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Please read our Certificate of Public Advantage (COPA) Annual Reports. These reports are publicly available through the Tennessee Department of Health, linked below.
Our certificate of public advantage, or COPA, is the legal agreement governing the formation of Ballad Health. Through the issuance of a COPA in Tennessee and a similar document known as a cooperative agreement in Virginia, Ballad Health was formed in 2018 through the merger of Mountain States Health Alliance and Wellmont Health System.
Ballad Health is a new health system, created specifically to address the most critical healthcare needs of communities in Northeast Tennessee and Southwest Virginia. This new kind of healthcare organization is made possible through state oversight and was created with the support of our local business community, physicians, educators, and countless other people who have a stake in improving the health of our region.
The natural beauty of Appalachia is part of what makes it such a great place to call home. But rural hospitals across the nation are finding it difficult to stay open in today’s healthcare environment, and ours are no exception.
More than 80 rural hospitals in the U.S. have closed since 2010, and we don’t want ours to become part of the statistic.
By creating Ballad Health, we’ll be able to generate savings and reinvest those savings to preserve access to care in rural areas. Not only that, but we’ve made binding commitments in our agreements with Tennessee and Virginia officials to keep hospitals open.
Access to hospital care is important when you’re sick, but even better is not getting sick in the first place.
Locally we suffer from extremely high rates of diabetes, heart disease, obesity, addiction and untreated mental illness. These problems impact our quality of life, and can’t be fixed just within the hospital.
We need to put resources in our communities that address the root causes of these problems, and that’s what Ballad Health is all about. We’re excited about what the future holds because we’re going to invest in resources that really make a difference.
Before we were Ballad Health, we were two separate companies that spent money competing with each other. It resulted in a lot of wasteful duplication.
In our merger agreement, we’ve made enforceable commitments with the state of Tennessee and the Commonwealth of Virginia to make sure the public benefits from our union.
These commitments include protections for patients, employees, physicians and insurance companies.
Other commitments we have made include:
The COPA Compliance Office will provide an initial step for resolution of complaints that are believed to relate to the requirements of the COPA / Terms of Certification and the Cooperative Agreement.
Any suspected breaches of the COPA or Cooperative Agreement requirements can be reported directly to the COPA Compliance Office by email (copa.compliance@balladhealth.org) or anonymously through the Alertline (1-800-535-9057).
View our current Quality COPA Scorecard [PDF, 0.3 MB] and Priority Metrics Scorecard [PDF, 424 KB].
MS-DRGs are Medicare Severity Diagnosis Related Groups. Posted below are fiscal year 2024 (July 2023 to June 2024) metrics.