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x635

Empress EMS is the New Provider Of 911 EMS for the City Of New Rochelle

24 posts in this topic

From the Empress EMS Facebook page:

"As of 0001 hours Empress EMS will be the 911 provider for the City of New Rochelle.

Congratulations to our staff, we invite experienced EMTs and Paramedics to apply to empress for immediate job openings. Fill out an application on our website at www.empressems.com or email us at careers@empressems.com or call (914) 965-5040 ext 3033.

We are making a difference!"

nramacciato and Westfield12 like this

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Congrats Empress! Didn't they hold the New Rochelle contract in the past as well?

x635 and Westfield12 like this

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Congrats Empress! Didn't they hold the New Rochelle contract in the past as well?

This is the 6th change of providers to the City of New Rochelle for ambulance coverage after N.R. Hospital discontinued ambulance service in 1975. Empress had the contract in the mid 1980's.

Edited by LTNRFD
x635 likes this

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Is there going to be 3 ambulances at night of just 2 like transcare was doing ?

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30A15 went out on an FD smoke in the structure call. 60-Control didn't assign him, and he said he would landline 60. Anybody know what's up with this?

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30A15 went out on an FD smoke in the structure call. 60-Control didn't assign him, and he said he would landline 60. Anybody know what's up with this?

The smoke in the structure call was at the McDonalds next to Sta #3. If that was the unit assigned to stay #3, they would have had to move the ambulance so Eng 23 could respond. Thus putting them basically on the scene anyway.

x635 and Disaster_Guy like this

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This is much more than open competitive bidding. TranCare is a sinking ship. Good move for NR.

Over the past year they have lost multiple major NYC contracts, had to skip payday several times and even sold their assets down in Maryland/ Delaware.

While EMS being the red headed step child does cause issues like this, I do not believe this is one of those circumstances.

NR is lucky to have Empress. They are an outstanding company, especially when compared to others out there. TransCare hires anybody with a pulse, while you actually have to be selected by Empress. They have higher training standards, better equipement and run a true 'high performance' system.

Edited by babhits16
Sturminator and x635 like this

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Used to be that the EMS agencies changed in the big cities on a regular basis. It was kind of a joke every time the contract was awarded. Most of the EMS crews would just change shirts and move into a different vehicle and voila, new agency. I guess it was when the contracts became zero bid and relied solely on billing (?) that the tenure of an agency got so much longer.

velcroMedic1987 likes this

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Used to be the standing joke back in the day that medics wore Velcro patches because the companies changed in the cities so often. Sometimes it was a change for the better. Sometimes it was just a change.

All in all it's not that big a deal.

Let's see who we had in the cities...

AA
Abbey Richmond
Affiliated
Empress
TransCare

Who else am I missing?


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This is much more than open competitive bidding. TranCare is a sinking ship. Good move for NR.

Over the past year they have lost multiple major NYC contracts, had to skip payday several times and even sold their assets down in Maryland/ Delaware.

While EMS being the red headed step child does cause issues like this, I do not believe this is one of those circumstances.

NR is lucky to have Empress. They are an outstanding company, especially when compared to others out there. TransCare hires anybody with a pulse, while you actually have to be selected by Empress. They have higher training standards, better equipement and run a true 'high performance' system.

TC's hiring standards are only low for the "Core" side of the business (interfacility transport). In order to work on the 911 side of the business you have to be at the company for at least 6 months with no disciplinary or performance issues and then you're put on a waiting list to move over. Then you have to interview again with one of the 911 supervisors and take a skills/scenario test before they'll give you a 911 spot.

Used to be the standing joke back in the day that medics wore Velcro patches because the companies changed in the cities so often. Sometimes it was a change for the better. Sometimes it was just a change.

All in all it's not that big a deal.

Let's see who we had in the cities...

AA

Abbey Richmond

Affiliated

Empress

TransCare

Who else am I missing?

MetroCare

Edited by recoiloperated

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Empress Emergency Medical Services will take over ambulance services under a 90-day emergency contract. A new emergency transportation contract will be put out for bid in the coming months.

See more at: http://www.newrochelletalk.com/content/new-rochelle-makes-unexpected-midnight-switch-emergency-transportation-services#sthash.4wHWYrGF.dpuf

Does the White Plains ambulance and Mount Pleasant flycar, which are both Transcare contracts, have the same clause as New Rochelle?

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Curious what the bid was.

Up here, one city is now CHARGING its private ambulance service for the contract. Yes, the city makes money.

The charge is for dispatch services. MDTs, radios, and a share of dispatch costs.

Used to be a zero bid, now the city makes a few hundred thousand off of the company. Interesting, huh?

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*NOTE*

As to not get too far off topic, I have split the countywide consolidation conversation into it's own thread

http://www.emtbravo.net/index.php/topic/52231-countywide-ems-consolidation/

so the discussion regarding the New Rochelle EMS contract can continue to be discussed here.

Westfield12 likes this

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Wow. Those are ALL rare benefits for private EMS.

So, costs are mostly the same, reimbursement should be fairly equal, depending on collection rates and ability.

First question that comes to my pea brain is .... If empress can do it, and clearly do it fairly well, why can't everyone else?

And my second question is for those other companies: WHERE DOES THE MONEY GO?

AFS1970 likes this

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Stat, I asked the same question. We all bill the same folks: Medicare, medicaid, automobile, workers comp and private insurance. They all pay the same rates per call, no matter who is doing the call or how much they charge. You can bill $2000, but insurance will pay what they pay, "Usual and customary" I believe is the phrase.

