Hospital Matters from the Minnesota Hospital Association

A new University of Minnesota Duluth study is shedding light on the experiences shaping the rural health care workforce in Minnesota. On this episode of Hospital Matters, hear how researchers are turning findings into real-world strategies to sustain care in rural communities.  Learn more about the research and explore trainings available to the public.   Host: Tim Nelson, Minnesota Hospital Association Guests: Kim Dauner, Associate Professor of Healthcare Management - University of Minnesota Duluth; Kathryn Van Wert, Assistant Professor of English - University of Minnesota Duluth

A new integrated health center in Scott County is expanding access to mental health and addiction care, helping patients get the right care at the right time. On this episode of Hospital Matters, leaders from Scott County, Allina Health, and St. Francis Regional Medical Center discuss how the partnership came together and what it means for the region. Host: Tim Nelson, Minnesota Hospital Association Guests: Joe Clubb, Allina Health Vice President of Mental Health and Addiction Services; Barb Dahl, Scott County Social Services Director; Monte Johnson, St. Francis Regional Medical Center Vice President of Medical Affairs  

Nonprofit hospitals and health systems work in and outside of their walls to make their communities healthier and provide care for patients regardless of their ability to pay - and Essentia Health recently reported $539 million in these benefits and other community contributions.  Host: Tim Nelson, Minnesota Hospital Assocation Guests: Melanie Wilson, Essentia Health Senior Vice President for Revenue Services and Tonya Loken, Essentia Health Community Relations Directo Essentia Health's community resource guide: Resourceful

Amid workforce development worries, economic uncertainty and demographic changes, nursing has emerged as a "surefire new path to American prosperity," economics reporter Jeanne Whalen recently wrote in the Wall Street Journal. In this episode, Whalen talks about the shifting economy, social norms and other factors that are making nursing careers some of the best bets in the U.S. workforce Host: Tim Nelson, Minnesota Hospital Assocation Jeanne Whalen, Wall Street Journal Read Jeanne's article here.

Jarrod Buresh, Aspirus St. Luke's Wound Care and Hyperbaric Center Medical Director, and Maija Kaarto, Aspirus St. Luke's Wound Care Clinical Supervisor joined Hospital Matters to talk about the partnership with the Chum Hope Clinic where they offer free wound care to unhoused patients - providing dignified care to people who need it, and reducing strain in emergency departments.  Host: Tim Nelson, Minnesota Hospital Association Guests: Jarrod Buresh, Medical Director at Aspirus St. Luke's Wound Care, Maija Kaarto, Aspirus St. Luke's Wound Care Clinical Supervisor

Minnesota Hospital Association vice president for finance policy Joe Schindler joins Hospital Matters to talk about a new Minnesota Department of Health report on unpaid care at hospitals. The latest report shows it jumped by nearly a third between 2023 and 2024. Schindler says safety net and rural hospitals are among those struggling the most with uncompensated care. Host: Tim Nelson, Minnesota Hospital Association Guest: Joe Schindler, Minnesota Hospital Association

HealthPartners' hospitals in St. Paul and St. Louis Park are using "discharge lounges" as an interim step between inpatient stays and going home. It's part of a national trend to help increase capacity by making more beds available sooner. This week, we check in with Methodist Hospital, after they set up such an area this winter. Host: Tim Nelson, Minnesota Hospital Association Guests: Joy Bartlett, nurse manager for observation, Methodist Hospital Guest: Melissa Fritz, vice president and chief nursing officer, Methodist Hospital

The conflict in Iran is threatening to drive up energy prices, and the price of everything else. Minnesota Hospital Association vice president for finance policy Joe Schindler says hospitals are still trying to dig out from the inflation spike that followed the COVID pandemic, and more cost pressures are already picking up. Host: Tim Nelson, Minnesota Hospital Association Guest: Joe Schindler, Minnesota Hospital Association

The Minnesota Legislature is shifting into another gear, with bills making their way through committees and getting their first votes. The Minnesota Hospital Association's Michelle Benson and Danny Ackert have an overview of what to watch at the Capitol right now. Host: Tim Nelson, Minnesota Hospital Association Guest: Michelle Benson, Minnesota Hospital Association Guest: Danny Ackert, Minnesota Hospital Association

