Michigan Hospital Leaders Discuss Key Healthcare Issues at Mackinac Policy Conference

Healthcare leaders from across the state joined Rich Helppie, host of The Common Bridge Podcast, May 27 at the 2026 Mackinac Policy Conference to discuss key healthcare issues impacting Michigan hospitals and the communities they serve.

The first round of interviews published, include:

Conversation covered healthcare affordability, state and federal policy priorities, Medicaid changes, rural health issues, workforce support, advancements in healthcare technology and more.

Full interviews are available across MiCare Champion Cast streaming platforms (Apple PodcastsSpotify and SoundCloud), with video available on the MHA’s YouTube channel.

The MHA will continue to publish Mackinac Policy Conference interviews as they are available. Members with questions may contact John Karasinski at the MHA.

Hospitals Help Prioritize Patient and Family-Centered Care

Hospitals are improving the health and well-being of communities through a care model that fosters collaboration between clinicians, patients and their support systems.

Person- and Family-Centered Care (PFCC) — often referred to as Patient and Family Engagement (PFE) — is an approach to care delivery that has been shown to improve health outcomes, lower costs, enhance patient experience and boost overall staff satisfaction.

In a new episode of the MiCare Champion Cast, two members of the MHA Person & Family Engagement Advisory Council from MyMichigan Health and Michigan Medicine provide first-hand insight on the powerful impact of PFE.

“Relationships are at the heart of everything,” said Michelle Brady, MSHAL, BSN, RN, CPXP, director, patient experience and relations, MyMichigan Health. “While we have the beautiful benefits of technology, we cannot lose sight of the human connection. These [PFE] councils are a lifeline to continue humanizing care across the continuum. We have to keep the patient — and the family — at the table.”

Brady has been a registered nurse for 36 years and a leader for the last 15. In her current role, she supports the success of MyMichigan’s PFAC to ensure patients and families are at the center of goal setting and system decision-making. 

Alongside Brady was Michele Mitchell, BS, MS, PMP, a nationally recognized patient advocate and breast cancer survivor. Following years of working in healthcare, being on the other side further ignited Mitchell’s passion for amplifying the patient voice in care delivery, education and research.

“Patients who participate in their care stay healthier longer,” said Mitchell, who previously co-chaired Michigan Medicine’s Department of Pathology PFAC. “This is not just the right thing to do — it’s the smart thing to do. The best care happens when providers see the whole person, not just the diagnosis. When patients are genuine partners in their care, everyone wins.”

The episode, released during Patient Experience Week, offers actionable ways for healthcare teams to implement PFE and uplift its value to hospital leadership.

The MHA Person & Family Engagement Advisory Council provides guidance and support to Michigan hospitals to extend and enhance PFCC across the state. The council is made up of MHA staff, stakeholders and advisors who work to ensure the voice of patients and families are incorporated into hospital initiatives and efforts. It also provides a great opportunity for networking, collaboration and sharing of best practices for PFCC.

The episode is available to stream on Apple PodcastsSpotifySoundCloud and YouTube. Questions or content submissions for future MiCare Champion Cast episodes and Hospitals Help articles can be directed to Lucy Ciaramitaro at the MHA. Those interested in learning more or getting involved in the MHA Person & Family Engagement Advisory Council may contact Erin Steward at the MHA.

In the episode, there is reference to a 2023 Cochrane Library study and research from the National Library of Medicine.

Catching Up on All Things Healthcare with Tina Freese Decker

The MHA released a new episode of the MiCare Champion Cast exploring state and federal healthcare priorities with Tina Freese Decker, MHA, MSIE, FACHE, president & CEO, Corewell Health and 2025 chair of the American Hospital Association (AHA).

The episode, hosted by MHA CEO Brian Peters, explores healthcare innovation, affordability and how institutions like Corewell Health are bracing for the impact of the “One Big Beautiful Bill Act (OBBBA).”

“It’s very important to protect and strengthen our hospitals, but we can also look ahead and say, how do we drive healthcare forward to a future that can be more affordable, more exceptional and simpler?” posed Freese Decker. “We all want what is best for our neighbors. When we put people at the center, we can align around what needs to happen and where we need to go.”

Freese Decker leads more than 60,000 within the integrated health system and oversees Corewell Health’s provider-sponsored health plan, Priority Health, which serves 1.3 million members across Michigan.