So if Emp and TC are both doing a lot of calls (I think they are) and they are both getting paid the same amount per call (again I think they are), then why is one flourishing and the other not? A guy I spoke to who seemed to have banking industry info told me that TC has an bad billing operation. True? Who knows? It would explain things. But if that is the case, why not hire a billing consultant and say "FIX THIS!" Ego? bad management? Good companies fail every day.

My heart goes out to all the folks working for Transcare. They are good people I am sure. Having this kind of instability affects a lot of things- vacations, car purchases, new home purchases and other long term planning. Like EMS folks really need another stressor in their lives!?

Good luck to all of them. I hope for the best for you.

Bill

x635, LTNRFD and nydude2473 like this

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Wow. Those are ALL rare benefits for private EMS.

So, costs are mostly the same, reimbursement should be fairly equal, depending on collection rates and ability.

First question that comes to my pea brain is .... If empress can do it, and clearly do it fairly well, why can't everyone else?

And my second question is for those other companies: WHERE DOES THE MONEY GO?

Tremendous corporate overhead in some cases.

Over extension is another big flaw of these companies that grow like weeds for a while then die out when they can't sustain it. They proclaim that they can do the service for $5.00 but that doesn't tell the customer (town/village/city/district) that the actual cost is $25 and they're subsidizing it with funds from other places.

It's a giant house of cards and when it fails, it fails big.

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TransCare is owned by Lynn Tilton (Founder & CEO, Patriarch Partners) this is the same company that ran American LaFrance into the ground.

fdalumnus and x635 like this

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Hey Mark:

I didn't know before now how Empress got the contract- no idea it was by a default. I had assumed it was a lost bid. before my time.

If I recall correctly, when Empress lost it the last time, it was becasue of a $50,000 difference in bid price. Not sure if that was $50,000 per year, or spread over the 3 year length of the contract.

Your post begs the question WHY did Affiliated do that- rotate guys out, put medics in ambulletts and other seemingly silly things? I mean, why annoy your staff to the point that they leave and you lose the contract??!! When they left Affiliated, where did they find jobs?

Also, did Abbey actually lay off, or did guys just leave on their own?

In the order of a history lesson, I believe it was under Transcare that the contract fundementaly changed. Originally it was set up that NR paid the provider a set amount; I think I once heard $1.3 million, in exchange for 1 ALS unit 24X7 and a second one for 16 or 18 hours a day. Again, not sure if that was per year, or over 3 years. The providor gave the City PCR copies ( no HIPPA bac then) and the City billed. Some years they broke even, most years they lost a few thousand, once ot twice there was a small profit for the city. NR basicly bought wholesale ambulance service, and sold it to their callers for retail.

Then Transcare went to a zero-bid deal. They billed directly. That was when Pelham jumped off of being a NR add-on and contracted with Empress for service. As I recall, NR had been getting paid by Pelham $90,000 for use of the NR contracted ambulance when NR was paying for it. When it went to zero bid, NR still wanted to charge Pelham for a service that was costing NR nothing. Pelham didn't like that and so they made their own deal with Empress.

Mark, I defer to yourself and Barry who may have better information and memory than I. ( I am sure Barry THINKS he does anyhow!).

x635 likes this

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Hey Mark:

I didn't know before now how Empress got the contract- no idea it was by a default. I had assumed it was a lost bid. before my time.

If I recall correctly, when Empress lost it the last time, it was becasue of a $50,000 difference in bid price. Not sure if that was $50,000 per year, or spread over the 3 year length of the contract.

Your post begs the question WHY did Affiliated do that- rotate guys out, put medics in ambulletts and other seemingly silly things? I mean, why annoy your staff to the point that they leave and you lose the contract??!! When they left Affiliated, where did they find jobs?

Also, did Abbey actually lay off, or did guys just leave on their own?

In the order of a history lesson, I believe it was under Transcare that the contract fundementaly changed. Originally it was set up that NR paid the provider a set amount; I think I once heard $1.3 million, in exchange for 1 ALS unit 24X7 and a second one for 16 or 18 hours a day. Again, not sure if that was per year, or over 3 years. The providor gave the City PCR copies ( no HIPPA bac then) and the City billed. Some years they broke even, most years they lost a few thousand, once ot twice there was a small profit for the city. NR basicly bought wholesale ambulance service, and sold it to their callers for retail.

Then Transcare went to a zero-bid deal. They billed directly. That was when Pelham jumped off of being a NR add-on and contracted with Empress for service. As I recall, NR had been getting paid by Pelham $90,000 for use of the NR contracted ambulance when NR was paying for it. When it went to zero bid, NR still wanted to charge Pelham for a service that was costing NR nothing. Pelham didn't like that and so they made their own deal with Empress.

Mark, I defer to yourself and Barry who may have better information and memory than I. ( I am sure Barry THINKS he does anyhow!).

Affiliated and NY Ambulance were offshoots of an ambulette company. There weren't EMS professionals running it and their focus was solely on one thing... $$$$. Affiliated came in and low bid the contracts taking both NR and MV until they screwed things up badly enough that they lost them in both cases to Empress, IIRC. I believe NR fell first and MV followed. Ironically the owners were ultimately convicted of fraud and the entire Schiowitz empire crumbled.

EMS in the 80's was far different than it is today. The only jobs (outside the city) were with privates and you just endured the trials and tribulations of contract time.

Before the current model, Yonkers went through the same thing. I believe it went hospitals, Yonkers VAC (BLS with ALS provided by Yonkers PD paramedics on "e-rigs" or precursor to fly-cars), AA, Abbey Richmond, Empress but there may have been another round of rotations back then. Amazing how the memory fades with age. YPD continued providing paramedic services for quite some time, I'm not exactly sure when they stopped.

x635 likes this

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Let's not forget that Jim O'Connor left Transcare last year and was (re)hired by Empress EMS. HUGE mistake by Transcare!

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