MHA Monday Report Nov. 21, 2022

MHA Monday Report

Urge Congress to Support Hospitals by Enacting Key Priorities in Lame-duck Session

The American Hospital Association (AHA) recently released an action alert to impress upon lawmakers the immediate need to support hospitals and health systems. It is important the last session days of the year are used as an opportunity to advance key priorities at the federal level …


Webinar Outlines CRNA’s Role in the Future of Clinical Operations

Michigan legislation in 2022 modernized the scope of practice for certified registered nurse anesthetists (CRNAs), eliminating the state requirement that a CRNA must work under direct physician supervision. Hospitals can now choose the anesthesia care model that best fits their location, staffing and resources to offer safe and effective patient care …


Keckley Report 

Paul KeckleyThe Two Lessons Healthcare Should Take from Campaign 2022

“The public’s opinion (vote) on healthcare issues is defined by personal circumstances and core beliefs about a single issue. Most lack an informed view about the entire system. Healthcare must do a better job in educating citizens about our system of health and the roles of personal responsibility, commercial operations and governmental oversight. It must do a better job in understanding consumer needs and expectations especially in younger and independent-minded users.

The healthcare market is not homogenous: a one size fits all approach to service delivery, pricing, and user experiences is short-sighted. While single-issue voter blocks in healthcare matter (i.e., abortion, Medicaid expansion, drug prices, et al), they’re unlikely to advance a system of health that contributes effectively and appropriately to the future of our democracy—a key issue in Campaign 2022.”

Paul Keckley, Nov. 14, 2022


News to Know

  • DataGen is hosting a national webinar to review the 2023 Medicare fee-for-service outpatient prospective payment system final rule and hospital impact analysis at 3 p.m. on Nov. 30, 2022.
  • MHA Endorsed Business Partner NextJob is hosting a free webinar on Actionable Neuroscience Insights for Improved Workplace Performance at noon ET Dec. 7, 2022 to educate employees about the brain processes of perception, cognition and neuro-linguistics and share tips to help improve performance at work.

Laura AppelMHA in the News

The MHA received media coverage during the week of Nov. 14 on financial and staffing challenges impacting hospitals in Michigan and the potential for further state funding support …

Webinar Outlines CRNA’s Role in the Future of Clinical Operations

Michigan legislation in 2022 modernized the scope of practice for certified registered nurse anesthetists (CRNAs), eliminating the state requirement that a CRNA must work under direct physician supervision. Hospitals can now choose the anesthesia care model that best fits their location, staffing and resources to offer safe and effective patient care.

The CRNA’s Role in the Future of Clinical Operations webinar on Jan. 12, 2023 will include panelists Steve Barnett, president and CEO of McKenzie Health System, Robert Casalou, president and CEO of Trinity Health Michigan & Southeast Regions and Jeremiah J. Hodshire, president of Hillsdale Hospital. They will review the CRNA duties and responsibilities in their settings and tactics to build support and operationalize CRNA practice. MHA staff will outline advocacy efforts to expand CRNA’s scope of practice and answer questions about reimbursement.

The webinar is cosponsored by the Michigan Association of Nurse Anesthetists (MANA) and is open to MHA and MANA members. Chief executives and presidents, financial and operational team members, medical, nurses and compliance officers are encouraged to register.

Members with questions should contact Erin Steward at the MHA.

MHA Monday Report Nov. 14, 2022

MHA Monday Report

MI Vote Matters logoRecapping 2022 Election Results

Midterm election results are in, bringing new leadership to the Michigan Legislature and a returning administration at the top of the ticket. Election 2022 will bring significant change to Lansing, as Democrats will now control the Governor’s office and both chambers of the state legislature for the first time since 1984 …


capitol buildingLegislature Returns for Lame Duck Session

The legislature returned during the week of Nov. 7 to vote on legislative leadership and kickoff the 2022 lame-duck session. Only a handful of MHA-tracked bills saw action, including legislation to implement the new federal Rural Emergency Hospital (REH) designation …


