The Tennessean, March 14, 2011

When one of Nashville?s biggest physicians groups wanted to start offering MRI scans in-house, it had to secure the approval of a state agency that governs whether new hospitals, medical equipment and health services can be added in a community. Mark Grasela, CEO with Heritage Medical Associates PC, estimates the company spent at least $35,000 in legal costs and application fees to win the required clearance for its MRI project. Now, Grasela leads a coalition of 25 medical practices with a total of 1,100 doctors around the state that hopes to get a bill through the legislature to remove medical equipment and services from the state's certificate of need requirements. If the rules change, only building brand-new hospitals and clinics — or expanding or moving them to new locations — would require review by the state Health Services and Development Agency.
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