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BOA Minutes <br />July 6, 2017 <br />Pg #19 <br />rI Mr. Berns said Mayfield Village and Beachwood both have health care facilities. Chief, if you <br />; I change your ordinance, and I understand that the reason Governor's Village and this facility <br />wouldn't be charged because people that live there are permanent residents of the city, right? <br />Chief Carcioppolo replied, that's exactly how they're viewed, yes. <br />Mr. Berns said, if you changed your ordinance so you could bill those people up to whatever <br />insurance they had, if they had Medicare, Medicare would pay for it and you'd have additional <br />income, do you agree? , <br />Chief Carcioppolo replied, we would. <br />Mr. Bems asked, might that alleviate the problems you talked about as far as staffing and <br />equipment if you charged both of them? <br />Chief Carcioppolo replied, tliat's a potential. But again, that's policy change. <br />Chauman Prcela said, we just went through a preriy long Ordinance Review Committee but it <br />is an interesting fact, an interesting idea. <br />Mr: Berns states, almost every community in Northeastern Ohio that has EMS facilities ohazge. <br />Most of them charge the residents only to the extent that they're insured, nothing comes out of <br />L_I pocket. <br />Mrs. Jeanblanc said, unless they have a high deducrible plan. <br />Mr. Berns said, let me cover that. Medicare has its own limits to what people pay for EMS <br />calls. If you charge them too much, they won't pay that much. They generally pay maybe 80%. <br />In addition to that, there's also a copay or deductible. They don't collectany copay or <br />deductible and you can't collect it from the residents. You can only collect what their insurance <br />pays. Tt seems like almost all of the people that are in these kinds of facilities are covered by <br />Medicare. I've had conversations with Mr. Diemert about a change in yaur ordinance so that <br />you are billing for EMS services to alleviate these problems_ <br />Michelle Gorman states, you could bill $100,000, but how much of that will insurance pay? <br />The insurance only pays a certain portion based on their usual customary charges. You're not <br />going to get all the money you bill them. <br />Chairman Prcela interjects, I've been on this Board for over 10 years and I've never seen this <br />Board vote on a condition that an ordinance be revised. <br />Mr. Berns said, I'm suggesting this is something that can be done by the Village in order to <br />alleviate this problem. It's something that almost every other community does do. Then the <br />Chief would not have this problem. '