MHA Monday Report March 27, 2023

MHA Monday Report

capitol buildingMHA-supported Bills See Action Before Break

The Michigan House of Representatives acted on a pair of MHA-supported bills during the week of March 20. In the House Health Policy Committee, members voted to report legislation to strengthen Michigan’s Healthy Michigan statute. …


Speakers of the Protect Our Care press conference.MHA Celebrates ACA Anniversary with Congresswoman Slotkin

MHA Executive Vice President Laura Appel joined U.S. Rep. Elissa Slotkin and other healthcare advocates March 23 as part of a virtual press conference organized by Protect Our Care to celebrate the 13th anniversary of …


As individuals and families across the state and country continue to face food insecurity, Michigan’s hospitals, health systems and community leaders are engaged in creating collaborative solutions. MHA CEO Brian Peters joined fellow food security …

Expanding Advocacy Roots with the Next Generation

The MHA collaborated with Wayne State University for the first-ever student-led advocacy day March 22. Science Policy Network-Detroit is a student organization at Wayne State that aims to advocate for science-related issues in …


March 30 Webinar Outlines Considerations for the End of the Public Health Emergency

The Department of Health and Human Services COVID-19 public health emergency expires May 11, 2023, which may significantly decrease the flexibility providers have become accustomed to. The MHA will host The End of the …


Medicaid Eligibility Redetermination Webinar Recording Available

The Michigan Medicaid program has grown to nearly 3.2 million Michiganders, an increase of more than 700,000 when compared to pre-pandemic levels, due to federal statutory limitations on states’ abilities to remove people from the …


MHA Webinar Explores PACE Program Partnerships

With the closure of nursing homes and long-term care facilities, hospitals and health systems need options to care for seniors. Dually eligible frail seniors are one of the most complex cohorts with multiple co-morbidities, frequent …


Applications Open for Excellence in Governance Fellowship, Prepares Trustees to Lead

The MHA Excellence in Governance Fellowship is now available to healthcare board members looking for innovative, effective ways to lead their organizations as hospitals and health systems navigate financial strain and labor challenges. Applications are …


The Keckley Report

Paul KeckleyAffordable Care Act 2.0: New Trends and Issues, New Urgency

“Thursday marks the 13th anniversary of the signing of the Affordable Care Act– perhaps the most consequential healthcare legislation since LBJ’s passage of the Medicare Act in 1965. Except in healthcare circles, it will probably go unnoticed. …

Complicating matters, the political environment today is more complicated than in 2010 when the ACA became law. The economic environment is more challenging: the pandemic, inflation and economic downturn have taken their toll. Intramural tensions in key sectors have spiked as each fights for control and autonomy i.e. primary care vs. specialty medicine, investor-owned vs. not-for-profit hospitals, retail medicine & virtual vs. office-based services, carve-outs, direct contracting et al . Consolidation has widened capabilities and resources distancing big organizations from others. Today’s media attention to healthcare is more sophisticated. Employers are more frustrated. And the public’s confidence in the health system is at an all-time low. …“

Paul Keckley, March 19, 2023


News to Know

  • Registration is now open for the MHA Keystone Center Safe Patient Handling Conference.
  • The MHA is issuing a request for proposal for a $50 million competitive grant program for Michigan healthcare entities to expand access to pediatric inpatient behavioral health services.
  • The MHA Health Foundation will host a four-part webinar series MHA Board Governance Education that outlines the trends affecting current and future strategic plans, techniques for effectively communicating with stakeholders on key issues and ways to build trust, drive engagement and develop relationships.
  • The MHA will host an in-person Human Resources Member Forumat the MHA Headquarters in Okemos from 8:30 a.m. to noon April 26, with a virtual option available as well.
  • The Root Cause Coalition is accepting requests for proposals to present at the 8th Annual National Summit on the Social Determinants of Health Dec. 3-5 in Kansas City.