Minnesota Management and Budget commissioner Erin Campbell reported that revenues and expenses improved to reduce the state's projected budget deficit. But there may be tougher times ahead, as health care providers brace for big changes in Medicaid regulation and eligibility in 2027. Host: Tim Nelson, Minnesota Hospital Association Guest: Bob Hume, vice president, Minnesota Hospital Association Guest: Joe Schindler, vice president, Minnesota Hospital Association

This week, we have the full remarks of Minnesota's top legislative leaders at the Minnesota Chamber of Commerce's annual Session Priorities gathering. The evening touched on the tragic murder of House speaker emerita Melissa Hortman, as well as a variety of issues lawmakers will likely tackle this year -- including health care and hospital funding. The participants included DFL State Senator and majority leader Erin Murphy, of St. Paul; Republican state Senator and minority leader Mark Johnson, of East Grand Forks; GOP state rep. And house Speaker Lisa Demuth, of Cold Spring and DFL caucus leader Zach Stephenson, of Coon Rapids. Host: Tim Nelson, Minnesota Hospital Association Host: Tom Hauser, KSTP-TV Guests: Sen. Erin Murphy, Sen. Mark Johnson, Rep. Lisa Demuth, Rep. Zach Stephenson

Hospitals aren't forever. Fierce Healthcare editor-in-chief Ayla Ellison recently told the story of what happened in her home town, Carmi, Illinois, after the White County Medical Center closed its doors more than 20 years ago. "There are two kinds of Americans: those who live 12 minutes from an emergency department and those who live 72," she writes. "The distinction has become one of the most consequential divides in contemporary life." In this episode of Hospital Matters, Ellison tells the story behind the story of Carmi, and the profound change the hospital's closure represented. Host: Tim Nelson, Minnesota Hospital Association Host: David Herman, Essentia Health Guest: Ayla Ellison, Fierce Healthcare Read her story here.  

Hyperbaric medicine is growing in popularity and popping up in facilities all over the region. But the HCMC hyperbaric program is the only 24/7 facility between Chicago and Denver – a key support for patients in need. In this episode we talk to medical director Dr. Thomas Masters about this unique service that Hennepin Healthcare has supported for decades.    Host: Tim Nelson, Minnesota Hospital Association  Guest: Dr. Thomas Masters, Hennepin Healthcare 

Mental health care for Minnesotans in crisis is proving a singular challenge for providers, particularly for children and for hospitals. Children's Minnesota and the Washburn Center for Children are teaming up in a new way to take on that challenge, and we'll hear how from Stephen DeLong, chief mental health social worker at Children's Minnesota and Jenny Britton, chief clinical officer at Washburn Center for Children.   Host: Tim Nelson, Minnesota Hospital Association Guest:  Stephen DeLong, Children's Minnesota Guest: Jenny Britton, Washburn Center for Children

In this episode, we'll have an excerpt from the Minneapolis / St. Paul Business Journal's Health Care Update forum, recorded Jan. 15th in St. Paul. The speakers start off with Lisa Erickson, President and CEO at Medica;  Dr. Rahul Koranne, President and CEO, Minnesota Hospital Association; Lisa Shannon, President and CEO, Allina Health; Dr. Emily Chapman, President and CEO, Children's Minnesota; Todd Archbold, Chief Executive Officer, PrairieCare.   Host: Tim Nelson, Minnesota Hospital Association Host: Dirk DeYoung, Minneapolis / St. Paul Business Journal Guest: Rahul Koranne, Minnesota Hospital Association Guest: Lisa Erickson, Medica Guest: Lisa Shannon, Allina Health Guest: Emily Chapman, Children's Minensota Guest: Todd Archbold, PrairieCare  

Immigration and Greenland have been dominating the headlines in recent days, but there's some other key developments in federal health policy as well. The 340B drug discount program, the federal budget and Obamacare are all back in the news. In this episode, we'll visit again with Becky Wifstrand, the Minnesota Hospital Association's director of federal policy and regulatory affairs. I asked her what's been going on, after a key 340b decision by a federal appelate court.  Host: Tim Nelson, Minnesota Hospital Association Guest: Becky Wifstrand, Minnesota Hospital Association  

