective Jan. 1, 2027.

A hospital-based outreach laboratory is considered an “applicable laboratory” if it meets the following criteria:

  • Furnishes laboratory tests to nonpatients, rather than admitted inpatients or registered outpatients.
  • Bills for Medicare Part B laboratory services furnished to nonpatients using the Form CMS-1450 under type of bill 14X.
  • Meets or exceeds the low expenditure threshold, having received at least $12,500 in Medicare CLFS revenues during the six-month data collection period.

The MHA encourages hospitals to monitor the CMS CLFS reporting website for updated materials, including frequently asked questions, the required Excel reporting template and the list of test codes for which laboratories are intended to report private payor rates and volumes.  

Members with enrollment questions should contact the MHA health finance team.