2016 EMS Rates

1. Discussion and possible action concerning fees
for Emergency Medical Services
Presented By: Buddy Kuhn, Fire Chief
City Council Meeting
Agenda Item # 9
March 14, 2016

2. 2
Last fee increase was August 23, 2010, these changes included:
Elimination of response only ($75)
Mileage increase from $12 to $14 / mile
Change in base rate for transports – inclusive of consumables for
Medicare
Response with Aid (No transport) and consumables from $150 to $206
EMS rates have been studied each year since 2010 and presented to
Council.
Summary & Background

3. 3
Staff evaluation of area EMS provider rates
completed 2/2016
Participating agencies included San
Antonio, Schertz, Shavano Park, Leon
Valley and Kendall County EMS
New Braunfels did not participate in the
survey
Summary & Background

4. 4
Current Fee Comparison
Description Alamo Heights EMS
Service Rate
Shavano Park
Service Rate
Schertz EMS
Service Rate
San Antonio
Service Rate
Leon Valley
Service Rate
Kendall County
Service Rate
Average
Responses Only $0.00 $50.00 $0.00 $0.00 $0.00 $0.00 $8.33
Response with Aid $206.00 $100.00 $200.00 $100.00 $125.00 $150.00 $146.83
Basic Life Support $750.00 $450.00 $1,210.00 $950.00 $550.00 $855.00 $794.16
Advanced Life Support I $850.00 $525.00 $1,440.00 $950.00 $650.00 $900.00 $885.83
Advanced Life Support II $1,050.00 $700.00 $1,600.00 $950.00 $750.00 $990.00 $1006.66
Transport Fee per mile $14.00 $15.00 $20.00 $12.00 $18.00 $15.00 $15.66
Non-Resident Fee $100.00 $100.00 $0.00 $100.00 $150.00 $0.00 $75.00
Changes noted from last year’s study:
 Leon Valley participated in survey
 San Antonio raised their Basic Life Support, Advanced Life Support I and
Advanced Life Support 2 from $800.00 to $950.00

5. 5
Fiscal Impact
10/01/2014 – 9/30/2015
Schertz EMS had a collection rate of 69.5%
on allowed revenues – increase of 4% over
FY 14
FY 14 calls for service – 857 EMS - 526
billable
FY 15 calls for service 879 EMS - 542
billable

6. 6
Proposed Rate Increase Fiscal
Impact Comparison
Non-resident fees - $100 – No Change
 Basic Life Support - increase of $50 / transport + $3,950
 ALS I – increase of $50 / transport + $19,450
 ALS II – No Change
 Mileage – Increase of $1 / mile + $3,319
 Response with aid - No Change
 All projected figures assume same number of billable calls

7. 7
Proposed Fee Impact
Description Alamo Heights EMS
Service Rate
Shavano Park
Service Rate
Schertz EMS
Service Rate
San Antonio
Service Rate
Leon Valley
Service Rate
Kendall County
Service Rate
Average
Responses Only $0.00 $50.00 $0.00 $0.00 $0.00 $0.00 $8.33
Response with Aid $206.00 $100.00 $200.00 $100.00 $125.00 $150.00 $146.83
Basic Life Support $800.00 $450.00 $1,210.00 $950.00 $550.00 $855.00 $802.50
Advanced Life Support I $900.00 $525.00 $1,440.00 $950.00 $650.00 $900.00 $894.17
Advanced Life Support II $1,050.00 $700.00 $1,600.00 $950.00 $750.00 $990.00 $1,006.67
Transport Fee per mile $15.00 $15.00 $20.00 $12.00 $18.00 $15.00 $15.83
Non-Resident Fee $100.00 $100.00 $0.00 $100.00 $150.00 $0.00 $75.00

8. 8
Proposed changes would generate an
additional $26,719 assuming the same
number of contacts
Helps offset budget costs for tri-city partners
Consumable costs continue to escalate
Medicare reimbursement slightly less
Study rates annually
Fiscal Impact

9. QUESTIONS?