2. Laura Appel Senior Vice President Chief Innovation Officer

4. Legislative Big Picture
Flint water crisis
Detroit Public Schools
HICA still pending
Uncompensated care declining
Healthy Michigan Plan waiver approved
Specialty drugs = $140m GF
Election year for Michigan House

5. Financing Issues in the Legislature
Hospital Outpatient Department reimbursement
State share of Medicaid
Auto insurance payment rates and coverage

6. Hospital Outpatient Department Reimbursement
Proposed rule stymies care redesign and innovation
Seeking specific examples of disrupted plans/reimbursement
Send to:
Full court press with members of Congress
Year-end (between November 29 and December 9) effort

7. Health Insurance Claims Assessment
New version of HMO Use Tax tactic
HICA expires 2020 regardless of current outcome
Must replace and four years will pass quickly

8. No-Fault Auto Insurance
Laura’s favorite topic
Another “choice” bill—HB 5951
Lame duck or 2017?
The challenge of Speaker Leonard and Senate Majority Leader Meekof
Prognosis?

9. Call to Action Engage Coffee Hours
MHA Bill Tracking (mha.org/newsroom/reports&publications)
Get people in your facility