MHA Monday Report Dec. 18, 2023

MHA Monday Report

MDHHS Expands Medicaid Coverage to Include CHW Services

The Michigan Department of Health and Human Services (MDHHS) recently announced an expansion of Medicaid coverage effective Jan. 1, 2024 to include community health worker (CHW) services. The MDHHS also issued a final policy establishing …


Hospital-based Substance Use Disorder Consultation Reimbursement Coverage

Physicians and other qualified practitioners will be reimbursed for substance use disorder (SUD) consultations in the inpatient hospital or emergency department setting effective Jan. 1, 2024. These services include assessment, evaluation, diagnosis and treatment of individuals during …


Coverage of Office-based Substance Use Treatment Services

Primary healthcare providers will be reimbursed for substance use disorder (SUD) treatments that are provided in an office-based primary care setting effective Jan. 1, 2024. This applies to providers who do not have a specialty SUD benefit services contract with a Prepaid .…


Guide and Action Plan Created to Support Health Equity Programming

As strides are made to address inequities and disparities in healthcare, governing and regulatory bodies including The Joint Commission and the Centers for Medicare & Medicaid Services have created guidelines, benchmarks and policies that evolve over time. The MHA Keystone …


Enrollment Deadline Friday for MHA Governance Affinity Group

The deadline to enroll a trustee in the new MHA Governance Affinity Group is Friday, Dec. 22. The benefits of a well-run meeting go beyond parliamentary procedure. Proper communication and facilitation skills needed to make decisions about strategic issues drive performance and .…


Hospital Vaccine Resources Available

The MHA is at the forefront of advocating for vaccination awareness and education, particularly focusing on the challenges associated with the Beyfortus (nirsevimab) monoclonal antibody for infants entering their first respiratory syncytial virus season. The association is …


Latest AHA Trustee Insights Outlines the Board’s Role in Patient Experience

The December edition of Trustee Insights, the monthly digital package from the American Hospital Association (AHA), includes an article on the board’s role in patient experience. The average hospital has turned over 105% of its workforce in the last five years and national …


The Keckley Report

Paul KeckleyThe Affordable Care Act is Back on Stage: What to Expect

“In the last 2 weeks, the Affordable Care Act (ACA) has been inserted itself in Campaign 2024 by Republican aspirants for the White House …

It’s no surprise. Health costs and affordability rank behind the economy as top issues for Republican voters per the latest Kaiser Tracking Poll. And distaste with the status quo is widespread and bipartisan: per the Keckley Poll (October 2023), 70% of Americans including majorities in both parties and age-cohorts under 65 think “the system is fundamentally flawed and needs major change.” To GOP voters, the ACA is to blame. …

The ACA is back on the radar in U.S. healthcare. Stay tuned.”

Paul Keckley, Dec. 10, 2023


News to Know

  • Clarence RuckerClarence Rucker, manager, patient safety and quality, MHA Keystone Center, is featured in COLOR Magazine’s 40 Under 40 Powerlist.
  • Due to the holidays, Monday Report will not be published Dec. 25 and Jan. 1, and will resume its normal schedule Jan. 8.

 


MHA in the News

The MHA received media coverage the week of Dec. 11 related to post-secondary nurse degree programs and telehealth.

MHA Monday Report Sept. 25, 2023

MHA Monday Report

capitol buildingActive Fall Committee Work Continues in Legislature

Several MHA-tracked bills received testimony and votes the week of Sept. 18 as the state legislature continues its fall calendar. The House Health Policy Committee heard testimony and voted on the Reproductive Health Act bills. …


Gov. Whitmer Announces Grant Recipients for Enhanced Mental Health Support

As part of Gov. Whitmer’s commitment to ensuring access to behavioral health services, the Michigan Department of Health and Human Services recently awarded more than $900,000 to five Community Mental Health Service Programs. The …


MDHHS Launches Maternal Mortality Surveillance Program

The Michigan Department of Health and Human Services (MDHHS) launched their Maternal Mortality Surveillance program, which is dedicated to preventing pregnancy-related deaths. The Hear Her Michigan Campaign focuses on empowering women and their support …


Transferring Telephone Prior Authorizations

Effective Oct. 1, the Michigan Department of Health and Human Services (MDHHS) will transition the telephone prior authorization process from Admissions and Certification Review to the MDHHS Program Review Division. This applies for the …


Webinar: Learn How to Utilize Physician Talent on Governing Boards

As healthcare leaders cope with turbulent times, it’s essential to have physician board members assist with decision-making on things like action prioritization, merger and acquisition activity and social determinants of health. The webinar Maximizing Contributions …


MHA Person & Family Engagement Advisory Council Work Continues

Approximately 25 hospital and health system members convened for the first MHA Person & Family Engagement Advisory Council meeting of the 2023-2024 MHA program year. Members discussed action items and goals, including advancing the …


