HCA was in potential non-compliance with Mission agreement in 3 areas in 2024, independent monitor report states

For the second year in a row, the independent monitor of HCA Healthcare’s $1.5 billion purchase of Mission Health has found the Nashville-based company potentially not in compliance with the purchase agreement it entered into in 2019, according to a new report released Tuesday by Dogwood Health Trust.

The 40-page report from Boston-based Affiliated Monitors Inc. detailed three areas where in 2024 HCA potentially did not honor commitments it made six years ago as part of the Asset Purchase Agreement: continuation of services, specifically related to emergency care and oncology; remaining in “good standing” in Medicare and Medicaid because of a federal immediate jeopardy finding in February 2024; and uninsured and charity care policies.

While HCA has addressed the first two areas, according to the report, Affiliated Monitors found HCA was potentially non-compliant for much of last year and questions remain about whether the company is continuing emergency and oncology services at the level it promised in the agreement…

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