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Frank Micciche
Health Policy & Advocacy Leader
Frank Micciche is a Senior Advisor at the Committee for a Responsible Federal Budget (CRFB), focusing on state and national engagement campaigns.1 He brings a wealth of experience in healthcare policy, advocacy, and public sector leadership to this role.
Professional Background
Micciche has an extensive career in public policy and healthcare:
- Current Role: Senior Advisor at CRFB, working on engagement campaigns1
- Previous Positions:
- Vice President of Public Policy and External Relations at the National Committee for Quality Assurance (NCQA)1
- Vice President for Partnerships and Coalitions at the Campaign to Fix the Debt1
- Senior Advisor on Health Reform at McKenna, Long & Aldridge, LLP1
- Deputy Director for The Next Social Contract Initiative at the New America Foundation
Government Experience
Micciche has held several positions in state government:
- Director of State-Federal Relations for Governor Mitt Romney in Massachusetts1
- Federal Legislative Liaison at the Office of Governor John Engler in Michigan
- Legislative Director in the House Minority Leader's Office in Massachusetts
Education
Frank Micciche's educational background includes:
- Master's degree in Public Policy from Harvard University's John F. Kennedy School of Government1
- Bachelor's degree in Political Science from Tufts University1
- Studies at Middlebury College
Expertise
Micciche is known for his:
- Strong background in healthcare policy and strategy
- Effective communication of complex policy concepts
- Experience in driving public sector agendas
- Collaboration with senior government officials
- Fostering revenue growth for non-profit organizations
His diverse experience in both public and private sectors, combined with his expertise in healthcare policy, makes Frank Micciche a valuable asset in his role as Senior Advisor at the Committee for a Responsible Federal Budget.
Highlights
Steward Hospital Saga, Part III (with apologies to those who've been forced to read more about 9 little hospitals in Massachusetts than they ever needed to):
Steward announced over the weekend that they'd received funding that will bridge their current financial woes long enough to complete an agreement with a "significant equity partner to our physician organization." They assured employees that this would mean all of the Steward hospitals threatened with closure would remain open.
Simultaneously, the Boston Globe dug deeper on Steward's other hospital holdings and found a pattern of similar financial brinksmanship when facilities in Pennsylvania, Louisiana and Texas threatened to close (the latter actually did, leaving a low-income swath of San Antonio without its primary birthing center and emergency room).
While denying that they had delayed alerting the appropriate officials of the financial straits these hospitals faced, Steward was unusually candid in their statement to the Globe about their Massachusetts holdings.
They acknowledged, "the need for the company to review its operations,” citing, “factors from chronically low reimbursement against the important, underserved marginalized patient populations Steward over indexes towards in Massachusetts and other markets, and the challenges presented by COVID-19,” adding that, “Steward is advancing an action plan to strengthen its liquidity, restore its balance sheet, and put the necessary tools in place to continue forward as a key provider of healthcare services to our patients, communities, physicians, and employees.”
The Globe also reported on an internal memo that was even more blunt. "2023 was a tough year," it read. According to the article, Steward said, "its financial problems are due to rising interest rates and labor costs, an increasing Medicaid population, and difficulty collecting bills." Hence the influx of M&A money they are promising will arrive shortly.
Should we be encouraged that there is a market among investors for systems that face the litany of woes cited above? What is it the upside that the next round of funders is chasing? And can the infusion of this much-needed cash be done in a way that buys anything as long as the 14-year reprieve that these community hospitals have "enjoyed" since Steward 's initial founding on the remains of the struggling Caritas Christi system?
Perhaps a model for sustainability is being hatched in America's medical mecca. Or maybe it's just another exercise in plugging the leaking dam? The answers will certainly be worth watching for Bostonians and health policy wonks alike.
Following up on yesterday’s post about Steward Health’s collapse in Boston:
The Boston Globe did some light Googling and discovered that Steward CEO Ralph de la Torre owns a $40 million yacht called The Ameral that is currently tied up at the Galápagos Islands. The cynical anonymous might suggest that by selling the could get 80% of the way to paying off the back rent in the Steward facilities in Massachusetts. It’s fun to indulge in these games, and the role of for-profit entities in health care will (understandably) invite them. But, again, there’s more to this story than greed. Somehow, all of the resources — public and private — available to these hospitals in one of the richest and most advanced health care economies on earth can’t be marshalled to keep the lights on for tens of thousands of patients. We must do better.
