Vincent A. is a 41-year old TennCare patient from Nashville. In December 2002, TJC received an urgent call from his physician asking for help. At that time, Mr. A. was dying in the intensive care unit of a Nashville hospital. He had been referred to a hospital in Memphis for a liver transplant earlier in the year. Everything had been lined up and he was waiting for a compatible organ to become available. But a contract dispute arose in December between BlueCross, which administered the TennCare MCO to which Mr. A. was assigned, and the hospitals where the transplant would take place. The physician’s strenuous efforts, aided by sympathetic physicians and administrators in Memphis, were unable to break the impasse, and Mr. A. was about to die. TJC made phone calls to TennCare on his behalf. On January 13, 2003, the physician called to report that TJC’s intervention had cleared away the barriers. Mr. A. had undergone successful transplant surgery, and his prognosis is good. The physician thanked TJC for saving his patient’s life.
