Although Knoxville is slowly advancing on the innovation scale, the closure of Tennova Healthcare’s Physicians Regional Medical Center and strained contract negotiations between insurers and reimbursement-hungry integrated delivery networks are hampering care delivery in the short term. Long-term projections are more favorable, given an emergency room expansion at Fort Sanders Regional Medical Center, a proposed psychiatric hospital from Acadia Healthcare, and the collaborative construction of a rehabilitation hospital that should help reduce patient overcrowding. As Knoxville’s providers adjust to the new gap in emergency, inpatient, and psychiatric care, we expect to see heightened interest in population health initiatives—such as Summit Medical Group’s ongoing collaboration with Humana—that drive cost-savings and improve disease management.

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