Tennessee officials are negotiating with Ballad Health, a monopoly in northeastern Tennessee and southwestern Virginia, to hold the company more accountable for its quality of care. Despite consistently falling short of goals, Ballad has continued to receive high grades from Tennessee. Changes in the negotiation aim to increase the importance of hospital performance in grading Ballad and potentially break up the company if necessary quality standards are not met. Community organizer Dani Cook sees this as a positive step but questions why it took so long for Tennessee to prioritize good care. The negotiation documents reveal proposed changes to the agreement, including increased focus on quality of care metrics.
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