Case Studies

Contra Costa County Fire Protection District – Ambulance Service Feasibility Study

AP Triton conducted a Fire based ambulance feasibility study for the Contra Costa County Fire Protection District (population over 1 million). The study foundation was developed by determining what the current and past insured and uninsured payer mixes were. These payer mixes were all inclusive which, together with other demographic information, allowed us to determine the maximum value of the system. The Study then analyzed the Federal Reimbursement programs available and provided estimates for both GEMT (Ground Emergency Medical Transport) and IGT (Intergovernmental Transfer) programs. The study then provided several options for the Fire District to consider. The Public-Private Partnership option was chosen. AP Triton then provided services to select the private partner and services to respond to the County-wide RFP for Ambulance service. This project is completed.

Alameda County Fire Protection District – Ambulance Service Feasibility Study

AP Triton conducted a Fire based ambulance feasibility study for the Alameda County Fire Protection District (population over 1.5 million). The study foundation was developed by determining what the current and past insured and uninsured payer mixes were. These payer mixes were all inclusive which, together with other demographic information, allowed us to determine the maximum value of the system. The Study then analyzed the Federal Reimbursement programs available and provided estimates for both GEMT (Ground Emergency Medical Transport) and IGT (Intergovernmental Transfer) programs. The study then provided several options for the Fire District to consider. This study has been completed and delivered, and is awaiting a decision on further steps.

City of San Jose Fire Department – Ambulance Service Feasibility Study

AP Triton conducted a Fire based ambulance feasibility study for the City of San Jose Fire Department (population over 1.8 million). The study foundation was developed by determining what the current and past insured and uninsured payer mixes were. These payer mixes were all inclusive which, together with other demographic information, allowed us to determine the maximum value of the system. The Study then analyzed the Federal Reimbursement programs available and provided estimates for both GEMT and IGT programs. The study then provided several options for the Department to consider. This study has been completed and delivered, and is awaiting a decision on further steps.

City of Costa Mesa Fire Department – Ambulance Service Feasibility Study

AP Triton conducted a Fire based ambulance feasibility study for the City of Costa Mesa Fire Department (population 112,000). The study foundation was developed by determining what the current and past insured and uninsured payer mixes were. These payer mixes were all inclusive which, together with other demographic information, allowed us to determine the maximum value of the system. The Study then analyzed the Federal Reimbursement programs available and provided estimates for both GEMT and IGT programs. This study will provide several options for the Department to consider. This project is in progress.

City of Fresno Fire Department – First Responder Fee Study

AP Triton conducted a first responder fee study for the City of Fresno Fire Department (population 509,000). The study was to determine payer mixes of insured and uninsured and provide a first responder fee program and revenue projections. These payer mixes were all inclusive which, together with other demographic information, allowed us to determine the maximum value of the system. This project is completed.

California Fire Chiefs’ Association

An AP Triton consultant served as Project Manager for legal issues and Lead Negotiator on all GEMT and IGT programs on behalf of the California Fire Chiefs with the State of California Health and Human Services and Center for Medicaid Services.