The recent government meeting in Jefferson County, Idaho, focused on the performance and financial challenges of the local ambulance service since its launch in October 2023. Officials reported that the service is currently averaging between 40,000 to 42,000 calls per month, but collection rates from insurance providers have been low, with only 30% of October's bills collected and even less for subsequent months.

The discussion highlighted the complexities of billing, particularly with Medicare and private insurance, which often delays payments for up to four months. Officials estimated that the ambulance service could generate between $180,000 and $250,000 in its first year, contingent on improved payment rates from insurers.

To address staffing needs, the service currently employs two full-time personnel daily and is considering hiring an additional staff member to cover daytime hours. The meeting also touched on the potential transition from a Basic Life Support (BLS) to an Advanced Life Support (ALS) service, which would require two operational ambulances. Currently, the service has three ambulances, but one is out of commission due to high repair costs.

The ambulance service has seen a reduction in calls, with an average of 45 to 50 transports per month, down from previous years. Officials noted that the local dispatch system plays a crucial role in determining the type of response required for each call, which has contributed to the decrease in overall call volume.

Concerns were raised about the rising operational costs of the ambulance service, prompting discussions on potential changes to the billing structure, including a per-call payment model. The commissioners expressed alarm over these financial challenges, emphasizing the need for a sustainable solution to ensure the ambulance service can continue to meet community needs effectively.