During the conversation, Freese Decker noted her biggest concern with changes under the OBBBA will be the loss of access to primary care services for patients without healthcare coverage. She noted that embracing a preventative mindset and being mindful of healthcare costs will be critical.

“Our patients do hard things every day and we help them through that,” said Freese Decker. “We need to make sure we’re disrupting the status quo and challenging conventional wisdom. It’s going to be hard, but it’s also an opportunity to advance care and improve the lives of our teams and our communities…it will require significant change. We will not be able to do it the way we’ve always been able to do it.”

Peters and Freese Decker also explore the future of growing the healthcare workforce talent pipeline, the role technology will continue to play in hospitals and the importance of fostering new partnerships across industries.

The episode is available to stream on Apple PodcastsSpotifySoundCloud and YouTube. Questions or idea submissions for future MiCare Champion Cast episodes can be sent to Lucy Ciaramitaro at the MHA.

Addressing Hurdles for Behavioral Health Patients Seeking Care in the ED

The MHA released a new episode of the MiCare Champion Cast exploring the need to expand the pre-admission screening assessment for behavioral health providers.

Lauren LaPine, senior director of legislative & public policy, MHA, joined to provide insight on how Michigan continues to experience issues with timely access to behavioral health services. More specifically, LaPine shared how and why Medicaid patients experiencing a behavioral health crisis are often stuck in emergency departments (EDs) longer than those who are commercially insured.

Infographic illustrating the differing processes that commercially insured patients go through to be assessed for a behavioral health need compared to a Medicaid beneficiary.
Infographic illustrating the differing processes that a Medicaid beneficiary goes through to be assessed for a behavioral health need compared to a commercially insured patient.

Under the current guidelines, LaPine explained, there are a series of arduous steps needed in order to get patients with Medicaid coverage inpatient behavioral healthcare. One of the biggest hurdles is that following an assessment by ED clinicians, a patient with Medicaid must receive a secondary pre-admission screening from a community mental health (CMH) agency.

This process can take hours – if not days – to complete. Meanwhile, a patient needing the same level of care who is commercially insured is not required to have the pre-admission screening by a CMH.

Last year, there were more than 1.2 million emergency room visits where behavioral health was one of the reasons for care. LaPine noted that pediatric and geriatric patients board for the longest periods of time.

One proposed solution to alleviate the process is to expand the three-hour assessment responsibility to allow clinically qualified staff to conduct pre-admission screenings in order to improve the delivery of care for behavioral health patients in Michigan hospital EDs.

“Emergency departments across the state are well-equipped to complete the pre-admission screening to determine if someone needs inpatient psychiatric care,” said LaPine. “Implementing this change will really help us to expand the number of available healthcare personnel that are able and available to conduct that pre-admission screening…it also allows Medicaid patients to be assessed in a similar manner as patients that have commercial insurance.”

According to recent survey data, there are more than 155 patients waiting in a hospital emergency department for access to behavioral health services; Whether that is an assessment through a CMH agency, an inpatient bed or a transfer to a short-term, residential setting.

The episode is available to stream on Apple PodcastsSpotifySoundCloud and YouTube.

How Could Medicaid Cuts Impact Michigan?

MiCare Champion Cast Header Photo

The MHA released a new episode of the MiCare Champion Cast exploring how proposed reductions to Medicaid could disrupt access to care and harm Michigan hospitals, patients and communities.

Laura Appel, executive vice president of government relations & public policy, MHA, first explored the history and purpose of Medicaid and the Healthy Michigan Plan, which has been hailed a success for improving access to care, reducing the uninsured rate and supporting economic stability for families across the state.

Appel explained the potential impact of recent federal proposals, which include instructions to cut Medicaid by at least $880 billion over 10 years. Changes like block grants, per capita caps and reduced federal matching rates could lead to a staggering $1.73 billion shortfall in the state budget, jeopardizing access to healthcare for millions.

“Cutting funding is cutting care,” said Appel. “Not every hospital is on the financial footing it wishes it were and there are a lot of hospitals across the country that are already in difficult financial straits…this could be the reason that they close all together.”

Michigan hospitals are asking members of Congress to protect the Medicaid program and oppose proposed reductions. Appel noted those interested in helping with this effort and reaching members of Congress are encouraged to visit the MHA Legislative Action Center.

Listeners can also expect to learn more about the impact proposed cuts would have on rural healthcare and Michigan’s economy. The episode is available to stream on Apple PodcastsSpotifySoundCloud and YouTube.