Deal reached for San Diego to take over billing, staffing from struggling ambulance provider Falck

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Deal reached for San Diego to take over billing, staffing from struggling ambulance provider Falck
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Interim deal also reached requiring Falck to boost ambulance hours by subcontracting with American Medical Response, the company it replaced 17 months ago

Negotiations for the city to take over ambulance staffing and billing have hit a roadblock over proposed payments to Falck.

While the model shifts financial risk from Falck to the city, proponents say state law gives public agencies better reimbursement rates from Medicare and Medi-Cal patients than private ambulance providers get. Falck no longer faces the same steep fines for falling short on ambulance hours and response times, but it is required to subcontract with a second ambulance provider to boost service.

On the subcontracting, Falck is required to pay another company to close the gap between the 780 daily hours from Falck and the 900 daily hours the city wants. Stowell said he’s confident that AMR will be a good partner, despite the city’s decision in 2021 to replace the company with Falck. Workers will get 9 percent raises in the first year and 4 percent raises in each of the next two years under the contract, which will kick in when the City Council approves the new deal with Falck sometime in May.Councilmember Marni von Wilpert, who leads the Public Safety Committee, praised the new deal Monday.

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