CMS Finalizes Rate Cuts in 2023 Medicare Physician Fee Schedule

The Centers for Medicare & Medicaid Services (CMS) recently released the 2023 Medicare Physician Fee Schedule (PFS) final rule, effective Jan. 1, 2023. The rule reduces the PFS conversion factor by $1.55 (4.7%) to $33.06 in a calendar year (CY) 2023 from $34.61 in CY 2022 …


October MA Enrollment Increases by 17,000 Beneficiaries

Medicare Advantage (MA) enrollment in Michigan totaled approximately 1.22 million in October, an increase of 17,000 beneficiaries since July. The October enrollment is spread across 48 MA plans that are currently operating in the state …


The MHA Keystone Center Offers Ongoing Workforce Well-Being Courses

Through a partnership with the Duke Center for Healthcare Safety and Quality, the MHA Keystone Center is pleased to offer the second iteration of its WELL-B webinar series geared to support healthcare workers experiencing burnout …


The Keckley Report 

Paul KeckleyThe Physician Pay Rule in Context: Profession “Heal Thyself”

“Last Tuesday, the Center for Medicare and Medicaid Services (CMS) published its 2023 payment schedule for physicians along with changes in the Medicare shared savings program, outpatient, behavioral and home health services…

Healthcare is at a crossroad. Physicians are caught in the crossfire of policies to lower health costs and capital necessary to transform the system from specialty care and volume-based incentives to value and wellbeing.”

Paul Keckley, Nov. 7, 2022


Laura AppelMHA in the News

The MHA received media coverage on the continued surge of RSV cases across Michigan’s pediatric hospitals that is stressing hospital capacity during the week of Nov. 6. Laura Appel, executive vice president …

The MHA Keystone Center Offers Ongoing Workforce Well-Being Courses

Through a partnership with the Duke Center for Healthcare Safety and Quality, the MHA Keystone Center is pleased to offer the second iteration of its WELL-B webinar series geared to support healthcare workers experiencing burnout.

Live courses will begin on Nov. 17 and take place monthly through Oct. 2023. Each one-hour session includes CME and ANCC credit. The 12 sessions are a continuation of the courses offered earlier this year. Members who did not participate in the spring cohort are encouraged to listen to the recordings to gain foundational knowledge. CME and ANCC credits are also available for the pre-recorded sessions.

Registration will remain open throughout the series.

Registration is also open for a 5-hour WELL-B Essentials cohort opportunity starting in Jan. 2023. The five interactive sessions will center around cultivating work-life balance, gratitude, self-compassion and awe.

Sessions for the WELL-B Essentials cohort are first come, first serve. Registrants will be assigned to the one-hour sessions from noon to 1 p.m. either Jan. 23 – 27 or Jan. 30 – Feb. 3.

Members with questions may contact the MHA Keystone Center.

MHA Monday Report Nov. 7, 2022

MHA Monday Report

MHA Board of Trustees Advances Strategic Action Plan, Affirms Policy Panel Legislative Recommendations

The MHA Board of Trustees began their Nov. 2 meeting with a review of key communication strategies to assist hospitals and health systems to “tell their stories” about the unprecedented financial and workforce challenges they currently face and how they are adapting to meet the critical healthcare and economic development needs of their communities …


Logo for MI Vote Matters, Tuesday Nov. 8Healthcare Community Urged to Vote in Nov. 8 General Election

The MHA encourages its staff, members and other stakeholders in the healthcare community to vote in the state’s general election Nov. 8.- Polls will be open from 7 a.m. to 8 p.m. …


Parents Urged to Take Preventive Measures as Pediatric Beds Fill Up

Michigan children’s hospitals and pediatric healthcare leaders are raising awareness about a pediatric hospital bed shortage and urging the public to help prevent respiratory illnesses, which are rapidly spreading in the form of respiratory syncytial virus (RSV) and influenza …


CMS Releases Final Rule to Update OPPS

The Centers for Medicare and Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service (FFS) outpatient prospective payment system (OPPS) effective Jan. 1, 2023 …


Provider Enrollment Requirements Reinstated Effective Dec. 1, 2022

The Michigan Department of Health and Human Services (MDHHS) issued MMP 22-38 COVID-19 Response: Termination of Bulletin MSA 20-28, which reinstates provider enrollment requirements …


