EMS Fee Schedule Offsetting Revenue Presentation Fiscal Year - PDF document

9/22/2017 EMS Fee Schedule Offsetting Revenue Presentation Fiscal Year 2017-2018 Proposed EMS Fee Schedule Adjustment • Proposed fee schedule changes • Increase fee schedule to match Coppell’s • Zero-balance bill Addison residents • Addison has a highly insured non-resident transport percentage • Zero-Balance billing residents would eliminate out of pocket deductibles and co-pays for ambulance transports for Addison residents • Resident’s private insurance would still pay an increased EMS transport fee. 2 1

9/22/2017 Proposed EMS Fee Schedule Adjustment • Addison is unique… • 63% of transports are non-residents • 37% of transports are residents • 37% of payer mix is private insurance • 34.8% of payer mix is private pay • Addison has a very high non-resident to resident transport ratio • Addison has a high private insurance payer mix and very high private pay rate 3 Proposed EMS Fee Schedule Adjustment • Comparator Cities Resident vs. Non-Resident Transport Percentage 4 2

9/22/2017 Proposed EMS Fee Schedule Adjustment Resident Non- Resident Non- Resident Resident Adv. Life Support $450.00 $550.00 Adv. Life Support $850.00* $950.00 (ALS) (ALS) Adv. Life Support 2 $575.00 $675.00 Adv. Life Support 2 $950.00* $1050.00 (ALS-2) (ALS-2) Basic Life Support $400.00 $500.00 Basic Life Support $750.00* $850.00 (BLS) (BLS) ALS Disp. Supplies ALS Disp. Supplies $400.00* $400.00 BLS Disp. Supplies BLS Disp. Supplies $200.00* $200.00 Oxygen Oxygen $150.00* $150.00 Mileage $10.00 $10.00 Mileage $15.00* $15.00 *Zero Balance Billing for Residents - No Deductibles or Co-Pays Related to EMS Transport 5 Proposed EMS Fee Schedule Adjustment Actual FY 2016 Estimated FY 2016 Estimated Difference Current Fee Schedule Proposed Fee Schedule In FY 2016 Revenues Gross Charges $1,128,109.00 $1,376,294.09 $248,185.09 Cash Collected $482,378.82 $597,288.00 $114,909.18 Gross Charge Per Trip $929.59 $1134.10 $204.51 Cash Collection Per Trip $396.78 $492.00 $95.22 6 3

9/22/2017 Proposed EMS Fee Schedule Adjustment Summary • By adjusting the EMS fee schedule and implementing zero-balance billing for Addison Residents • Town will realize increased revenues • Eliminate out of pocket deductibles and co-pays related to ambulance transports for Addison residents 7 8 4