MHA Webinar Explores PACE Program Partnerships

With the closure of nursing homes and long-term care facilities, hospitals and health systems need options to care for seniors. Dually eligible frail seniors are one of the most complex cohorts with multiple co-morbidities, frequent hospital admissions and readmissions, and expensive care needs that span acute, post-acute and long-term care. Program of All-Inclusive Care for the Elderly (PACE) programs are a model of care that provides community-based care to seniors regardless of whether they have primary, acute or long-term care needs. PACE combines the elements of a patient-centered medical home and an accountable care organization.

The MHA webinar Programs of All-Inclusive Care for the Elderly (PACE): An Alternative to Traditional Nursing Home Care will explore the value proposition for PACE partnerships, outline the philosophy, services provided, structure and financing of PACE programs and much more.

The webinar is scheduled from 8:30 to 9:30 a.m. May 23, 2023 and MHA members can register at no cost.

Members with questions should contact Erica Leyko at the MHA.

March 30 Webinar Outlines Considerations for the End of the Public Health Emergency

The Department of Health and Human Services (DHHS) COVID-19 public health emergency expires May 11, 2023, which may significantly decrease the flexibility providers have become accustomed to.

The MHA will host The End of the COVID-19 Public Health Emergency (PHE) and Preparing for the New Regulatory Environment webinar from 4 to 5 p.m. March 30, 2023, providing practical guidance on unwinding reliance on the COVID-19 public health emergency flexibilities. The webinar will identify the steps hospitals should take to prepare for the end of the federal and state public health emergency, review the status of waivers and extensions of PHE-oriented flexibilities and outline how the Michigan Department of Health & Human Services will work with providers in determining which COVID-19 response policies will end, be modified or remain permanently. Experts from Jones Day and the MHA staff will present and answer questions.

Chief executives, financial, medical and nursing executives, legal counsel, patient account and revenue cycle directors, government relations officers, public relations directors and human resources directors are encouraged to register. The webinar is free of charge and open to MHA member organizations only.

Members with questions should contact Brenda Carr at the MHA.

RFP Available for Pediatric Inpatient Behavioral Health Grant

The MHA is issuing a request for proposal (RFP) for a $50 million competitive grant program for Michigan healthcare entities to expand access to pediatric inpatient behavioral health services. The funding was appropriated by the Michigan Legislature as part of the state fiscal year 2023 state budget with the goal to increase the number of beds available to care for pediatric psychiatric patients requiring inpatient hospitalization.

The grant program will issue funds to entities across the state of Michigan for either the expansion of existing programs or development of new ones. Every effort will be made to award grant dollars to organizations in a geographically diverse manner to ensure equitable access to pediatric inpatient behavioral health services.

The following materials and templates are available for members interested in applying for grant funding:

The MHA will accept online applications on a rolling, quarterly basis until funds are exhausted. The first round of applications is due to the MHA by 11:59 p.m. on June 1. All applications will be blindly reviewed and scored to determine funding allocations. Each organization is eligible to apply for up to $25 million. No emailed or hard copy applications will be accepted.

Copies of the grant RFP materials and the online application are also available on the MHA Behavioral Health webpage.

The MHA will also host a webinar from 11 a.m. to noon April 11 to discuss the grant application in further detail and answer questions about the process.

Members with questions may contact Kelsey Ostergren at the MHA.

Resources, Webinars Available for Navigating Medicaid Eligibility Changes

The Michigan Department of Health and Human Services (MDHHS) recently released a final policy bulletin informing providers that Medicaid eligibility redeterminations will resume in June 2023 for the first time since early 2020, with some enrollees who no longer meet program eligibility criteria losing coverage as early as July.

The Medicaid program has grown to nearly 3.2 million Michiganders, an increase of more than 700,000 when compared to pre-pandemic levels. The MDHHS will complete eligibility redeterminations for all Medicaid enrollees over a 12-month period. Hospitals are encouraged to discuss the importance of updating Medicaid patient contact information in the state’s MI Bridges system and how to maintain Medicaid coverage or find new coverage on the federal marketplace. Hospitals are invited to join the MHA, the Michigan Primary Care Association, the Michigan Association of Health Plans and other stakeholders for a members-only webinar March 20. This will cover the redetermination processes, timelines and provider roles.

