“When big corporations get into arguments such as these, I wonder if they remember what’s at stake for the people who pay for their lavish lifestyle? Do they understand the undue worry that they cause families? Do they even care?”

“When big corporations get into arguments such as these, I wonder if they remember what’s at stake for the people who pay for their lavish lifestyle? Do they understand the undue worry that they cause families? Do they even care?”
Nine months after the merger took effect, the public still has no idea whether a monitor has been chosen, what the firm’s name is, when it will start work and – importantly – who’s been minding the store to keep HCA and Mission Health accountable in the interim.
Known as “Stop the Bleed,” a recent training at the U.S. Courthouse was part of a wave of education taking place at schools and other area institutions. Designed to empower non-emergency service bystanders in emergency situations, the session was conducted by Mission Trauma Services.
As the Western North Carolina community prepares for its first looks inside the new $400 million Mission Health North Tower, Xpress learned about some of the features of the facility, from high-tech touches to local art.
“Often we can reach folks better through technology than we can face to face,” says Shane Lunsford of the Center for Psychiatry and Mental Wellness. As telehealth service offerings and technological capabilities expand, providers around the region are excited about the possibilities of new models of seeing patients and providing care.
While the trust’s professional leadership remains under consideration, board chair Janice Brumit confirms that its board has filled out its inaugural complement of 14 members from WNC. After the nonprofit hires its inaugural CEO and finishes its strategic plan later this year, she estimates that other organizations will be able to apply for its grants starting in the spring of 2020 and receive money the following fall.
While returning repeatedly to messages of growth and their commitment to long-term investments in the region’s health care infrastructure, the CEO and CFO for HCA Healthcare’s new North Carolina division also responded to questions about the company’s business model, staffing and morale in a June 20 meeting with local media.
“On Wednesday, April 10, Wendell Potter, former vice president of communications for health insurance giant Cigna, will speak on Transforming Healthcare in America at two public forums in Asheville.”
At a budget work session on March 26, city CFO Barbara Whitehorn reported that Asheville can expect to receive $2.5 million in property and sales taxes from the health system in fiscal year 2019-20 — only half of the $5 million initially estimated by the Buncombe County tax office — then $5 million instead of $8 million for every year to follow.
“This may hurt some feelings, but you can no longer operate the city of Asheville like it’s the Oprah Winfrey talk show, where you get a car and you get a car,” said Council member Keith Young, referencing the daytime TV host’s famous giveaways. “As much as we love all these programs and trying to help the public good… this is the time to close the bank.”
The sale of Mission Health to HCA Healthcare means several changes to organizations and services once affiliated with Mission, including a shift of adult day care services from CarePartners to a new nonprofit, MountainCare.
Grants to help agencies providing health care services and studying better ways to deliver those services continued to flow in Western North Carolina. Some recent examples include a grant to Project Dignity for feminine supplies, funding to expand how telehealth services might be expanded in rural areas and support for a study of resources available to kidney patients.
“We’ll continue to chase our tails and flail about looking to deliver fairness and equity on par with efficiency and quality as long as profit is the driver.”
“In scope, it compares with the ill-advised, Democratically led, but bipartisan-supported effort [circa 2005] to steal Asheville’s water system.”
“The we-know-what-is-best bubble forms when officials lose touch with their own institution’s stated goals and with the community’s pulse.”
As a result of the HCA acquisition of Mission Health, proceeds of the sale created the Dogwood Health Trust, a nonprofit foundation whose purpose is “to dramatically improve the health and well-being of all people and communities in Western North Carolina,” according to a press release from the trust.
“The population of Western North Carolina will not magically change if and when this sale occurs; we will still have low- and middle-income people with no health insurance who may get hit with exorbitant medical bills.”
“The proposed money and power grab by nonprofit insiders, corporate outsiders, financial underwriters and city mothers/fathers (the crazed clique on the City Council) will undermine this fine institution and set the scene for large health care price increases.”
Josh Stein announced that his office had developed a new agreement after months of “extensive negotiations” involving Mission, HCA and the Dogwood Health Trust. He explained that the changes would strengthen HCA’s community commitments, make the DHT board more representative of its service area and ensure greater accountability for both organizations.
“No one, and I mean no one, is asking whether or not HCA will continue to serve everyone who comes to them for care.”
Major grants to Western North Carolina health care institutions and nonprofits offer promise of health benefits for vulnerable populations, while the Mountain Area Health Education Center reaches out to local government leaders to propose a collaborative effort to boost community health.