The city’s rates have remained unchanged for the better part of two decades, but the costs to provide ambulance services have continued to rise with inflation.
The result: Cleveland EMS isn’t coming close to recouping its rising costs for medication, supplies, salaries, fuel and ambulances.
And the Cleveland base rate is “well below” what peer cities charge too, like Columbus , Cincinnati and Pittsburgh , the analysis found. To remedy that, Slife said he’s exploring an idea that would peg Cleveland’s ambulance rates at double the Medicare rates. That approach could bring in an additional $7 million per year through private insurers, Slife said.
Critics of the idea might say higher ambulance rates would prove burdensome for Cleveland’s poor residents, as they would have to pay the balance between the city’s rates and what Medicare or their private insurer would pay. But Slife and Tim Sommerfelt, the EMS union’s secretary, downplayed that argument. They pointed to Cleveland’s standing “soft-billing” practices, in which a patient’s balance is forgiven after insurers pay their portion.
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