Trustee Webinars Focus on Healthcare Trends and Advocacy Strategies

Recent media headlines declare hospitals are in reasonably good shape financially due to pandemic funding, Medicare and insurer overpayments and price-gauging. While hospital leaders have data proving extreme financial pressures, the cumulative effect of this press is confusion and distrust of hospitals. The MHA Board Governance Education webinar series will provide examples of how to share facts and be an effective advocate on financial viability and other areas.

The April 19 webinar outlines the trends affecting current and future strategic plans, the May 9 webinar teaches trustees techniques for effectively communicating with stakeholders on key issues and the May 23 webinar discusses ways to build trust and engagement within the community. All webinars are from noon to 1 p.m. EST and members can register for one or all three webinars.

The series is generously sponsored by HPS, an associate member of the MHA and free of charge to MHA members.

Members with questions about registration should contact Erica Leyko at the MHA.

Webinar Focuses on Pediatric Inpatient Behavioral Health Grant

The MHA is hosting a webinar from 11 a.m. to noon April 11 to discuss the $50 million competitive grant program for Michigan healthcare entities to expand access to pediatric inpatient behavioral health services. This 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.

Representatives from the MHA will present on specifics related to the grant and the request for proposal (RFP) process. Members will also have an opportunity to ask questions. Registration is required for the webinar.

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. The RFP and supporting materials 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.

Members with questions about the webinar and the RFP may contact Kelsey Ostergren at the MHA.

MHA Monday Report April 3, 2023

MHA Monday Report

capitol buildingMichigan Joins Psychology Interjurisdictional Compact

Michigan officially joined the Psychology Interjurisdictional Compact March 29, creating an expedited pathway to licensure for psychologists who wish to practice telemedicine services across state lines. To date, 36 states are authorized to join …


Student Debt Relief Offered to Behavioral Health Providers

The MI Kids Now Loan Repayment Program will offer educational loan repayment for eligible behavioral health medical providers in Michigan. The program is available to behavioral health providers, including psychiatrists, psychologists, social workers, counselors, therapists, …


Governance Webinar Series Outlines Trends and Advocacy Tactics

Board members must understand the issues tied directly to hospital and health system planning and performance, identify opportunities for improvement and support the leadership in advocating for mission-driven, patient-centered policies with key stakeholders. The MHA …


Required Occupational Survey Due June 30

Completed 2022 occupational mix surveys must be submitted by hospitals to the Medicare Administrative Contractor by June 30, 2023. Hospitals are required to complete the survey every three years, with results from the 2022 survey …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — A Healthy Michigan is an Insured Michigan

The United States celebrated last month the 13th anniversary of the signing of the Affordable Care Act. Simply put, when then-President Obama signed the legislation March 23, 2010, it was one of the most monumental healthcare policy changes in our lifetime. …


The Keckley Report

Paul KeckleyNot for Profit Health Systems are Soft Targets: Here’s Why

“There are no easy answers for not-for-profit hospitals/heath systems. The issue is about more than messaging and PR. It’s about more than Medicare reimbursement (7.5% below cost), protecting programs like 340B, keeping tax exemptions and maintaining barriers against physician-owned hospitals. The issue is NOT about operating income vs. investment income: in every business, both are essential and in each, economic cycles impact gains/losses. Each of these is important but only band-aids on an open wound in U.S. healthcare.

Near-term (the next 2 years), opportunities for not-for-profit hospitals involve administrative simplification to reduce costs and improve the efficiencies and effectiveness of the workforce. Clinical documentation using ChatGPT/Bard-like tools can have a massive positive impact—that’s just a start. Advocacy, public education and Board preparedness require bigger investments of time and resources. But that’s true for every hospital, regardless of ownership. These are table stakes to stay afloat. …”

Paul Keckley, March 27, 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 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 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 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.