In this episode, we'll listen in on a recent Fluence Forum legislative round table, featuring District 53 DFL state Sen. Matt Klein, who is also a Mayo Clinic physician and a candidate to succeed Angie Craig in Minnesota's 2nd Congressional District. We'll also hear from District 34A state Rep. Danny Nadeau, who is a leading GOP member of the House Health Finance and Policy committee. The forum was moderated by Mary Krinkie, the Minnesota Hospital Association's vice president of government affairs.   Host: Tim Nelson, Mary Krinkie, Minnesota Hospital Association Guest: DFL State Sen. Matt Klein, MN Senate Commerce Committee chair; GOP State Rep. Danny Nadeau, MN House Health Care Finance and Policy Committee co-chair      

In this episode, we'll listen in to a recent Fluence Forum focusing on health care, hosted by Fluence Media. The experts included Minnesota Hospital Association vice president of finance Joe Schindler, as well as Lucas Nesse, CEO of the Minnesota Council of Health Plans and Ann Neu Brindley, health policy director at the Minnesota Business Partnership. Former Minnesota Management and Budget Commissioner Jim Schowalter moderated the discussion, talking about the state of Minnesota's health care economy.   Host: Tim Nelson, Minnesota Hospital Association Host: Jim Schowalter, former commissioner, Minnesota Management and Budget; former vice president, Health Partners Guests: Joe Schindler, Minnesota Hospital Association; Lucas Nesse, Minnesota Council of Health Plans; Ann Neu Brindley, Minnesota Business Partnership

In this episode, Dr. Cathy Cantor, chief medical officer of population health at Duluth-based Essentia Health, talks about how a heart health program has some tangible benefits on a common measure of health care quality: hospital readmissions. Host: Tim Nelson, Minnesota Hospital Association Guest: Cathy Cantor, Essentia Health

In this episode of Hospital Matters, we're sharing a full-length recording of a panel featuring four of Minnesota's hospital and health system leaders, recorded during the State of Reform conference this fall. Children's Minnesota CEO Dr. Emily Chapman, Fairview Health Services CEO James Hereford, North Memorial Health CEO Trevor Sawallish, and Winona Health CEO Rachelle Schultz spoke on the panel. Minnesota Hospital Association CEO Rahul Koranne moderated the discussion. Hosts: Rahul Koranne, Minnesota Hospital Association Guests: Dr. Emily Chapman (CEO, Children's Minnesota); James Hereford (CEO, Fairview Health Services); Trevor Sawallish (CEO, North Memorial Health); Rachelle Schultz (CEO, Winona Health)

Started more than 30 years ago, the 340B drug pricing programs give some of the most financially stressed hospitals the proceeds of a federally mandated drug discount program. Those savings are turned into a variety of supports for patients and hospitals, at least for now. In this episode, Justin Ott, with SunRx, talks about how the program started, how it works and what changes are looming for this essential funding source for care providers. (SunRx is a third-party admnistrator that manages the discount pharmacy transactions hospitals and health systems.)   Host: Tim Nelson, Minnesota Hospital Association Guest: Justin Ott, SunRx

The government shutdown has ended following a budget deal that extends some health care policy, but leaves unresolved the future of expiring Affordable Care Act tax credits. In this episode of Hospital Matters, we talk with Becky Wifstrand, the Minnesota Hospital Association's Director of Federal Policy and Regulatory Affairs, about the end of the shutdown and what's next in Washington.   Host: Tim Nelson, Minnesota Hospital Association Guest: Becky Wifstrand, Minnesota Hospital Association

Minnesota is struggling to maintain health care services, as hundreds of doctors head for retirement every year and hospitals and health systems strain to attract new physicians. CentraCare CEO Ken Holmen said the only solution occurred to him a decade ago: grow your own doctors, in your own back yard. The first medical students in the effort to realize that idea are in classes in St. Cloud this fall. And Holmen says he can already feel the difference among the staff.   Host: Tim Nelson, Minnesota Hospital Association Guest: Ken Holmen, CentraCare  

Keith Hearle is a consultant and financial analyst who helped write what became IRS Form 990 Schedule H, the governing document for non-profit hospitals that report their community benefits. Hearle is founder and president of Virginia-based Verité Healthcare Consulting and was in Minnesota to talk to hospital leaders about non-profit health care and the principles of community benefit. This week, we talked with him about the history and meaning of the policy, as scrutiny of non-profit health care has picked up in Congress. Host: Tim Nelson, Minnesota Hospital Association Guest: Keith Hearle, Verité Healthcare Consulting

