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Commissioners press AMR and staff for more data after request for multiyear ambulance rate increases
Summary
American Medical Response requested a three-year rate increase schedule for 9-1-1 ambulance transport (13% in year one, then 30% and 30%); county staff and AMR presented financials and commissioners asked for a one-year alternative and more Washington County–specific financial detail before a decision.
Board members and county staff discussed a three-year rate increase proposal for 9-1-1 emergency medical transports presented by American Medical Response (AMR) and Washington County Health & Human Services staff. AMR requested an “outside the formulary” increase that would raise rates by 13% beginning in July and then 30% in each of the following two years. County staff and AMR said the increase would be required to reach a sustainable, profitable operation for the local AMR unit under the company’s current forecast.
Adrienne Donner, supervisor for the county EMS program, and Rob McDonald, AMR regional director, described the local EMS system as fee-for-service and said Medicare and Medicaid account for roughly 73% of transports. McDonald and Donner said that because Medicare and Medicaid payments are…
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