Albemarle Ambulance Billing Debate He...

Albemarle Ambulance Billing Debate Heating Up - NBC29 WVIR Charlottesville, VA News, Sports and W...

There are 65 comments on the NBC29 Charlottesville story from Apr 4, 2012, titled Albemarle Ambulance Billing Debate Heating Up - NBC29 WVIR Charlottesville, VA News, Sports and W.... In it, NBC29 Charlottesville reports that:

Albemarle's plan for ambulance billing is heating up. Wednesday Albemarle County supervisors met behind closed doors to push for patients to pay up for that ride to the hospital, regardless of who is providing it.

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Central VA Marine

Palmyra, VA

#1 Apr 4, 2012
Rodney, again? You and your no new taxes t-bag tribe want a new tax. Pay for ambulance rides to the hospital for persons who are sick or injured. In this community we have enjoyed the outstanding reputation of OUR Rescue Squad. Very few, if any public funds was needed because the community rallied behind these selfless volunteers during fund drives.

Then the new wave of no new taxes wants to open government run ambulance service as a money making venture; a new tax on the sick and injured. Those who ride in these ambulances are not the only sick ones.

STOP THE WAR ON WOMEN!
DON'T VOTE FOR GEORGE MACACA.

more to come
reality bites

Charlottesville, VA

#2 Apr 4, 2012
Just too many fat white guys telling others what to do. Let the women run things and the world would be better off.
Anonymous

Charlottesville, VA

#3 Apr 4, 2012
Central VA Marine wrote:
Rodney, again? You and your no new taxes t-bag tribe want a new tax. Pay for ambulance rides to the hospital for persons who are sick or injured. In this community we have enjoyed the outstanding reputation of OUR Rescue Squad. Very few, if any public funds was needed because the community rallied behind these selfless volunteers during fund drives.
Then the new wave of no new taxes wants to open government run ambulance service as a money making venture; a new tax on the sick and injured. Those who ride in these ambulances are not the only sick ones.
STOP THE WAR ON WOMEN!
DON'T VOTE FOR GEORGE MACACA.
more to come
This is spot on. The rescue squads will simply end up spending money on administrators to handle billing, then they'll need offices and managers to run the administrators, so the cost will go up further.

And those costs - well your insurance firm is picking up the tab for those. And where do they get the money? From you - through higher premiums. Either you will pay more for health insurance to pay for pen pushers, not ambulances or you'll be forgoing a raise because your boss has picked up the the tab.

If the rescue squads need more funds, it's going to be _a lot_ cheaper to simply raise the money through county taxes where all the collection costs are already in place rather than setting up a whole new bureaucracy.
CONCERNED TAXPAYER

Orange, VA

#4 Apr 4, 2012
And, take that stupid rug off the top of you head.
reality bites

Charlottesville, VA

#5 Apr 4, 2012
The_Real_Concerned wrote:
<quoted text>
This is spot on. The rescue squads will simply end up spending money on administrators to handle billing, then they'll need offices and managers to run the administrators, so the cost will go up further.
And those costs - well your insurance firm is picking up the tab for those. And where do they get the money? From you - through higher premiums. Either you will pay more for health insurance to pay for pen pushers, not ambulances or you'll be forgoing a raise because your boss has picked up the the tab.
If the rescue squads need more funds, it's going to be _a lot_ cheaper to simply raise the money through county taxes where all the collection costs are already in place rather than setting up a whole new bureaucracy.
But isn't this how we create jobs?
countrygirl

Charlottesville, VA

#6 Apr 4, 2012
has anyone ever thought how many people wouldnt call 911 because of the billing and prob will die at home cause of it. There are still alot of people out of work and cant find jobs
Well

Harrisonburg, VA

#7 Apr 4, 2012
Billing for 911 is very bad and the mark of a sick society.. Scum one and all drink kool aid or wahtever the ef else you want to but stock up on ammo because the SHTF.
oldman

Stuart, VA

#8 Apr 4, 2012
As usual, the real winners in the health insurance game are doctors and hospitals. Now it looks like Albemarle County has decided to try to get a piece of the pie.
clownbaggin

Charlottesville, VA

#9 Apr 4, 2012
the ultimate goal of medicine is too keep you alive forever so they can charge you a fee for the privilege of dying
Bad

Charlottesville, VA

#10 Apr 5, 2012
Staunton-Auguata has this in place for 10 years now and it's working out well for them. So what's the problem with it here? This will cut down on a lot of non emergency taxi rides to the hospital,( I used to serve on a rescue squad), which take up a lot of time that could be used for those critical calls.
speak out

Johnson City, TN

#11 Apr 5, 2012
Why doesn't the headline read "Supervisors Are Lying In Public Statement". The debate is not heating up. There is no debate. CARS has stated they will not charge for services. Those bully Supervisors want their own way, but CARS is under no obligation to submit to them.
taxpayer

Charlottesville, VA

#12 Apr 5, 2012
Who is going to pay for the rides of the street derelicts that take an ambulance to UVA hospital from the downtown area three or four times a month? These men don't like to walk so they have "heart attacks" several times a month. Ask the EMTs about these open range democrates that enjoy getting a twelve hundred dollar cab ride several times a month!
Xvol

