Certificate of Public Advantage
Announcement: Tennessee Department of Health Commissioner John Dreyzehner, MD, MPH, announced January 31, 2018 that the state is officially allowing a merger of Wellmont Health System and Mountain States Health Alliance by issuing a Certificate of Public Advantage or COPA to their parent company, Ballad Health.
Announcement on the COPA decision: Tennessee Department of Health Commissioner John Dreyzehner, MD, MPH, announced Sept. 19, 2017 that the request for a Certificate of Public Advantage from Wellmont Health System and Mountain States Health Alliance has been granted.
Terms of Certification
Executed Letter of Approval
Approval Certificate Signed by MSHA
Approval Certificate Signed by WHS
*The resolution unanimously adopted by the Board of Wellmont Health System approved the September 16, 2017 draft of the Terms of Certification and any subsequent “more favorable terms” as may be agreed to by the State of Tennessee. The September 18, 2017 draft of the Terms of Certification contains a “more favorable term” that was agreed to by the State and, therefore, the September 18, 2017 draft of the Terms of Certification were approved by the Wellmont Board.
A Certificate of Public Advantage (COPA) is the written approval by the Department which governs a Cooperative Agreement among two or more hospitals. The goal of the COPA application process is to protect the interests of the public in the region affected and the State. The application process will allow the applicants to submit information and data about their Cooperative Agreement in sufficient detail to enable the State to determine the benefits/advantages and disadvantages of the Cooperative Agreement. Permanent Rules 1200-38-01-.01 et seq. , effective January 4, 2016, -implement TCA Sections 68-11-1301 – 68-11-1309, which govern the COPA process.
The Permanent Rules found here, detail the Department’s intent to make the COPA application, review, decision, and supervision process participatory and transparent.
- 4/16/18 – A letter from Ballad Health to Commissioner Dreyzehner regarding planned merger related synergies can be read here.
- 2/28/18 – A signed Employed Physician Waiver, granting Ballad Health’s request for an exception to the 35% limitation on Employed Physicians for neurosurgery and for Employed Physicians for physical medicine and rehabilitation, respectively, can be read here.