CMS Releases Final to Update Medicare PPS Effective 2023

The Centers for Medicare and Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service home health (HH) prospective payment system (PPS) effective Jan. 1, 2023 …


MHA Supports Increased Access to Affordable Post-Secondary Education

The MHA, along with stakeholders across diverse fields, supported record state investment in Michigan’s future workforce. On October 11th, the Governor signed Public Act 212 of 2022 establishing the Michigan Achievement Scholarship, and applications starting with students in the high school class of 2023 will now be eligible for increased state financial aid …


CE Credits Available for Unionization and Legal Guidelines Webinar

The webinar Dispelling Misinformation About Unionization and Legal Guidelines 8:30 – 10 a.m. ET Nov. 11 has been approved by HR Certification Institute® (HRCI®) for 1.5 hours …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — Your Vote Matters

At the MHA, we often say that politics is not a spectator sport. It requires continual engagement and relationship building so that when you are in a crisis and need assistance, you have trusted friends you can turn to …


The Keckley ReportPaul Keckley

The Three Blind Spots in Hospital Strategic Plans

“For 40 years, I have facilitated Board Retreats for hospitals, health systems, insurance plans and medical groups. At no time has the level of uncertainty about the future for hospitals been as intense nor the importance of a forward-looking strategic vision and planning been as necessary as now. The issues are complicated: lag indicators about demand, clinical innovations, reimbursement, costs et al are a foreboding backdrop for these discussions. And three issues have surfaced as blind spots in the environmental assessments and deliberations preceding the plan …”

Paul Keckley, Oct 31, 2022


Michigan Harvest GatheringsNews to Know

Many Michigan hospitals are underway with their Michigan Harvest Gathering campaign which runs through Nov. 18. Online donations by hospital employees and community members to the Michigan Harvest Gathering program can be made through the Food Bank Council of Michigan’s website …


MHA in the News

The MHA received media coverage on the surge of RSV cases across Michigan’s pediatric hospitals during the week of Oct. 31. The coverage included several comments provided to news outlets and the distribution of a press release Nov. 4 to statewide media …

CE Credits Available for Unionization and Legal Guidelines Webinar

The webinar Dispelling Misinformation About Unionization and Legal Guidelines 8:30 – 10 a.m. ET Nov. 11 has been approved by HR Certification Institute® (HRCI®) for 1.5 hours. The webinar will outline:

  • Understanding how recent dynamics, including the COVID-19 crisis and worker shortages, have increased healthcare industry’s vulnerability to union organizing.
  • Exploring current trends and tactics unions use to recruit healthcare employees.
  • Identifying strategies that boost employee engagement.
  • How to properly identify and respond to protected concerted activity.
  • How to navigate evolving rules from the National Relations Labor Board, including those applicable to social media.
  • Tips and guidelines for leaders in response to a union or other protected concerted activity.

Sponsored by the MHA Service Corporation Unemployment Compensation Program and the Miller Johnson law firm, the webinar is offered free of charge. Human resource executives and professionals, chief nurse executives and legal counsel are encouraged to register.

Details about the HR Certification Institute® credits are on the registration page. Members with questions should contact Erin Steward at the MHA.

 

MHA Monday Report Oct. 31, 2022

MHA Monday Report

MDHHSMDHHS Announces Plans to Establish Stroke and Heart Attack Systems of Care

The Michigan Department of Health and Human Services (MDHHS) announced Oct. 28 they are reorganizing to create systems of care for stroke and acute heart attack emergencies. The Bureau of EMS, Trauma & Preparedness within the MDHHS …


Two Days Remain to Register for the Nov. 2 Virtual Trustee Forum

Registration is being accepted for the MHA virtual Trustee Member Forum Wednesday, Nov. 2 from 1 to 2:30 p.m. The forum will outline ways the association and members are supporting critical strategic pillars and allow trustees to discuss how governing boards can support workforce development and wellbeing, health equity, behavioral health and financial stability …


Webinar Prepares for The Joint Commission and CMS Health Equity Requirements

Recently, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) announced their commitment in driving the next decade of health equity for people who are underserved. The commitment to advancing health equity …


