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Legislation #: 140415 Introduction Date: 5/22/2014
Type: Resolution Effective Date: none
Sponsor: COUNCILMEMBERS SHARP, FORD, WAGNER, REED AND TAYLOR
Title: Directing the City Manager to investigate the implementation of a new methodology of paying for the KCFD Ambulance Service Membership Plan.

Legislation History
DateMinutesDescription
5/22/2014 Filed by the Clerk's office
5/22/2014 Referred to Public Safety & Emergency Services Committee
5/28/2014 Be Adopted
5/29/2014 Assigned to Third Read Calendar
6/5/2014 Passed

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RESOLUTION NO. 140415

 

Directing the City Manager to investigate the implementation of a new methodology of paying for the KCFD Ambulance Service Membership Plan.

 

WHEREAS, the KCFD Ambulance Service Membership Plan covers all out-of-pocket costs for medically necessary ambulance service for members’ households (including the member’s spouse or domestic partner, parents, children, grandchildren or siblings living in their residence or in a nursing home) not covered by private insurance or Medicare; and

 

WHEREAS, the difference between what private insurance and Medicare will pay and the actual amount of an emergency ambulance bill can be staggering; and

 

WHEREAS, the KCFD Ambulance Service Membership Plan provides peace of mind to members by covering the co-payments and deductibles for medically necessary ambulance service for their entire household for only $59 a year or $109 for two years for members with insurance or $99 a year or $189 for two years for members without insurance; and

 

WHEREAS, despite these low costs, current KCFD Ambulance Service Membership is only a little more than 3,000 households, and membership for the past 12 months only generated a little more than $180,000.00 in revenue; and

 

WHEREAS, ambulance billing personnel have suggested the City implement a membership payment program modeled after the EMSAcare program offered by the Emergency Medical Services Authority (EMSA) that serves the Tulsa and Oklahoma City metropolitan areas; and

 

WHEREAS, EMSAcare membership is paid by an optional fee that is added to the monthly water bills of residents or by a voluntary yearly fee for residents that don’t have a water account such as persons in nursing homes, assisted living facilities or in “all bills paid” multifamily dwellings; and

 

WHEREAS, by offering a convenient and efficient method for paying for ambulance coverage through a small monthly charge on residents’ water bills instead of requiring a larger lump sum annual payment to be mailed in separately, Tulsa and Oklahoma City have greatly exceeded Kansas City’s ambulance membership enrollment; and

 

WHEREAS, despite Tulsa’s lower population of 391,906 according to the 2010 census, compared to Kansas City’s 459,787 population in 2010, Tulsa has approximately 106,000 member households compared to Kansas City’s 3,038 current member households; and

 

WHEREAS, with a higher population of 579,999 according to the 2010 census, compared to Kansas City’s 459,787 population, Oklahoma City has approximately 140,000 member households; and

 

WHEREAS, the EMSAcare program currently generates about $4.5 million in annual revenue in Tulsa and about $6 million in Oklahoma City compared to $182,657.00 for the past 12 months in Kansas City; NOW, THEREFORE,

 

BE IT RESOLVED BY THE COUNCIL OF KANSAS CITY:

 

That the Council hereby directs the City Manager to study the feasibility of implementing a payment methodology for the KCFD Ambulance Service Membership Plan similar to the methodology used by the EMSAcare program in Tulsa and Oklahoma City and report back to the Council within 60 days of the adoption of this Resolution on whether such a payment methodology is in the best interests of the City and its residents and, if so, on the details of implementing such a methodology.

 

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