Medicaid and Affordable Care Act tax subsidies have been getting a lot of attention lately, but Congress has its eye on some other health care issues, including a recent House Ways and Means Committee hearing on non-profit health care and community benefit. This week, we talk with Becky Wifstrand, the Minnesota Hospital Association's Director of Federal Policy and Regulatory Affairs, about new scrutiny on the hospital and health system economy.   Host: Tim Nelson, Minnesota Hospital Association Guest: Becky Wifstrand, Minnesota Hospital Association

A $100,000 application fee for new H-1B visas just instituted by the Trump administration will have a profound impact on 85,000 foreign workers that enter the U.S. annually. In this episode, we talk to Ann-Rose Johnson-Lewis, director of legal services at WorldWide HealthStaff Solutions, about the latest developments in federal visa policy for foreign workers and what it could mean for health care in the U.S., particularly for rural providers. Host: Tim Nelson, Minnesota Hospital Association Guest: Ann-Rose Johnson-Lewis, WorldWide HealthStaff Solutions Note: WorldWide HealthStaff Solutions is an endorsed business partner of the Minnesota Hospital Association

In this episode, we're bringing you a full-length version of a panel discussion at the recent State of Reform health policy conference, held in Bloomington in September. Minnesota Hospital Association vice president of government affairs Mary Krinkie hosted the event. It featured DFL state representative Steve Elkins, of Bloomington; DFL state Senator and family medicine physician Alice Mann, of Edina; Republican state senator Paul Utke, of Park Rapids; and Republican state represenative Danny Nadeau, of Rogers. Hosts: Tim Nelson and Mary Krinkie, Minnesota Hospital Association Guests: State Rep. Steve Elkins (DFL, Bloomington); State Sen. Alice Mann (DFL, Edina); State Rep. Danny Nadeau (R, Rogers) and State Sen. Paul Utke (R, Park Rapids)

Across Minnesota, hospitals are investing in the health and wellbeing of their communities. In this episode of Hospital Matters, Jodi Martin shares how Ely-Bloomenson Community Hospital is extending care beyond hospital walls through initiatives like vaccine clinics, scholarships, and summer programs. Host: Tim Nelson, Minnesota Hospital Association Guest: Jodi Martin, Ely-Bloomenson Community Hospital

The federal government is deeply involved in health care, and this week's budget impass and shutdown will have a significant impact on providers and patients as it stretches on. This episode of Hospital Matters features Minnesota Hospital Association Director of Federal Policy and Regulatory Affairs Becky Wifstrand. She talks about the stakes for the shutdown and what brought health care to the eye of Washington's political storm. Host: Tim Nelson, Minnesota Hospital Association Guest: Becky Wifstrand, Minnesota Hospital Association

Minnesota deputy Department of Human Services commissioner and state Medicaid director John Connolly recently offered an update on what the state is so far expecting from HR-1, also known as the One Big Beautiful Bill Act. Connolly spoke and took questions about expected Medicaid questions at the Minnesota Hospital Association annual meeting, near Brainerd.   Host: Tim Nelson, Minnesota Hospital Association Guest: John Connolly, Minnesota Department of Human Services Links: What the new federal budget law means for Medicaid https://mn.gov/dhs/federalchanges/ Medicaid Matters  https://mn.gov/dhs/medicaid-matters/ Medicaid Matters Communications Toolkit https://mn.gov/dhs/medicaid-matters/communications-toolkit/

Dr. Emily Chapman started her care careeer as a child life specialist and went to medical school to pursue her passion for pediatric care. Now she's the new CEO of one of the nation's premiere children's care providers, Children's Minnesota. She talks about her new job, how she got there, and what she's focused on in this episode of Hospital Matters. Host: Tim Nelson, Minnesota Hospital Association Guest: Dr. Emily Chapman, Children's Minnesota

Congress is heading for a potential budget showdown, after a tumultous year of historic financial drama in Washington. Some officials are calling for more cuts, but others for less -- all while care providers are hoping for some clarity on key health policy. We're catching up with Becky Wifstrand, the Minnesota Hospital Association's Director of Federal Policy and Regulatory Affairs. Host: Tim Nelson, Minnesota Hospital Association Guest: Becky Wifstrand, Minnesota Hospital Association