MDHHS Releases Proposed Policy on Medicaid Rates for Dental Services


Latest AHA Trustee Insights Outlines Physician Alignment and Consumerism Strategies

The latest edition of Trustee Insights, the monthly digital package from the American Hospital Association (AHA), is now available. The October issue includes an article outlining the critical need for alignment of leadership …


Logo for MI Vote Matters, Tuesday Nov. 8MHA Race of the Week – Michigan Ballot Proposals

The MHA’s Race of the Week series highlights the most pivotal statewide races and ballot questions for Election 2022. The series will provide hospitals and healthcare advocates with the resources they need to make informed decisions on Election Day, including candidates’ views and background …


Paul KeckleyThe Keckley Report

Price Transparency in Healthcare: Will It Matter?

“Last week, Turquoise Health released its first Price Transparency Impact Report which aims to track hospital and health insurer compliance with the Hospital Price Transparency Rule (January 2021) and the CMS Transparency in Coverage Rule (July 1, 2022). Both require specified disclosures and financial penalties for non-compliance…

In July 2018, I wrote: ”Arguing price transparency in healthcare is a misguided effort is like arguing against clean air and healthy eating: it’s senseless.” It’s still true. Making the case that price transparency has a long way to go based on current offerings and utilization is legitimate.

But the price transparency movement is gaining momentum in healthcare: though it still lacks widespread impact on spending today, it soon will.”

Paul Keckley, Oct. 24, 2022


Logo for MI Vote Matters, Tuesday Nov. 8News to Know

Early in person voting by absentee ballot at a clerk’s office remains available. Absentee ballots can be dropped off at a designated drop box or local clerk’s office between now and 8 p.m. Nov. 8.

 

MHA Monday Report Oct. 24, 2022

MHA Monday Report

Trustee Forum Converts to Virtual

To expand access to critical information and discussion about the MHA’s 2022-2023 program year’s strategic action plan, the MHA Trustee Member Forum on Nov. 2 will be offered in a virtual format rather than in …


Crain’s Healthcare Leadership Summit Features MHA and Hospital Leaders

The Oct. 20 Crain’s 2022 Healthcare Leadership Summit featured speakers from the MHA and member hospitals in a series of panels on policy issues, labor force solutions and technology integration….

 


Strategic Action Planning Session with MHA Service Corporation Board

The MHA Service Corporation (MHASC) board focused on supporting MHA Strategic Action Plan priorities at the Oct. 13 planning session including addressing financial viability, workforce restoration & wellbeing, behavioral health improvements, health equity and …


MHA Podcast Details Upcoming Election

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 …


Recording Available for MHA Strategic Action Plan Review

The MHA hosted a virtual forum Oct. 18 reviewing the Strategic Action Plan that was approved by the MHA Board of Trustees in August. The forum discussed pressing challenges and opportunities facing healthcare, including workforce development …


MHA Race of the Week – Michigan Attorney General

The MHA’s Race of the Week series highlights the most pivotal statewide races and ballot questions for Election 2022. The series will provide hospitals and healthcare advocates with the resources they need to make informed decisions on Election Day, including candidates’ views and background …

 


Paul KeckleyThe Keckley Report

The Lame Duck Session of Congress Will Not Be Lame for Healthcare

“Mid-mid-term election day is 22 days away. The “official end” of the Covid public health emergency has been delayed to January 11. The Federal Reserve is expected to increase its borrowing rate for the sixth time this year at its November meeting as it attempts to slow inflation and the stock market is under-water as year-end approaches. Regardless of the mid-term outcome and the state of the economy, healthcare will be prominent in the upcoming lame-duck Congress…”

Paul Keckley, Oct. 17, 2022


News to KnowLogo for MI Vote Matters, Tuesday Nov. 8

  • The last day to register online to vote in the Nov. 8 election is Oct. 24, 2022.
  • The second gubernatorial debate is this Tuesday, Oct. 25 at 7 p.m. on the Oakland University campus between Gov. Gretchen Whitmer and Republican candidate Tudor Dixon.
  • Early in-person voting by absentee ballot at a clerk’s office remains available.
  • Complimentary MI Vote Matters informational posters and the 2022 Candidate Guide are still available for MHA members.

