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Board Reports Progress, Continued Questions in Meharry Medical College PSA Negotiations
Summary
Board observer reported renewed meetings between Nashville General and Meharry leadership to negotiate a physician services agreement; parties identified topics for resolution and scheduled follow‑up, but larger issues remain unresolved.
The Hospital Authority Board heard an update on negotiations toward a written physician services agreement (PSA) with Meharry Medical College on Feb. 27. Board member and observer Mark Esquivel said he attended recent meetings between senior leaders of Meharry and Nashville General and reported that both sides identified substantive issues that must be resolved for a PSA to be signed.
Esquivel said the meeting included representatives from Meharry, including the provost (identified in the meeting as Dr. Southpaul), and hospital executive leadership. He said both sides agreed on some near‑term items — including faster processing of invoices from Meharry and adjustments to compensation for Meharry providers when those rates are below market — and that subject‑matter experts will meet before the next session, scheduled roughly two weeks after the Feb. 27 meeting.
Esquivel told the board he had also received a draft PSA from the hospital’s leadership that he described as a template for discussion rather than a negotiated agreement. He said, “there is now kind of a template out there so that Meharry and the hospital can begin to fill that in as these negotiations move forward.”
Board members emphasized the centrality of a functioning relationship with Meharry for the hospital’s clinical staffing and for future plans for a new hospital facility. Several board members called for an improved, formal line of communication between Meharry leadership and the board and asked for a short written update on progress and timeline at the next meeting.
No formal agreement was presented to the board on Feb. 27; the PSA remained under negotiation and the board discussed whether a temporary extension of a prior PSA should be considered to govern services while negotiations continue.
