{"id":408,"date":"2016-11-04T14:51:50","date_gmt":"2016-11-04T14:51:50","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/licensure-and-certification\/?page_id=408"},"modified":"2020-05-19T17:28:19","modified_gmt":"2020-05-19T17:28:19","slug":"cooperative-agreement","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/licensure-and-certification\/cooperative-agreement\/","title":{"rendered":"Ballad Health Cooperative Agreement"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-10080 alignright\" src=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2020\/04\/Lee-County-mountain-3-300x192.jpg\" alt=\"\" width=\"497\" height=\"318\" srcset=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2020\/04\/Lee-County-mountain-3-300x192.jpg 300w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2020\/04\/Lee-County-mountain-3.jpg 415w\" sizes=\"auto, (max-width: 497px) 100vw, 497px\" \/>Pursuant to <a href=\"https:\/\/law.lis.virginia.gov\/vacode\/title15.2\/chapter53.1\/section15.2-5369\/\">Code of Virginia \u00a7 15.2-5369<\/a>, a <strong>cooperative agreement<\/strong> is an agreement among two or more hospitals for the sharing, allocation,\u00a0<strong>consolidation by merger<\/strong> or other combination of assets, or referral of patients, personnel, instructional programs, support services, and facilities or medical, diagnostic, or laboratory facilities or procedures or other services traditionally offered by hospitals.<\/p>\n<p>Pursuant to the <a href=\"https:\/\/law.lis.virginia.gov\/admincode\/title12\/agency5\/chapter221\/\"><span style=\"font-weight: 400\">Regulations Governing Cooperative Agreements (12VAC5-221-10 <\/span><i><span style=\"font-weight: 400\">et<\/span><\/i><span style=\"font-weight: 400\"><em> seq<\/em>.)<\/span><\/a> <span style=\"font-weight: 400\">at <a href=\"https:\/\/law.lis.virginia.gov\/admincode\/title12\/agency5\/chapter221\/section80\/\">12VAC5-221-80(H)<\/a>, the State Health Commissioner <strong>shall approve<\/strong> an application for a cooperative agreement if he finds by a preponderance of the evidence that <strong>the benefits likely to result from the proposed cooperative agreement outweigh the disadvantages<\/strong> <strong>likely to result<\/strong> from a reduction in competition.\u00a0<\/span><\/p>\n<p>Former State Health Commissioner Marissa J. Levine, MD, MPH, FAAFP issued the <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/10\/Order-and-letter-authorizing-a-cooperative-agreement.pdf.\">Virginia Order and Letter Authorizing a Cooperative Agreement (Virginia Order)<\/a> on October 30, 2017. Similar to <a href=\"https:\/\/www.tn.gov\/health\/health-program-areas\/health-planning\/certificate-of-public-advantage.html\">Ballad Health&#8217;s Certificate of Public Advantage (COPA) in the State of Tennessee<\/a>, the Virginia Order provides <strong>conditional approval<\/strong> of Mountain States Health Alliance (MSHA) and Wellmont Health System\u2019s (WHS) application for a cooperative agreement.<\/p>\n<p><span style=\"font-weight: 400\">In conjunction with <a href=\"https:\/\/law.lis.virginia.gov\/vacode\/title15.2\/chapter53.1\/section15.2-5384.1\/\">Code of Virginia \u00a7 15.2-5384.1<\/a> and the Regulations Governing Cooperative Agreements<\/span><span style=\"font-weight: 400\">, the Virginia Order governs Ballad Health&#8217;s Cooperative Agreement in Virginia. Furthermore, similar to Ballad Health\u2019s COPA in Tennessee, the Virginia Order provides Ballad Health with state action immunity from state and federal antitrust laws by replacing competition with state regulation and active supervision.\u00a0\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pursuant to Code of Virginia \u00a7 15.2-5369, a cooperative agreement is an agreement among two or more hospitals for the sharing, allocation,\u00a0consolidation by merger or other combination of assets, or referral of patients, personnel, instructional programs, support services, and facilities or medical, diagnostic, or laboratory facilities or procedures or other services traditionally offered by hospitals. [&hellip;]<\/p>\n","protected":false},"author":52,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-408","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ballad Health Cooperative Agreement - Licensure And Certification<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/licensure-and-certification\/cooperative-agreement\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ballad Health Cooperative Agreement - Licensure And Certification\" \/>\n<meta property=\"og:description\" content=\"Pursuant to Code of Virginia \u00a7 15.2-5369, a cooperative agreement is an agreement among two or more hospitals for the sharing, allocation,\u00a0consolidation by merger or other combination of assets, or referral of patients, personnel, instructional programs, support services, and facilities or medical, diagnostic, or laboratory facilities or procedures or other services traditionally offered by hospitals. 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