Essentia Health's online resource guide has now generated more than 25,000 referrals connecting patients with housing, food, transportation, and other local community services. In this episode, MHA's Tim Nelson talks with Community Outreach Manager Jill Doberstein about how the tool is supporting patients across Minnesota.   Host: Tim Nelson, Minnesota Hospital Association Guest: Jill Doberstein, Essentia Health

Fairview Health Services recently earned the Foster G. McGaw Prize for its work to address social determinants of health and meet community needs. In this episode, we talked with Diane Tran, System Executive Director of Community Health Equity and Engagement at M Health Fairview, about what this honor means and the years of work that led to it.   Host: Tim Nelson, Minnesota Hospital Association Guest: Diane Tran, M Health Fairview

CentraCare and the University of Minnesota Medical School are making history this week: a new medical school campus is opening in St. Cloud. We talked to CentraCare senior vice president Mike Blair as preparations for the new school were wrapping up this summer, and as the first 24 student cohort was heading for campus.   Host: Tim Nelson, Minnesota Hospital Association Guest: Mike Blair, CentraCare  

This week, Hospital Matters is digging into the One Big Beautiful Bill Act, and specifically, the $50 billion Rural Health Transformation Program. Becky Wifstrand, director of federal policy and regulatory affairs for the Minnesota Hospital Assocation, talks about the upcoming deadline for state applications, some of the eligible expenditures of that money and other topics. This is the first of an occasional series addressing this generational legislation and how it will impact health care. Host: Tim Nelson, Minnesota Hospital Association Guest: Becky Wifstrand, Minnesota Hospital Association

Meet Dr. Edmond Irankunda. Born in Rwanda, his family fled the civil war and genocide in the 1990s and eventually made their way to the United States. He's settling into a new job at RiverView Health in Crookston -- and says he's feeling remarkably at home providing health care in the Red River Valley. Minnesota will need more of providers like him as more and more physicians are looking to retirement.   Host: Tim Nelson, Minnesota Hospital Association Guest: Edmond Irankunda, RiverView Health

In this episode of Hospital Matters, Essentia Health CEO Dr. David Herman says rural health care has been increasingly struggling, and that the future is getting even more uncertain in the wake of changes to Medicaid and other developments in Washington. Host: Tim Nelson, Minnesota Hospital Association Guest: Dr. David Herman, Essentia Health

The Minnesota Legislature pledged $75 million to upgrading mental health care this year, most of it going to replacing and expanding a major inpatient care facility at the Anoka Metro Regional Treatment Center. In this episode, we talk to Sue Abderholden, the executive director of the National Alliance on Mental Illness Minnesota, about what it will mean for patients, as well as the concerns she has that Medicaid cuts may thwart some of that progress. Host: Tim Nelson, Minnesota Hospital Association Guest: Sue Abderholden, NAMI Minnesota

Communities rely on providers like the Sanford Bemidji Medical Center for top-flight health care. But hospitals rely on their communities as well -- and a blast of hurricane-force winds in June showed just how ready people in the region were to come to the aid of the Bemidji Hospital. In this episode, Sanford Bemidji Medical Center CEO Karla Eischens talks about the support she and her staff got when lights went out and the trees came down.   Host: Tim Nelson, Minnesota Hospital Association Guest: Karla Eischens, Sanford Bemidji Medical Center

The Minnesota Department of Health has issued its annual adverse heath event report, and there are some good signs in the data: although patient admissions are growing, adverse event increases have slowed for the first time since the pandemic. Minnesota Hospital Association associate vice president of quality and safety Jenny Schoenecker talks about the latest data and quality and safety efforts around the state. Host: Tim Nelson, Minnesota Hospital Association Guest: Jenny Schoenecker, Minnesota Hospital Association

With a July 4th target date for a budget reconciliation looming, major devlopments in federal health care are in the offing in Congress. Becky Wifstrand, Director of Federal Policy and Regulatory Affairs at the Minnesota Hospital Association, talks in this episode about where the One Big Beautiful Bill Act stands. Host: Tim Nelson, Minnesota Hospital Association Guest: Becky Wifstrand, Minnesota Hospital Association  

This week, we talk to Becky Wifstrand, the Director of Federal Policy and Regulatory Affairs here at the Minnesota Hospital Association, about Medicaid, Medicare and some of the nitty gritty of the budget reconciliation bill that Congress has been working on since January. These may be some of the most consequential weeks in health care in the U.S. in a decade. Host: Tim Nelson, Minnesota Hospital Association Guest: Becky Wifstrand, Minnesota Hospital Association

