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Merrimack County weighs options to shore up ambulance funding as billing problems persist
Summary
County commissioners reviewed three options to address local EMS shortfalls — keep the status quo, offset billing through jail or nursing-home accounts, or join as a fourth equal partner in a regional contract (estimated at about $130,000). Staff flagged billing errors and reimbursement lags as core causes.
At a regular Merrimack County meeting, commissioners debated how to address shortfalls in local ambulance funding, with staff outlining three possible approaches and noting billing problems had reduced expected reimbursements.
Speaker 2, who led the discussion, summarized the choices: maintain the current arrangement; try to recover shortfalls by adjusting how the county offsets costs on jail or nursing‑home accounts; or become an equal partner (the “fourth leg”) in a regional EMS contract. "That's roughly about a…
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