Board continues AMR ambulance contract rate discussion, asks for more data and fire collaboration

May 22, 2025

Supervisors considered a proposed rate increase for American Medical Response (AMR) transport services; staff presented utilization, payer mix and revenue questions; the board approved a continuance to gather additional financial detail and to invite AMR and local fire officials to discuss collaboration and transport responsibilities.

The full story

The board reviewed a proposed rate increase for AMR, the county’s ambulance transport provider, after staff presented utilization figures, payer mix estimates and revenue implications. Staff said a large share of transports are government‑pay (Medicaid/Medicare) and that collection rates are below the billed rate; the presentation included counts of hospital transports and an analysis of payer composition.

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