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MHA Update and Strategic OutlookMRRN MeetingMarch 18, 2015
Brian PetersCEO-Designate
Full Disclosure - About MHA
• Established in 1919; Nonprofit (501C6)• Approximately 100 employees • Locations: Okemos campus; Downtown Lansing (CAC)• Mission: We advocate for hospitals and the patients they
serve. • Primary Membership: hospitals / health systems• Subsidiaries: MHA Service Corporation (for-profit) and
MHA Health Foundation (501c3)• HealthPAC (perennial Top 10 independent Political
Action Committee)
Physician Leadership at MHA
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Gary L. Roth, D.O., FACOS, FCCM, FACS Medical DirectorMichigan Health & Hospital Association Keystone Center
Physician – Hospital Collaboration
•Medicaid Expansion•Auto No-Fault•GME•Medical Liability •Patient Safety & Quality•Physician Leadership Education•Economic Impact of Healthcare Report
The Outlook: Major Themes
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•More integrated•More at-risk•More transparent•More importance attached to advocacy/public policy
“56-20-1”
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More Integrated
• 1980: 236 Hospitals; 49,369 total beds–Nearly all independent
• 2015: 133 Hospitals; 24,617 total beds–20 systems = over 100 hospitals–8 out-of-state systems (4 for-profit) –36 Critical Access Hospitals (1,300 in U.S.)
•65% of practicing Michigan physicians are either employed or “near-employed” by hospitals•MHC – GLHIE merger
More At-Risk
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Rise of high-deductible plans577,000 enrolled in MI (5th highest in nation)
Private exchanges70,000 in Michigan – and growing
Narrow networksValue-Based ContractingReference pricing; shift from “cost-based pricing” to “price-based costing”CMS payment penalties Medicare enrollment = dramatic increase (Baby Boomers)Medicaid Expansion = 500,000 new lives in MichiganPatient loyalty to “brand” vs. consideration of price
More Transparent
MHA Keystone: Care TransitionsMHA Keystone: CA-UTIMHA Keystone: ERMHA Keystone: Gift of LifeMHA Keystone: ICUMHA Keystone: OBMHA Keystone: Safe CareMHA Keystone: SepsisMHA Keystone: SurgeryMHA Keystone Hospital Engagement Network (HEN)On the CUSP: Stop BSIOn the CUSP: Stop CA-UTIMHA Patient Safety Organization (PSO)
http://www.mhakeystonecenter.org/compare.htm
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Questions / Discussion
BRIAN PETERS | CEO-DesignateMichigan Health & Hospital Association517-886-8223 Phone | 517-323-1132 Fax [email protected] www.mha.org