The MDHHS also announced that it has started unwinding many of the changes that were made to the Michigan Medicaid program in order to ease rules and provide flexibilities to providers as a result of the COVID-19 public health emergency (PHE). Michigan will continue to unwind the pandemic-related program changes before the authority for these policies expires on May 11, 2023. The MHA will host an additional webinar on March 30 to cover details of the PHE ending and what hospitals need to know.

The MDHHS developed a website with information important to providers that will be updated as new information becomes available. The Centers for Medicare & Medicaid Services also recently released a fact sheet related to the PHE expiration’s impact on:

  • COVID-19 vaccines, testing, and treatments.
  • Telehealth services.
  • Healthcare access and continuing flexibilities for healthcare professionals.
  • Inpatient hospital care at home.

Members with questions are encouraged to contact Jason Jorkasky at the MHA.

Webinar Outlines Considerations for the End of the Public Health Emergency

The Department of Health and Human Services (DHHS) COVID-19 public health emergency expires May 11, 2023, which may significantly decrease the flexibility providers have become accustomed to.

The MHA will host The End of the COVID-19 Public Health Emergency (PHE) and Preparing for the New Regulatory Environment webinar from 4 to 5 p.m. March 30, 2023, providing practical guidance on unwinding reliance on the COVID-19 public health emergency flexibilities. The webinar will identify the steps hospitals should take to prepare for the end of the federal and state public health emergency, review the status of waivers and extensions of PHE-oriented flexibilities and outline how the Michigan Department of Health & Human Services will work with providers in determining which COVID-19 response policies will end, be modified or remain permanently. Experts from Jones Day and the MHA staff will present and answer questions.

Chief executives, financial, medical and nursing executives, legal counsel, patient account and revenue cycle directors, government relations officers, public relations directors and human resources directors are encouraged to register. The webinar is free of charge and open to MHA member organizations only.

Members with questions should contact Brenda Carr at the MHA.

MHA Monday Report March 6, 2023

MHA Monday Report
During the week of Feb. 27, the Michigan Legislature passed a supplemental appropriation bill that included $75 million to help address the ongoing staffing crisis in hospitals. The appropriation was part of House Bill 4016. …

Application Period Begins for Michigan Opioid Treatment Access Loan Repayment Program

Applications for the Michigan Opioid Treatment Access Loan Repayment Program (MIOTA) will be accepted from Feb. 27 through March 13. MIOTA is a medical education debt repayment program focused on incentivizing healthcare providers to begin …


mha advancing safe care awardNominations Being Accepted for 2023 Advancing Safe Care Award

To recognize Michigan hospitals that are tackling issues daily to make care safer and more dependable, the MHA is accepting nominations for its annual Advancing Safe Care Award. Eligible nominees include teams from hospitals across …


Registration Open for MHA Human Resources Member Forum

The MHA will host an in-person Human Resources Member Forum at the MHA Headquarters in Okemos from 8:30 a.m. to noon April 26, with a virtual option available as well. The forum is structured as …


AMN Healthcare B.E.SmithUsing Interim Leadership to Strengthen Organizational Agility

AMN Healthcare / B.E. Smith has a track record of success in providing experienced interim leaders to fill open positions while clients conduct searches for a replacement. An additional item, AMN Leadership / B.E. Smith is excited to offer is …


MHA CEO Report — The Challenges for Rural Hospitals

Having just returned from the annual American Hospital Association Rural Health Care Leadership Conference, where I was joined by a strong contingent of MHA members and staff, the future of our rural hospitals has been top of mind.


The Keckley Report

Paul KeckleyStrategery in Healthcare: Are Insiders Prepared to Shift?