 


MHA CEO Brian PetersMHA in the News

The MHA received media coverage on through a couple stories during the week of Oct. 17, including on the introduction of the Stop Nurse Shortages Act at the federal level and the latest MiCare Champion …

 

MHA Monday Report Oct. 17, 2022

MHA Monday Report

Legislative Policy Panel Convenes for Program Year

The MHA Legislative Policy Panel convened Oct. 12 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals …


MDHHS Releases Medicaid Rate Increase Policies

The Michigan Department of Health and Human Services (MDHHS) recently released two concurrent final and proposed policies to implement Medicaid rate increases included in the fiscal year (FY) 2023 budget for dates of service on and after Oct. 1, 2022 …


MHA Keystone Center Presents Annual Health Equity Summit

Registration is now open for the Michigan Health Equity Summit that will take place in-person at Lansing Community College West Campus and virtually from 9 a.m. to 3:30 p.m. ET on Nov. 3 …


ED MOUD Funding Available – Applications Due Dec. 16

The Community Foundation for Southeast Michigan (CFSEM) is partnering with the MHA Keystone Center, the Michigan Opioid Partnership (MOP) and the Michigan Department of Health and Human Services (MDHHS) to provide …


Webinar Prepares for The Joint Commission and CMS Health Equity Requirements

Recently, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) announced their commitment in driving the next decade of health equity for people who are underserved. The commitment to advancing health equity …


MHA Podcast Explores Program Year Priorities with Michigan Medicine

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 …


MHA Race of the Week – Michigan Supreme Court

The MHA’s Race of the Week series highlights the most pivotal statewide races and ballot questions for Election 2022. The series will provide hospitals and healthcare advocates with the resources they need to make informed decisions on Election Day, including candidates’ views and background …


The Keckley Report

Paul KeckleyIs the Honeymoon Over for Medicare Advantage?

“The bottom line: in the next 2-3 years, regulatory scrutiny of Medicare Advantage will increase and funding by Medicare will decrease. Congress will press for a clear correlation between Medicare’s solvency and MA cost-savings. Thus, it’s likely Medicare Advantage plans will charge higher premiums, limit benefits, intensify medical management activities, share more financial risk with high-performing provider organizations and offer services to new populations. Their margins will shrink, access to capital and enrollment growth will be imperatives, and innovation in holistic cost-effective care management and affordability key differentiators.”

Paul Keckley, Oct. 10, 2022


Logo for MI Vote Matters, Tuesday Nov. 8News to Know

  • The last day to register online to vote in the Nov. 8 election is Oct. 24, 2022.
  • Early in-person voting by absentee ballot at a clerk’s office remains available.
  • Complimentary MI Vote Matters informational posters and the 2022 Candidate Guide are still available for MHA members.

ED MOUD Funding Available – Applications Due Dec. 16

The Community Foundation for Southeast Michigan (CFSEM) is partnering with the MHA Keystone Center, the Michigan Opioid Partnership (MOP) and the Michigan Department of Health and Human Services (MDHHS) to provide funding and technical assistance for members to implement Medication for Opioid Use Disorder (MOUD).

The goal of the Emergency Department Medication for Opioid Use Disorder (ED MOUD) initiative is to increase access to evidence-based medication for opioid use disorder and support the transition to long-term office-based treatment upon discharge.

Applications for the upcoming ED MOUD funding will close on Dec. 16. Members should note there is currently legislation pending to implement an opt-out program for Michigan emergency departments (ED) to implement a medication for opioid use disorder (MOUD) program. If passed, hospitals would be required to offer ED-MOUD services or complete a form developed by MDHHS to opt-out.

The MHA Keystone Center is also partnering with MOP to host a webinar Oct. 19 about obtaining an X-Waiver and prescribing MOUD. While this webinar will not fulfill the training requirements for X-Waivers, CME credits will be offered and will provide attendees the opportunity to ask questions about the process.

If you are interested in receiving future communication surrounding opioid use disorder treatment programs and initiatives, please fill out this brief survey.

Members with questions about the webinar may contact the MHA Keystone Center.