Charlottesville, VA

#13 Apr 5, 2012
If you have insurance, you already pay for your ambulance ride weather you use it or not. Your premium doesn't go up just because you dial 911. If you don't call 911 because you are afraid of a bill, then you probably don't need emergency services and should drive yourself to the hospital. Taxpayers, CARS is not a free service. County taxpayers especially, as the city of Charlottesville gives no funding, a portion of your tax dollars funds operations, equipment, squad truck, ambulances and TWO career firefighters from Alb Co Fire Rescue. On top of that, the rescue squad requests donations from County residents. By all means if you have money to donate and it makes you feel good, do it. But from reading everyone's responses about penny pinching it contradicts the argument. If you want to keep the tax rate down, then bill for service.
Alb Ambulance Billing

Verona, VA

#14 Apr 5, 2012
This is nothing more than another move by Albemarle County to force volunteers out of the system so that they can expand their empire, budgets, and staffing for their career positions. Mind you, that will come with a tax increase.
If the County wins and are allowed to bill for ambulance service across the board, it falls in line that people might be less likely to donate to the volunteer agencies. Once the donations fall off, so might the level of service, and the County would then point the finger right back at the volunteers for failing to provide the service.
I guess once we all have Obama Care the costs would be covered though, right? Wake the @#$% up people.
Local View 9

Millersville, MD

#15 Apr 5, 2012
What has been failed to be discussed by the news or anybody is how the county wants to do this billing. This is what was proposed 2 years ago and really hasn't changed much since then. 1. All services providing 911 service in Albemarle county would bill for service. 2. All funds would be collect by Albemarle county and placed in the general fund. 3. The first 1.6 million (yes, MILLION) of funding would go to finance ALL or the volunteer fire departments and rescue squads. 4. Everything beyond that, would be for the county to spend as they see fit. How would you like to volunteer for agency and you are REVENUE GENERATING tool for the local government. The Board of Supervisors talked about this in executive session, so we don't know what they are planning.
Figured it out

Charlottesville, VA

#16 Apr 5, 2012
taxpayer wrote:
Who is going to pay for the rides of the street derelicts that take an ambulance to UVA hospital from the downtown area three or four times a month? These men don't like to walk so they have "heart attacks" several times a month. Ask the EMTs about these open range democrates that enjoy getting a twelve hundred dollar cab ride several times a month!
Firstly, I've not seen that much evidence of this, nor heard that much about it other than second hand. Not to say it doesn't happen, but I think it might be exaggerated.

Secondly, the ambulance costs are sunk costs. it doesn't really cost $300 to make an additional 6 mile journey in an Ambulance. That's why you'll sometimes see an ambulance outside a grocery store picking up provisions. It doesn't cost $300 to make that trip.

But, if it really is a problem, it could easily be solved by the ambulance simply making the decision to drop the patient off at Martha Jefferson's ER.
TEX

Earlysville, VA

#17 Apr 5, 2012
perhaps costs could be reduced by ending the practice of sending a Massive fire engine to every routine call for help (if I have a breathing problem I Do Not Need a houseful of helpers)
funbun

Charlottesville, VA

#18 Apr 5, 2012
Seems to me the same people keep using the squad. There is section 8 housing a couple of blocks down the street from me and the squad stays down there, and since none of the occupants work who is going to pay for that. Me! When my uncle was taken ill a couple of years ago, the squad picked him up at his house off of Proffit Rd. and charged him 588.00 and no medical service was done on him. That was just for transportation to MHJ. His insurance paid for it. The insured are going to have to carry the uninsured,AS USUAL !!!
Great

Charlottesville, VA

#19 Apr 5, 2012
TEX wrote:
perhaps costs could be reduced by ending the practice of sending a Massive fire engine to every routine call for help (if I have a breathing problem I Do Not Need a houseful of helpers)
FYI --
Fire engines are sent on calls deemed more critical and are in need of more immediate attention than what a Rescue Squad can provide just because there are more fire stations stationed throughout the county than there are rescue squads. It kind of wasteful when you have a fire engine and an ambulance coming from the same building or within close proximity. So, optimal instances-- Earlysville Fire than Hollymead or North Garden Fire and C-ARS

Also, sometimes Fire come in quite useful for the "lift-assist". I will leave it at that.
Great

Charlottesville, VA

#20 Apr 5, 2012
Figured it out wrote:
<quoted text>
Firstly, I've not seen that much evidence of this, nor heard that much about it other than second hand. Not to say it doesn't happen, but I think it might be exaggerated.
Secondly, the ambulance costs are sunk costs. it doesn't really cost $300 to make an additional 6 mile journey in an Ambulance. That's why you'll sometimes see an ambulance outside a grocery store picking up provisions. It doesn't cost $300 to make that trip.
But, if it really is a problem, it could easily be solved by the ambulance simply making the decision to drop the patient off at Martha Jefferson's ER.
There is not much evidence because it isn't publicized in any fashion since they have no set address. I actually would say he is UNDERestimating the # of times some of these people. It is much more clear with repeated callers with a set address. If you want to look for prove, come to Roanoke and see it in full-effect.

Remember, people have the right to decide where they want to go-- UVa or Martha unless their injuries are deemed too great for Martha to handle.

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