“Healthcare’s insiders talk good games but default to incrementalist’ strategery not because the future is an unknown. It’s because many boards are uncomfortable with ‘too much’ change or, in some cases, executive comp is geared to risk avoidance and short-term financial success. Often, excuses masquerade as reasons. That’s why outsiders are gaining ground on insiders.

Healthcare’s future is not a repeat of its past. Strategery in every organization needs a fresh look– especially among its insiders.“

Paul Keckley, Feb. 27,2023


News to Know

  • The MHA is offering its popular Healthcare Leadership Academy program on March 13-15 and May 15-16.
  • Registration is now open for the MHA Keystone Center Safe Patient Handling Conference.

MHA Monday Report Feb. 27, 2023

MHA Monday Report

MiCare Champions Healthcare Advocates

The MHA continues to utilize public healthcare ambassadors, referred to as MiCare Champions, to advocate for public policy needs for Michigan hospitals and health systems. The MiCareMatters campaign originally launched in 2017 with the aim …


State Loan Repayment Program Application Period Begins

Applications for the 2023 Michigan State Loan Repayment Program (MSLRP) will be accepted from March 6-31 through the File Transfer Application System. Providers are strongly encouraged to create an account in the system before starting the application period. The MSLRP assists employers in the recruitment …


Feb. 28 Virtual Training for FY 2020 Medicaid DSH Audit

Myers and Stauffer LC, Michigan’s contractor for the federally mandated Medicaid disproportionate share hospital (DSH) audits, encourages hospital staff to participate in the upcoming virtual training at 10 a.m. Feb. 28. Hospital staff are also …


CHAMPS Registration Required for Medicaid Doula Services

The Michigan Department of Health and Human Services will reimburse for doula services provided to individuals covered by Medicaid beginning Jan. 1, 2023. Doula providers are required to be registered and approved on the …


The Keckley Report

TPaul Keckleyhe North Carolina Study of Hospital CEO Pay: An Incomplete Picture

“Last Wednesday, North Carolina Treasurer Dale Folwell released a report alleging 9 prominent North Carolina health systems overpaid their CEOs more than $1.75 billion from 2010 to 2021. …

The issue of CEO compensation is tricky for hospitals because the public’s unaware of how hospitals operate—7/24 serving all comers. In North Carolina, hospitals directly impact 8% of the state’s economy. Understandably, they pay attention to Exec Comp! The Treasurers Report should prompt discussion about the role of hospitals in the state and their future. It’s an incomplete picture. “

Paul Keckley, Feb. 20, 2023

MHA Monday Report Jan. 30, 2023

MHA Monday Report

The MHA Legislative Policy Panel convened Jan. 25 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals. The meeting was highlighted by a presentation from MHA multi-client lobbying firm Public Affairs Associates on the new political landscape in Michigan. …


Peters Featured on Paul W. Smith Live from Lansing Broadcast

MHA CEO Brian Peters appeared on Detroit’s WJR News Talk Radio’s Paul W. Smith “Live from Lansing” show Jan. 26 as part of its annual coverage of legislative and policy issues facing the state the morning after Gov. Gretchen Whitmer’s State of the State address. …


MHA and Michigan Hospitals Contribute $45,000 Toward Food Insecurity

The MHA and its member hospitals and health systems contributed a combined total of $45,000 toward the 2022 Michigan Harvest Gathering in an effort to combat food insecurity throughout the state. The annual campaign organized by the Food Bank Council of Michigan concluded Jan. 25 …


Comments Due for 340B Administrative Dispute Resolution Process

The U.S. Department of Health and Human Services (HHS) issued a proposed rule Nov. 30 to establish the 340B Administrative Dispute Resolution (ADR) process implementing a formal manner for resolving disputed claims. The ADR process would provide a forum for addressing …


DEA Change in X-Waiver Requirement

President Biden approved the elimination of the DATA Waiver (X-Wavier) requirement and several other prescribing practice changes when he signed Dec. 29 the Consolidated Appropriations Act, 2023. Changes to prescribing practices include: No longer requiring the X-Waiver to treat …


