I am currently finishing up my MBA this spring and have gotten into some MPH-HPM programs this fall (management track) and personally my motivation towards going the MPH route is two fold. Due to the MBA there's a lot of overlap between an MBA and MHA so it seems like it would be a waste of time for me to take the courses over again. With that said, that isn't the primary reason I opted out of the MHA. The MHA as would be expected, is exclusively gauged towards hospitals. So if you're not sure the hospital route is for you then you should in my opinion, pursue a more generalist degree. In my case, I want the option to do hospital administration but not necessarily be restricted to that domain. Perhaps I have a little bit of professional ADD, but I don't see myself doing ANY JOB exclusively for 35 years, regardless of how wonderful it is (variety is the spice of life, right?) A MPH-HPM concentration opens a lot of opportunities if you're interested in healthcare consulting, biotech/pharmaceuticals, hospitals admin, and managed care, among other opportunities. The only concern that I have with the MPH-HPM as a stand alone degree is if it provides a sufficient amount of business courses to prepare you to be an administrator or healthcare manager. I would assume if you have an undergraduate degree in business then the MPH-HPM would probably be okay, however an MHA is usually a little bit more in depth when it comes to management training being 60 credits plus whereas an MPH-HPM is usually 42-48 credits. This is why several programs have created the joint MBA/MPH degree (Berkeley, Hopkins, Emory) to cater towards these aforementioned positions which fall under multiple domains and require a high business acumen. So I guess from my viewpoint whether BU's MPH or U of M's MHSA is the better fit depends on your academic background and career goals. If you don't have a business background, I would personally suggest the MHSA at Michigan as I believe it would be more comprehensive. However, if you have work experience in healthcare domains and a business background the MPH-HPM might be a great route for you as well.