Request for Additional Information
On December, 22, 2016, the Virginia Department of Health requested additional information from the applicants.
The applicants completed their response on April 19, 2017, which is made up of 16 separate responses. Due to file size constraints, each of the 16 responses is posted separately. For some responses, the applicant’s responses are further separated into various sub-parts.
- Response 1
- Response 2 | Response 2_2 | Response 2_3 | Response 2_4
- Response 3
- Response 4
- Response 5
- Response 6 | Response 6_2 | Response 6_3 | Response 6_4
- Response 7
- Response 8
- Response 9
- Response 10 | Response 10_2 | Response 10_3 | Response 10_4 | Response 10_5
- Response 11
- Response 12
- Response 13
- Response 14
- Response 15
- Response 16
- Response 17
- Response 18
Supplemental Data Request
On January 9, 2017, the Virginia Department of Health submitted a supplemental data request to the applicants.
The applicants completed their response on April 14, 2017, which is made up of five separate responses. The responses are combined into one file.
On April 20, 2017, the Virginia Department of Health submitted a notification of an incomplete response to the applicants for responses they submitted to the January 9, 2017 supplemental data request. The applicants submitted a response on May 10, 2017.
VDH now considers the applicants’ response to the supplemental data request to be complete.
Data Request after May 17, 2017 Meeting
At the May 17, 2017 meeting with the applicants, VDH staff asked what evidence the applicants have that shows that 70% of the primary care physicians in the geographic service area are on board with collaborating with, and willing to share the financial risk with, the new health system that will be created should the application be approved. In addition, VDH staff asked about the rate adjustment cap. The applicants stated in the meeting that each of them could not answer those questions while the other party was present due to the fact that the information is proprietary. VDH sent a separate letter to each applicant to follow-up on these two questions. Both parties have submitted their responses but due to the fact that the information is proprietary, it cannot be posted to this website. The letters to the applicants and their cover letter in response to the request are posted below.
- Letter to Mountain States Health Alliance July 2017
- Letter to Wellmont Health System July 2017
- Response from Mountain States Health Alliance and Wellmont Health System
Data Request after August 8, 2017 Meeting
On September 1, 2017, the Commissioner advised the applicants that due to the fact that they had not yet responded to a request for information made during the meeting held on August 8, 2017, that VDH is now submitting a formal request for that information. The applicants subsequently submitted their response later on September 1, 2017, noting that the response was proprietary in its entirety. Consequently, that response was not posted to this website at that time. Since then, the applicants have notified VDH that some of the information is not proprietary so the public portion of the response is now posted below.
- Letter to Mountain States Health Alliance and Wellmont Health System September 1, 2017
- Response from Mountain States Health Alliance and Wellmont Health System September 1, 2017
The applicants supplied the following expert reports:
- Report from Advisory Board
- Report from Compass Lexecon
- Report from Healthy Communities Institute
- Report from East Tennessee State University
The applicants also provided the following information: