1 MHA Update and Strategic Outlook MRRN Meeting March 18, 2015 Brian Peters CEO-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 (p erennial Top 10 independent Political Action Committee)
Physician Leadership at MHA 3 Gary L. Roth, D.O., FACOS, FCCM, FACS Medical Director Michigan 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 5 More integrated More at-risk More transparent More importance attached to advocacy/public policy “ ”
6 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 7 Rise of high-deductible plans 577,000 enrolled in MI (5th highest in nation) Private exchanges 70,000 in Michigan – and growing Narrow networks Value-Based Contracting Reference 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 Michigan Patient loyalty to “brand” vs. consideration of price
More Transparent MHA Keystone: Care Transitions MHA Keystone: CA-UTI MHA Keystone: ER MHA Keystone: Gift of Life MHA Keystone: ICU MHA Keystone: OB MHA Keystone: Safe Care MHA Keystone: Sepsis MHA Keystone: Surgery MHA Keystone Hospital Engagement Network (HEN) On the CUSP: Stop BSI On the CUSP: Stop CA-UTI MHA Patient Safety Organization (PSO)
9 Questions / Discussion BRIAN PETERS | CEO-Designate Michigan Health & Hospital Association Phone | Fax