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MHA Update and Strategic Outlook MRRN Meeting March 18, 2015

Explore the latest healthcare trends and advocacy initiatives with insights on integration, risk, transparency, and physician leadership. Gain a comprehensive view of Michigan's healthcare landscape and future outlook.

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MHA Update and Strategic Outlook MRRN Meeting March 18, 2015

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  1. MHA Update and Strategic OutlookMRRN MeetingMarch 18, 2015 Brian Peters CEO-Designate

  2. 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)

  3. Physician Leadership at MHA Gary L. Roth, D.O., FACOS, FCCM, FACS Medical DirectorMichigan Health & Hospital Association Keystone Center

  4. Physician – Hospital Collaboration • Medicaid Expansion • Auto No-Fault • GME • Medical Liability • Patient Safety & Quality • Physician Leadership Education • Economic Impact of Healthcare Report

  5. The Outlook: Major Themes • More integrated • More at-risk • More transparent • More importance attached to advocacy/public policy “56-20-1”

  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

  7. More At-Risk • 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

  8. 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) http://www.mhakeystonecenter.org/compare.htm

  9. Questions / Discussion BRIAN PETERS | CEO-Designate Michigan Health & Hospital Association 517-886-8223 Phone | 517-323-1132 Fax  bpeters@mha.org  www.mha.org

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