CARS Could Reduce Response in Albemarle

CARS Could Reduce Response in Albemarle

There are 77 comments on the NBC29 Charlottesville story from Jan 28, 2013, titled CARS Could Reduce Response in Albemarle. In it, NBC29 Charlottesville reports that:

Major changes could be around the corner for how ambulance services are handled in Albemarle County.

Join the discussion below, or Read more at NBC29 Charlottesville.

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been on both sides

Farmville, VA

#62 Jan 31, 2013
CDP wrote:
AGAIN....Quality health care at work....so lets just let people die so we can stroke our eagos about who is going to earn the buck!! Just remember if you bill the patient/customer...you also can be sued! CARS has set themselves up for lawsuits...pretty damn stupid!..but here again dealing with arrogant eagos and not professionals.
Being a volunteer/non-profit, with no set requirements, their liability is going to be limited. The county however(since it does fall under the ACFR umbrella) would be a different story.
watching the B S

Verona, VA

#63 Jan 31, 2013
Way to go Mr BOYD (yes thats the same Mr Boyd that woke up Dorrier at midnight to vote for the By Pass after all of the taxpayers had left the room). Now he has done it again. He is running the volunteers away. Why is he so ANTI-Volunteer? What is he gaining?
Why has the news not asked about the Volunteer Fire Departments that did not want him back on their property. Others had to take his place in working with the volunteers.
Now, with the Rescue stuff. Hopefully the truth will come out about the under the table dealings against the Rescue folks for them refusing to charge and give all of the money to the county for the general fund. Especially that the county came up with some funding ideas that will only donate part of the operating costs back to the Squads. Either way, the County power plays were going to force the volunteer squads out of business.
Mr BOYD = Bigger Government and much, much, much, much HIGHER TAXES. Hope those that voted for him are happy now.
Well Well

Charlottesville, VA

#64 Jan 31, 2013
This will now allow the county govt to grow their f&R budget even more. Claiming CARS wont be their pawn. Too bad the county can not find a compromise. The battle for turf($$$) has finally surfaced and the county wants all it can get so it can grow govt!
Thanks

Charlottesville, VA

#65 Jan 31, 2013
Hunter wrote:
<quoted text>
So, because a member of the county board of supervisors says that two other jurisdictions don't give money to the rescue squad, it is true? How would he know? I work for The Univeristy, and I know for a fact that they give money to the rescue squad.
Hmmm - interesting b/c the CARS president stated that they DO NOT got money from UVA. Are you saying he doesn't know what he is talking about??
Thanks

Charlottesville, VA

#66 Jan 31, 2013
OscarMeyer wrote:
Well the city has money for a skate board instructor at 19 dollars an hour plus all the other crap things they subsidize. They should have there own rescue, they dont need another fitness instructor or yoga teacher.
Couldn't agree with you more!
Pin knife

Charlottesville, VA

#67 Jan 31, 2013
Come on all of you county whiners..."it's not included in our revenue agreement?" lol
need informed answers

Verona, VA

#68 Jan 31, 2013
Reading all of these posts and other news articles, there seems to be a lot of guessing and not many informed answers. Where are the good news reporters to get to the bottom of this stuff. I can't imagine an organization as well liked as CARS creating this problem. Maybe they just do not want to be dragged down by the county.
Please ask questions (here are a few that may open some eyes): What was the deal that CARS turned down over and over? Is the motivation by the county to collect big money with no personnel costs? How much do they expect to collect and how much are they willing to donate to CARS? As Mr Boyd pointed out, he wanted to treat the volunteers as "unpaid county employees", collect the money and keep it. Bottom line, get money with no associated costs. How much does it cost the taxpayers to fund the paid staff and equipment vs. how much they will collect as compared to how much to use volunteers? Is a county motivation to surround the city with ambulances to cover the retirement/nursing homes where they know they can collect medicare/medicaid money with no waiting for collections? Who answers the regular calls while they are tied up on those? Is compassionate billing only for County residents, and collect every penny from city, surounding county and UVa residents?
Been reading and trying to keep up with this and the answers out on the street to these questions makes the county look pretty bad. What are the true answers? I am tired of guessing and feeling like all I am seeing is BS. Please find some informed answers.
Sally

Charlottesville, VA

#69 Jan 31, 2013
cotaxpayer wrote:
We can thank our board of supervisors for this mess.
Who gave Dan, Don O and the BOS all this power to play with our services and our tax dollars?
thinking free

Charlottesville, VA

#70 Jan 31, 2013
need informed answers wrote:
Reading all of these posts and other news articles, there seems to be a lot of guessing and not many informed answers. Where are the good news reporters to get to the bottom of this stuff. I can't imagine an organization as well liked as CARS creating this problem. Maybe they just do not want to be dragged down by the county.
Please ask questions (here are a few that may open some eyes): What was the deal that CARS turned down over and over? Is the motivation by the county to collect big money with no personnel costs? How much do they expect to collect and how much are they willing to donate to CARS? As Mr Boyd pointed out, he wanted to treat the volunteers as "unpaid county employees", collect the money and keep it. Bottom line, get money with no associated costs. How much does it cost the taxpayers to fund the paid staff and equipment vs. how much they will collect as compared to how much to use volunteers? Is a county motivation to surround the city with ambulances to cover the retirement/nursing homes where they know they can collect medicare/medicaid money with no waiting for collections? Who answers the regular calls while they are tied up on those? Is compassionate billing only for County residents, and collect every penny from city, surounding county and UVa residents?
Been reading and trying to keep up with this and the answers out on the street to these questions makes the county look pretty bad. What are the true answers? I am tired of guessing and feeling like all I am seeing is BS. Please find some informed answers.
Hi,