Latest AHA Trustee Insights Focuses on Financial Growth

The September edition of Trustee Insights, a monthly digital package from the American Hospital Association (AHA), includes a study of financial well-being and the need to shift from a transaction-first mindset to a human-centric mindset focused on …


The Keckley Report

Paul KeckleyThe UAW Strike: What Healthcare Provider Organizations Should Watch

“Politicians, economists, auto industry analysts and main street business owners are closely watching the UAW strike that began at midnight last Thursday. Healthcare should also pay attention, especially hospitals. medical groups and facility operators where workforce issues are mounting. …

Nonetheless, the parallels between the current state of worker sentiment in the U.S. auto manufacturing and healthcare services sectors are instructive. Auto and healthcare workers want job security and higher pay, believing their company executives and boards but corporate profit above their interests and all else. And polls suggest the public’s increasingly sympathetic to worker issues and strikes like the UAW more frequent. …”

Paul Keckley, Sept. 18, 2023


News to Know

MHA Monday Report Sept. 18, 2023

MHA Monday Report

MHA Hosts Successful Hospitals for Patient Access Advocacy Day

The MHA hosted a successful Hospitals for Patient Access Advocacy Day Sept. 13, with more than 130 hospital and nursing leaders participating. Attendees completed 118 meetings with lawmakers, covering 80% of the Michigan Legislature. …


Proposed Hospital Nurse Staffing Bills Harm Public’s Access to Healthcare

The MHA released data today illustrating strong public opposition to legislation proposing one-size-fits-all state mandated hospital nurse-to-patient staffing ratios and hospital survey data on the severe impact of the legislation on access to care for Michiganders. …


capitol buildingLegislature Introduces Bills on Hospital Waste and Drug Costs

Legislation was introduced in the state Senate Sept. 12 that would help hospitals reduce unnecessary waste and would attempt to control the rising price of certain drugs. Senate Bill 482 was introduced by Sen. …


Updated mRNA COVID-19 Vaccines Targeted for Recent Subvariants

The Food and Drug Administration approved the updated mRNA COVID-19 vaccines from Pfizer-BioNTech and Moderna Sept. 11. These updated vaccines currently target circulating subvariants including XBB.1.5, EG.5 and FL.1.5.1, as well as BA.2.86, and provide …


DIFS Bulletin Clarifies Auto No-Fault Provisions

The Michigan Department of Insurance and Financial Services (DIFS) recently issued a bulletin clarifying that provisions of the auto no-fault law signed in May 2019 do not apply for services provided to individuals injured in …


MHA Podcast Highlights National Recovery Month, Resources in Hospital Emergency Departments

The MHA released another episode of the MiCare Champion Cast, which features interviews with healthcare policy experts in Michigan discussing key issues that impact healthcare and the health of communities. The September episode centers around …


The Keckley Report

Paul KeckleyIs Affordability taken Seriously in US Healthcare?

“Studies show healthcare affordability is an issue to voters as medical debt soars (KFF) and public disaffection for the “medical system” (per Gallup, Pew) plummets. But does it really matter to the hospitals, insurers, physicians, drug and device manufacturers and army of advisors and trade groups that control the health system? …

Affordability to consumers is the most formidable challenge facing the US healthcare industry–more than burnout, operating margins, reimbursement or alternative payment models. Today, it is not taken seriously by insiders. If it was, evidence would be readily available and compelling. But it’s not.“

Paul Keckley, Sept. 11, 2023


News to Know

The American Hospital Association is accepting applications for the AHA’s Dick Davidson NOVA Award.

Combating the Novel Coronavirus (COVID-19): Week of June 20

MHA Covid-19 update

MHA Covid-19 updateAs of June 22, there were 714 adults and 27 children in Michigan with confirmed or suspected cases of COVID-19, with new cases averaging 1,780 per day the previous week. Over 100 hospitalized adults were being cared for in intensive care units. According to the state’s vaccine tracker, 67.4% of Michigan residents had received at least one dose of a COVID-19 vaccine as of June 22.

The MHA continues to keep members apprised of pandemic-related developments affecting hospitals through email updates and the MHA Coronavirus webpage. Important updates are outlined below.

Children Ages Six Months Through Five Years Eligible for COVID-19 Vaccine

The Michigan Department of Health and Human Services (MDHHS) announced June 21 that all Michiganders ages six months and up are now eligible for a COVID-19 vaccine. The pediatric vaccine, which received emergency use authorization for this age group from the Food and Drug Administration, was recommended by the Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices June 18. The MHA released a media statement following the CDC recommendation, which makes 500,000 more Michigan children eligible for vaccination.

