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Board approves higher ambulance user fees after questions about collection rates and resident pricing
Summary
The board approved an increase in EMS user fees; staff said Medicare and Medicaid adjustments mean the county cannot collect all billed revenue and described payment‑plan and collections practices. Supervisors asked about resident vs nonresident rates and transfer impacts with Door County Medical Center.
Supervisor Gunlixson moved to adopt updated user fees for emergency medical/ambulance services, citing a multiyear committee review. Director Aaron explained the county does not collect all billed charges because a large share of patients are covered by Medicare ("that's over 65% of our patients") and Medicaid, both of which require mandatory adjustments; the department uses payment plans and collections efforts to recover what is…
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