Archived pages

Mountain States Health Alliance and Wellmont Health System

Last Updated: May 22, 2017
Dates have been updated to reflect the document date rather than the date posted. 

 Public Hearing Video and Transcripts

January 31, 2018 

Signed Employed Physician Waiver, confirming the percentage of employed physicians at non-rural COPA Hospitals as of the Approval Date, 9/19/2017

December 22, 2017 

Letter from Deputy Attorney General Janet Kleinfelter to the applicants’ attorneys granting their request that the deadline for establishing the baseline spending amounts under the Terms of Certification be extended from December  18, 2017 to January 18, 2018

December 15, 2017 –

Letter from Deputy Attorney General Janet Kleinfelter to the applicants’ attorneys granting the deadline extension request

December 8, 2017 –

Letter from the applicants’ attorneys requesting the state to agree to extend the deadline for the closing from December 31, 2017 to January 31, 2018

September 19, 2017 –

 Announcement on the COPA decision: 

 Press Release 

 Terms of Certification 

 Executed Letter of Approval 

 Approval Certificate Signed by MSHA 

 Approval Certificate Signed by WHS

August 9, 2017 – 

A letter regarding Ballad Health’s business model.

May 22, 2017

 Letter from Commissioner John Dreyzehner to Alan Levine and Bart Hove

April 11, 2017

 Report from Compass Lexecon

April 7, 2017

 Letter from WHS and MSHA to Janet Kleinfelter regarding Expert Reports
 Report from the Advisory Board
 Report from the Healthy Communities Institute

 

January 13, 2017

 Joint Determination as to Completeness of the Application for Certificate of Public Advantage Submitted by Mountain States Health Alliance and Wellmont Health System on February 16, 2016

December 13 to December 17, 2016

 Responses to Questions Submitted November 22, 2016 by Tennessee Department of Health in Connection With Application for a Certificate of Public Advantage

November 28, 2016 –

Select comments submitted to the Tennessee Department of Health

November 22, 2016

 TDH Letter “Meeting Follow-up and Request for Information” to Bob Cooper and Claire Haltom, attorneys for the applicants

September 30, 2016

 Notice of Public Hearing

September 12, 2016

 First Amendment to Master Affiliation Agreement and Plan of Integration (Exhibits in this document can be found in the other application documents above.)

September 15, 2016 –

Tennessee Department of Health Commissioner John Dreyzehner, MD, MPH, in consultation with Attorney General Herbert H. Slatery III today announced the Certificate of Public Advantage (COPA) application from Mountain States Health Alliance and Wellmont Health System.

September 9, 2016

  Revised Plan of Separation

August 17, 2016

 Letter from Commissioner John J. Dreyzehner to the Bristol, Johnson City, and Kingsport Chambers of Commerce

July 25, 2016

  Response #2 to Questions Submitted April 22, 2016 by Tennessee Department of Health in Connection with Application for a Certificate of Public Advantage

July 20, 2016

  Letter from Bristol, Johnson City, and Kingsport Chambers of Commerce to Commissioner John J. Dreyzehner

July 13, 2016

 Response #1 to Questions Submitted April 22, 2016 by Tennessee Department of Health in Connection with Application for a Certificate of Public Advantage

June 7, 2016

 Video of TDH COPA Public Hearing
 Transcript of TDH COPA Public Hearing

April 25, 2016

 Letter from Alan Levine and Bart Hove in response to Request #2

April 22, 2016

 TDH Request for Information #2

April 19, 2016

 Written Comments of America’s Health Insurance Plans

 Economic Analysis submitted by America’s Health Insurance Plans

April 7, 2016 –

The Tennessee Department of Health issued its first request for additional information from Mountain States Health Alliance and Wellmont Health System regarding the application for the issuance of a Certificate of Public Advantage.

March 28, 2016

 TDH Request for Information #1

March 16, 2016

  WHS-MSHA Addendum #1 to COPA Application

  Exhibit 11.4 – Attachment D: Mountain States Covenant Compliance Certificates

  Exhibit 11.4 – Attachment E: Mountain States Officer’s Certificate 

March 3, 2016

  Crosswalk comparing the Tennessee and Virginia application requirements and the corresponding sections in both applications

February 29, 2016

  TDH Request for Addendum to January 25, 2015, Letter

February 16, 2016

  Application Submitted by: Mountain States Health Alliance Wellmont Health System

January 15, 2016

  TDH Response to Pre-Submission Report

January 7, 2016

  Community & Stakeholder Pre-Submission Report

December 22, 2015

  FTC Letter to TDH: Regarding Request for Staff Opinion

October 29, 2015 –

The purpose of the Advisory Group is to recommend measures for an Index. If a COPA is issued, this Index would be used to track the progress of a Cooperative Agreement over time to ensure public advantage. The Advisory Group will hold a series of public meetings to assure regional input for these measures.

September 25, 2015 –

 The Rulemaking Hearing for proposed permanent rule 1200-38-01 was held on September 24, 2015.

 The video from this hearing can be viewed here .

Written comments are posted below.

America’s Health Insurance Plans

Amerigroup 

Amerigroup - Attachment A

BlueCross BlueShield of Tennessee

Federal Trade Commission Staff 

Highlands Physicians, Inc. 

Wellmont Health System /  Mountain States Health Alliance  

September 16, 2015

 Letter of Intent from Mountain States Health Alliance and Wellmont Health System

June 25, 2015

 TDH Letter to FTC: Request for advisory opinion regarding the effect of the sale of a merged hospital entity operating pursuant to a certificate of public advantage