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New Orleans EMS says revenue covers operations; seeks pay and more staff to reduce private-ambulance dependence
Summary
NOLA EMS told the budget committee it projects about $25 million in billing revenue for 2025, supplemented by a $7 million UPL receipt this year; it seeks pay increases and roughly 50 new positions to reclaim calls now handled by private contractor Acadian and reduce reliance on mutual aid.
New Orleans EMS briefed the budget committee on Oct. 15, saying the department is largely self-funded through patient billing and that increased ordinance billing rates and a recent Medicaid UPL payment improved revenue this year. EMS officials said they project roughly $25 million in billing revenue for 2025 and received about $7 million from a state UPL (Upper Payment Limit) adjustment this year.
Dr. Marino (medical director) and EMS Chief Salmeron said EMS currently relies on a contract with Acadian for roughly 25% of call volume (about 10 ambulances daily) and that bringing staff on city payroll would allow the…
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