Here's what I can tell you from what I know--
Both CARS and the County has agreed that billing may be/is necessary.
CARS want the money obtained from calls it ran to go through their pocket first to fill their expenses then to other rescue squads and fire stations then to the County's general fund.
ACFR wants the money CARS gets from billing to go to the county general fund and then the county will reimburse CARS with what think is appropriate. This essentially makes CARS and their volunteers unpaid employees of the county, making money for the county. How much they will collect and how much will be given to CARS is unknown but with CARS running 11,000+ calls a year currently (city, county, and university combined), that can equate to 5-11mil depending on service renders if everyone gets billed and can pay for it.
You can see the contention there, right?

The County indirectly gets the nursing homes/retirement homes because that's where they sit. But, yes it is a quick fix to their money woes. One could argue that, Pantops or 161 was designed as such with Heritage Inn and Westminster Canterbury being their guaranteed pay along with the rich folks out at Keswick. Sure, the County picks up a few poor areas but the overall money potential is greater. If you look closely at the response territory given to 161, the County responds to the city-county line even though some areas are better served from CARS just because they are closer.

Compassionate Billing applies to anyone who can't pay. Whilst I have never had to deal with it, I have heard that compassionate billing is not as compassionate as it is made out to be.

Lastly, until new Firefighters/EMTs are hired and trained which will be July 2013, the County will be shifting staffing around and jump staffing units as needed. This is good and bad. While it will be able to provide shorter response time for the initial call, the second call/third call may not be the same and may look foolish if the County has to pass another station (CARS) with units sitting in the bay to cover the call. Also, there will be a conflict if there is a fire call while the EMS units are out because they will be no one available to staff the closest engines. Thus, the engines will be coming further. Anyone with a drop of common sense will know that faster fire response equates to more likely the house will be salvaged.
thinking free

Charlottesville, VA

#71 Jan 31, 2013
Statement from Daily Progress:
Berg said statements by public officials indicate the change by the county is to maximize revenue rather than improve the area's overall emergency response system.
“These decisions have been made without considering the other stakeholders in the EMS in our area,” Berg said by phone Wednesday.
Supervisor Kenneth C. Boyd acknowledged that the county and the rescue squad have a difference of opinion, but expressed optimism that the issue would be resolved amicably.
“I know it’s not an adversarial thing,” Boyd said.“What we’re trying to work on is better coverage. There’s a lot of misinformation out there … I think everybody is interested in making sure that we provide adequate coverage to our city and county.”

http://www.dailyprogress.com/news/article_ba7...
Jim Thorp

Charlottesville, VA

#72 Feb 1, 2013
Jim Thorp wrote:
Here is a quote from the county fire chief from the minutes of the December fire board meeting when asked why the ambulance was being placed at Seminole Trail Fire Dept. This seems to make the "why" pretty clear.
"…I would say the primary reason is to recover revenue, but at the
same time the benefit is you increase and enhance service.”
It seems like what the county fire chief is saying does not match what Mr. Boyd says.
Meeting minutes are available online on the county website.
unclear

Charlottesville, VA

#73 Feb 1, 2013
Are the fire departments using these ambulances after the staff leaves for the day at 6PM? Or are they just being used as a location to house the vehicles?
It would that the 3 locations with the new ambulances should be seeing an increase in their operating budget as a result?
tired of taxes

Verona, VA

#74 Feb 1, 2013
Budget for Fire Rescue went up about 15 to 20% each year for last 5 or 6 years. Taxpayers aint seen nothing yet.
Educated

Charlottesville, VA

#75 Feb 1, 2013
Really wrote:
Just another food for thought if your in the city you will not have to pay for help an transport to the hospital, if on the other hand your in the county no such luck u wait for help that maybe there but when they get there you can bet you will recieve a bill for that ride.
You aren't billed, your insurance is...... A penny never comes out of you pocket. If you have low income you can contact the number on the back of the billing to make it go way. So please educate yourself before you type.
DirtKicker

Brooklyn, NY

#76 Feb 2, 2013
Educated wrote:
<quoted text>
You aren't billed, your insurance is...... A penny never comes out of you pocket. If you have low income you can contact the number on the back of the billing to make it go way. So please educate yourself before you type.
As a person who was billed to make up the difference after insurance didn't pay the whole bill.......you're wrong.
thinking free

Charlottesville, VA

#77 Feb 2, 2013
unclear wrote:
Are the fire departments using these ambulances after the staff leaves for the day at 6PM? Or are they just being used as a location to house the vehicles?
It would that the 3 locations with the new ambulances should be seeing an increase in their operating budget as a result?
One of them will be daytime staffing from 6a-6p and by July 2013, when more personnel are hired, it will have 24/7.
Pantops is daytime until a station is built.
Earlysville/Stony Point is for daytime only with no plans for 24/7 yet.
thinking free

Charlottesville, VA

#78 Feb 2, 2013
Educated wrote:
<quoted text>
You aren't billed, your insurance is...... A penny never comes out of you pocket. If you have low income you can contact the number on the back of the billing to make it go way. So please educate yourself before you type.
This whole "insurance pays for it" is incorrect.
Yes, the insurance will cover it but they will either cover a portion of it or only after the deductible is met unless you have a premium insurance which most of the working class does not.

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