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flag Tennessee seeks to renegotiate Ballad Health's monopoly agreement due to persistent patient complaints and quality-of-care failures.

flag Tennessee officials are seeking to increase accountability for Ballad Health, a hospital monopoly created in 2018, after persistent patient complaints. flag Despite consistently failing quality-of-care standards, Ballad has received "A" grades, allowing it to maintain its monopoly over a 29-county region. flag The state is renegotiating the agreement to prioritize hospital performance significantly, potentially leading to stricter oversight or a breakup if improvements are not made.

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