The MDHHS is recommending providers begin vaccinating children ages six months and older as soon as possible. The Moderna series is two doses given 28 days apart for ages six months through five years. For children six months of age through four years, the Pfizer series is three doses, with the first two given three weeks apart and the third dose administered at least eight weeks after the second dose. For ages five and older, the Pfizer series is two doses given 21 days apart.

In addition, the CDC has issued important updates to the Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Approved or Authorized in the United States. The MDHHS has provided an outline of the updates. The updates are outlined in the attached communication from MDHHS.

Questions about COVID-19 vaccines should be directed to Ruthanne Sudderth at the MHA.

Additional information on the COVID-19 pandemic is available to members on the MHA Community Site and the MHA COVID-19 webpage. Questions on COVID-19 and infectious disease response strategies may be directed to the MDHHS Community Health Emergency Coordination Center (CHECC).

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

MHA Covid-19 update

MHA Covid-19 updateCOVID-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 were confirmed from May 5 through 11.

The MHA continues to keep members apprised of pandemic-related developments affecting hospitals through email updates and the MHA Coronavirus webpage. Important updates are outlined below.

MDHHS Shares Updated FDA Guidelines for Johnson & Johnson COVID-19 Vaccine

The Michigan Department of Health and Human Services (MDHHS) has reminded providers of updated guidelines from the Food and Drug Administration (FDA) for use of the Johnson & Johnson/Janssen COVID-19 vaccine. The new guidelines essentially limit use to individuals 18 and older who cannot or will not take one of the other approved vaccines. The risk of thrombosis with thrombocytopenia syndrome (TTS) warrants limiting the authorized use of the vaccine. TTS is a syndrome of rare and potentially life-threatening blood clots in combination with low levels of blood platelets. Members are encouraged to review the provider guidelines. For more information regarding vaccines, contact Ruthanne Sudderth at the MHA.

Additional information on the COVID-19 pandemic is available to members on the MHA Community Site and the MHA COVID-19 webpage. Questions on COVID-19 and infectious disease response strategies may be directed to the MDHHS Community Health Emergency Coordination Center (CHECC).

Combating the Novel Coronavirus (COVID-19): Week of Sept. 13

MHA Covid-19 update

MHA COVID-19 UpdateCOVID-19 cases and related hospitalizations have continued to climb in Michigan, with 1,356 adults and 17 children hospitalized Sept. 17 with confirmed cases. The total number of confirmed cases in the state since the pandemic began is nearing 1 million, reaching 988,725 cases that had caused 20,665 deaths as of Sept. 17. Meanwhile, by Sept. 16, just 66.7% of Michigan residents ages 16 and over had received at least one dose of a vaccine to combat the illness.

The MHA continues to keep members apprised of pandemic-related developments affecting hospitals through email updates and the MHA Coronavirus webpage. Important updates are outlined below.

Hospitals May Verify Employee Vaccination Status Through MCIR

The MHA has been working with the Michigan Department of Health & Human Services (MDHHS) Division of Immunizations on changes that will allow hospitals to use the Michigan Care Improvement Registry (MCIR) to verify the COVID-19 vaccination status of employees to comply with state and federal data reporting rules. Hospitals may now use MCIR for this purpose; however, they must submit an additional form. The original MCIR provider agreement was meant for the establishment of a MCIR site for provider/patient relationships and does not cover providers as employers.

Hospitals and health systems that would like to use their existing MCIR site to do employee status checks need to complete the new MCIR Agreement “Provider as Employer” Addendum and send it to the Division of Immunizations Lansing Office as instructed on the Addendum. Before accessing MCIR to verify employee vaccination status, the employer must obtain written employee consent and retain it indefinitely to make available to the MDHHS upon request.

Organizations may also consider setting up a new MCIR site to effectively separate patient vaccination status checks from those for employees. To do so, they will need to complete a new MCIR Provider Agreement to establish the site and obtain a MCIR ID, and then complete the Addendum.

Additional functions for the MCIR system are being explored, and hospitals and health systems will receive additional information when they are in production. Members with questions may contact Ruthanne Sudderth at the MHA.

No Expansion of Expiration Date for Johnson & Johnson Vaccine

The Centers for Disease Control and Prevention has confirmed that expiration dates of the Johnson & Johnson COVID-19 vaccine have not been given an additional extension. Many unused doses will expire soon, and providers are urged to check their inventory to ensure no expired doses are administered. Expiration dates can be found by scanning the QR code located on the outer carton, checking the Janssen Expiration Lookup website or calling (800) 565-4008. Providers should use this vaccine only until the expiration date and then follow requirements for disposal and report wastage into MCIR.

Questions regarding vaccines may be directed to Ruthanne Sudderth at the MHA.

Additional information on the COVID-19 pandemic is available to members on the MHA Community Site and the MHA COVID-19 webpage. Questions on COVID-19 and infectious disease response strategies may be directed to the MDHHS Community Health Emergency Coordination Center (CHECC).