Friday is Hospitals Against Violence day, or #HAVhope on social media. A couple high profile incidents this year underline the need to protect patients and staff, and so we talked to Josh Gramling, director of Occupational Health and Wellness and Jessica Malone, Clinical Care Improvement Manager, both at Hennepin Healthcare, as well as Steve Daniel, director of shared security services and emergency preparedness at HealthPartners. They talked about the need for everyone to play a role in preventing violence in health care settings. Minnesota Hospital Association associate vice president Jenny Schoenecker also talked about recent industry-wide initiatives in Minnesota.   Host: Tim Nelson, Minnesota Hospital Association Guests: Josh Gramling, Jessica Malone, Hennepin Healthcare; Steve Daniel, HealthPartners; Jenny Schoenecker, Minnesota Hospital Association

Safety and security are watchwords at any hospital in the U.S. now, and many providers are deploying technology to help thread the needle of welcoming staff, patients and visitors while turning threats away. Evolv Technologies stations are common sights at many facilities, and this week we talked to Jason Grellner, vice president of health care at Evolv. Grellner talked about how technology and people can interact most successfully -- and safely. Host: Tim Nelson, Minnesota Hospital Association Guest: Jason Grellner, Evolv Technologies  

Allina Health has three workforce development programs aimed at getting entry-level employees into nursing assistant positions and offering medical assistant and surgical tech apprenticeship training. Allina chief nursing executive Dre Carpenter says the paid programs are aimed at filling workforce gaps and helping people develop their careers -- to registered nursing and other positions. Carpenter says its a win for employees and a win for Allina. Host: Tim Nelson, Minnesota Hospital Association Guest: Dr. D'Andre Carpenter, Allina Health

As many as one in six jobs in Minnesota hospitals are vacant, according to the most recent workforce survey from the Minnesota Hospital Association. Nationally, nearly 40% of nurses intend to leave the profession within the next five years, according to a recent survey of 800,000 nurses conducted by the National Council of State Boards of Nursing. Labor economists say Minnesota will be struggling with its entire workforce in the years to come, and employers will have to get creative to keep serving their clients, customers and patients.  Bruce Mehdizadeh, senior director of sales with Care.ai, is a provider of artificial intelligence assisted care technology and a Minnesota Hospital Association endorsed business partner. Hospital Matters talked to Mehdizadeh about AI and its role in the future of health care.   Host: Tim Nelson, Minnesota Hospital Association Guest, Bruce Mehdizadeh, Care.ai

Job vacancies in Minnesota hospitals surged in 2022 in the wake of the COVID pandemic. Last year, that started to show signs of reversal, particularly among nurses. Nurse vacancy rates improved noticably in the Minnesota Hospital Association's 2024 workforce report. This week, we talked with Adam Karlen, chief nursing officer at M Health Fairview Southdale Hospital, about what the workforce issues look like on the ground. Host: Tim Nelson, Minnesota Hospital Association Guest: Adam Karlen, M Health Fairview

Hospitals, clinics and nursing homes are worrying more and more about the fate of Medical Assistance, Minnesota's version of Medicaid, as budget talks continue in Washington. Analysis by the Congressional Budget Office indicated a massive spending cut that has won preliminary House approval would require substantial cuts to Medicaid. Roundtables around the state have been talking about the impact and this week, we'll bring you a sample of what people have been saying. Host: Tim Nelson, Minnesota Hospital Association Featured speakers: John Connolly, deputy commissioner, Minnesota Department of Human Services; Grace Arnold, commissioner, Minnesota Department of Commerce; Ginny Shadow, client at Fernbrook Family Center; Tim Walz, governor, State of Minnesota, Kelly Morrison, U.S. Representative, MN-3; Tina Smith, U.S. Senator.

Crookston opened a new RiverView Health hospital in 2020, designed and mostly built before the pandemic. COVID-19, and now a difficult new financial landscape, has upended health care and brought new challenges. In this episode of Hospital Matters, RiverView Health CEO Carrie Michalski says potential cuts to Medicaid and changes to health care finance and immigration policy are poised bring yet more uncertainty to patient access in Minnesota hospitals like hers. Host: Tim Nelson, Minnesota Hospital Association Guest: Carrie Michalski, RiverView Health