Virtual Training Offered for FY 2020 Medicaid DSH Audit

Myers and Stauffer LC, Michigan’s contractor for the federally mandated Medicaid disproportionate share hospital (DSH) audits, encourages hospital staff to participate in the upcoming virtual training at 10 a.m. Feb. 28. Hospital staff are also encouraged to view a pre-recorded general DSH …


MHA Podcast Explores Working Inside Michigan’s Rural Hospitals

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. On episode 24, Ross M. Ramsey, MD, president and CEO of Scheurer Health …


The Keckley Report 

Paul KeckleyThe Missing Piece in the Primary Care Physician Shortage Puzzle

“In its latest assessment of the U.S. physician workforce, the venerable Association of Academic Medical Centers (AAMC) projects a shortage of between 17,800 and 48,000 primary care physicians by 2034. …

The keys to mitigating the primary care shortage are multi-factorial, but technology-enabled self-care must be prioritized as a core competence. It’s the missing piece. …”

Paul Keckley, Jan. 23, 2023


News to Know

  • The Rural Health Redesign Center, the technical assistance provider chosen by the Centers for Medicare & Medicaid Services, in partnership with Mathematica held a with new information for eligible rural hospitals interested in converting to the new Rural Emergency Hospital (REH) designation.
  • The MHA and Comprehensive Reimbursement, Inc. are offering a free Occupational Mix educational webinar at 10 a.m. Jan. 31.

MHA CEO Brian PetersMHA in The News

The MHA received media coverage the week of Jan. 23 regarding the issue of food insecurity, rural healthcare solutions and hospital viability. The MHA contributed a combined total of $45,000 toward the 2022 Michigan Harvest Gathering during the campaign’s luncheon …

MHA Monday Report Jan. 23, 2023

MHA Monday Report

LARA Updates Implicit Bias Training Rules

The Michigan Department of Licensing and Regulatory Affairs recently released the final draft of the Public Health Code – General Rules to allow asynchronous teleconference or webinars as acceptable modality of training as part of the implicit bias training standards. ..


MHA Offering Occupational Mix Survey Webinar

The MHA is hosting an educational webinar 10 a.m. Jan. 31 to assist hospitals in completing the 2022 occupational mix survey. The webinar is available free of charge but registration is required. The survey must be submitted to the Medicare …


Nominations Open for 2023 MHA Ludwig Community Benefit Award

The valuable role of Michigan hospitals and healthcare providers during the COVID-19 pandemic is unmistakable. Brave personnel throughout these facilities have worked for three years to care for the staggering number of patients through their doors. Even during these difficult …


Registration Open for the 2023 Healthcare Leadership Academy

The MHA is offering its popular Healthcare Leadership Academy program on March 13-15 and May 15-16. With 10 years of history helping medical professionals lead more effectively, the program focuses on developing a new generation of healthcare leaders. …


Latest AHA Trustee Insights Focuses on 2023 Priorities and Population Health

As more evidence points to the impact of social determinants of health and the lack of progress on achieving notable healthcare quality aims, hospital boards need to continue to reframe what governance leadership and excellence should look like. The January …


The Keckley Report

Paul KeckleyHCA Mission Hospital: A Predictable Shot by SEIU or Something Bigger?

“Last Thursday, NBC News reported that HCA Healthcare, the nation’s second biggest hospital operator, was guilty of nurse under-staffing at Asheville NC Mission Hospital endangering patient care. The 182- hospital chain countered its hospitals operated safely as evidenced by earning A/B from Leapfrog in 80% of its hospitals. …

In one respect, Mission is a case study applicable to every hospital in the U.S. health system. Pressure to reduce operating costs and increase revenue is a constant. …”

Paul Keckley, Jan. 16, 2023


News to Know

Hospital leadership and key decision-makers will gather June 28-30 for the MHA Annual Membership Meeting on Mackinac Island. …