Tag: Oregon

MetroWest’s JD Fuiten on Mobile Integrated Health

Metro West Ambulance’s Mobile Integrated Heath Program is a leader in the emerging world of community paramedicine and MIH.  The successes in our programs have been centered on the strong relationships we have built with our health system partners.  This partnership allows Metro West Ambulance MIH paramedics to better participate in the longitudinal care of our patients instead of the focused, episodic care of traditional EMS. We have now positioned ourselves as an integral part of the health care team.  The value of an MIH paramedic continues to expand as the skills, tools and knowledge of the paramedic profession as a whole continues to increase.

As the success of the MIH programs across the country continue to prove their value, we look forward to full recognition by CMS as a valuable patient care service that should be recognized outside of the traditional transport fee for service.

JD Fuiten
CEO, Metro West Ambulance
Director, AAA Board
2015 AAA Distinguished Service Award Winner
Hillsboro, OR

MetroWest Takes Highest Honors at Oregon EMS Awards

Hearty congratulations to AAA member MetroWest, whose employees took top honors at the September 23 Oregon EMS Awards.

Oregon Emergency Medical Services has many outstanding providers, extraordinary acts and meritorious service that are recognized every year.  On Friday evening, September 23rd, at the Oregon EMS Awards Banquet in Bend, Metro West Ambulance Crewmembers, Larry Hornaday, Paramedic and Trish Smith, EMT, were be recognized as the Paramedic and EMT providers of the year for the State of Oregon.

Read the full story on the MetroWest site.

 

 

 

 

Medicaid Waivers to End Coverage of Non-Emergency Transportation

By David M. Werfel, Esq | AAA Medicare Consultant
Updated February 16, 2016

Federal law requires that state Medicaid programs cover necessary transportation to and from health care providers in order to ensure access to care. However, as a result of Medicaid expansion under the Affordable Care Act and cost increases, recently, a few states have asked CMS to waive the requirement for non-emergency transportation so they can end coverage of non-emergency transportation.

CMS granted waivers to Iowa and Indiana. Pennsylvania received permission, but the subsequent change in the governor’s office altered the state’s expansion plans and state officials ultimately chose not to use it. Arizona has a pending request to provide prior authorization.

When Iowa was granted the waiver, a beneficiary survey was conducted to determine the impact on access to care. The survey found some beneficiaries with incomes under the poverty level did not have transportation to or from a healthcare visit. Other beneficiaries said a lack of transportation could prevent them from getting a physical exam in the coming year. However, CMS stated the cases of negative impact were not statistically significant enough to discontinue the waiver.

As a result of the complaints, Sen. Ron Wyden (D-OR) and Sen. Frank Pallone, (D-NJ) asked the Government Accountability Office to investigate the impact of these waivers. The report is not expected in the near future. However, when issued, it could embolden other states to seek a waiver.

AAA Members Named to NEMSAC

On May 12, 2015, two AAA member leaders were appointed to the  National Emergency Medical Services Advisory Council (NEMSAC) by U.S. Transportation Secretary Anthony Foxx. NEMSAC advises the Department of Transportation and the Federal Interagency Committee on critical EMS issues.

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