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Old 04-15-2015, 08:03 PM
 
Location: Johnson City, TN
667 posts, read 825,761 times
Reputation: 449

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The cost issue with be addressed in the COPA (Certificate of Public Advantage) that will be obtained from TN and VA. This basically sets price limits among other things and is used in numerous places around the country including Asheville, NC for the Mission health system. That's why this whole concern about a monopoly and skyrocketing costs is unfounded.

The salary issue is another story and it is unfortunate how low nursing wages are. I assume this is a product of supply and demand as ETSU churns out nurses at a pretty high rate. There comes a point, though, when it is just bad for business to have a large number of young, inexperienced nurses because those with seniority have moved on to better paying jobs. The formation of a nurses' union would be a wonderful thing but unfortunately there is no chance of that ever happening.
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Old 04-19-2015, 01:19 PM
 
6,574 posts, read 7,551,935 times
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You just know, however, that as soon as people are asked to give up their free ride and pay for the services which they consume, there is going to be all sorts of whining about how the "prices have gone up" and "it didn't never used to be like this before they allowed them to merge."

Just like the Affordable Care Act.....where everyone pays for what they consume....this merger will generate a similar amount of squealing. Quite frankly, I don't mind letting em off the hook, but god help them when they show up at the emergency room without the cash (LOTS of it) to pay for the care which they feel entitled to.

Rant off......
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Old 04-19-2015, 05:51 PM
 
Location: Tennessee
28,477 posts, read 21,364,064 times
Reputation: 34962
Quote:
Originally Posted by Ted Bear View Post
You just know, however, that as soon as people are asked to give up their free ride and pay for the services which they consume, there is going to be all sorts of whining about how the "prices have gone up" and "it didn't never used to be like this before they allowed them to merge."

Just like the Affordable Care Act.....where everyone pays for what they consume....this merger will generate a similar amount of squealing. Quite frankly, I don't mind letting em off the hook, but god help them when they show up at the emergency room without the cash (LOTS of it) to pay for the care which they feel entitled to.

Rant off......
I'd like to know what locals get a "free ride" for medical care.
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Old 01-08-2016, 07:04 AM
 
Location: Gray, TN
2,163 posts, read 3,964,106 times
Reputation: 911
The latest update... JMO but I'm not buying into most of the benefits.

Kingsport Times-News: Wellmont-MSHA report: Planned merger would hold health care costs down
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Old 01-08-2016, 07:10 AM
 
Location: Gray, TN
2,163 posts, read 3,964,106 times
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Quote:
Originally Posted by Serious Conversation View Post
I'd like to know what locals get a "free ride" for medical care.
The one's without a dime to their name get written off as "charity".
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Old 01-08-2016, 08:00 AM
 
Location: Johnson City, TN
667 posts, read 825,761 times
Reputation: 449
I'm still very excited about the possibilities this merger will bring and I believe it will be outstanding for the region. I think you will see job creation in research areas as well as physician specialists. I could also see the creation of numerous community health clinics and partnerships with local businesses to offer on-site clinics that would allow for the hiring of some staff.

The COPA will set cost limits and price gouging due to lack of "competition" will not be an issue. Healthcare does not operate under the same market principles as most industries. This has the potential to not only boost the status of ETSU as a research institution but make the Tri-Cities a medical hub for southern Appalachia.
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Old 01-08-2016, 08:34 AM
 
Location: Gray, TN
2,163 posts, read 3,964,106 times
Reputation: 911
MSHA is well known for their intense negotiations with insurance companies. How will this change that? Why would MSHA want to change something (fee increases) they have fought so hard for in the past?

On the other hand, this merger is much better than an outside takeover. I'm just cautious and wary of the perceived benefits, as stated.
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Old 01-09-2016, 11:28 AM
 
15,763 posts, read 28,848,810 times
Reputation: 19551
Quote:
Originally Posted by Serious Conversation View Post
I'd like to know what locals get a "free ride" for medical care.
Quote:
Originally Posted by rccrain View Post
The latest update... JMO but I'm not buying into most of the benefits.

Kingsport Times-News: Wellmont-MSHA report: Planned merger would hold health care costs down
Quote:
Originally Posted by rccrain View Post
The one's without a dime to their name get written off as "charity".
Quote:
Originally Posted by rccrain View Post
MSHA is well known for their intense negotiations with insurance companies. How will this change that? Why would MSHA want to change something (fee increases) they have fought so hard for in the past?

On the other hand, this merger is much better than an outside takeover. I'm just cautious and wary of the perceived benefits, as stated.

Free ride. No such thing. The charity care has a price in one way or the other; they have either gone after the folks, wrecked their credit, or had them declare bankruptcy, etc.

Smart to be wary.

The merger is much better than an outside takeover. Interesting comment. Both Wellmont and MSHA boards have allowed top leaders to be brought in from outside (remember Denny and her St. Louis enterouge and now Alan and his Florida group) and they are running things. Oh, you must mean companies like CHS? Got it.

Some of these troubles trace back to John Dodson allowing Holston Medical Group to form and him not forming a physician arm of Holston Valley and allowing Wellmont to form the way it did back then. So much revenue allowed to walk down to the street! The feud between Eddie George and Dennis Vonderfecht ran up spending between the two entities and it is a shame that there wasn't collaboration between the two systems years ago.

Research. It will take years, and I mean tens of years, for ETSU to become a leader in research as there have to be huge financial commitments. Sure they can do some research but not the type of research that is going on elsewhere. The very best thing would be to align with programs that have research already underway. Pick a Top 10 Ivy League program.

MSHA spent millions on a medical record system that is inferior to Wellmont's but at least there will be cost savings in IT going forward. There will be cost savings with additional mass buying power, although both systems are part of buying groups. Elimination of rural health services and hospitals (arguably some that should have never been built) will bring cost savings but will lives be lost? There is duplication in management and other positions so there will be savings when those positions are cut, to the detriment of the local economy.

This will be phased in as Accountable Care rolls out so there are a lot of changes going on in healthcare overall. Buckle up East Tennessee.
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Old 09-14-2016, 07:52 PM
 
Location: Tennessee
28,477 posts, read 21,364,064 times
Reputation: 34962
Kingsport Times-News: Ballad Health will be new name of merged MSHA/Wellmont systems

Looks like they've come up with a name - Ballad Health. No idea how they got to it, but it's not bad. Now to see how long it takes to go through.
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Old 09-14-2016, 08:43 PM
 
Location: Seattle
6,514 posts, read 14,776,331 times
Reputation: 2842
I'm happy the merger is going well but this is dumb. Ballad?

Mountain States Health Alliance was a great name. Ballad sounds like it's based in Phoenix or Las Vegas or Ohio. They should've tried a little harder.
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