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"We know that Medicare and Medicaid rates have gone down Medicare more so than Medicaid Nike Air Huarache Cool Grey

over the last four years," Greene told WYFF. "But we do think that this year, we'll probably see another decrease in Medicare reimbursements."

Spartanburg County EMS director Jimmy Greene said he compared the rates with Greenville, Lexington, Horry and Charleston counties, in addition to the Mecklenburg EMS Agency (MEDIC) in Charlotte.

Councilman Mike Brown said he has yet to see what type of impact the Affordable Care Act could have on EMS services and rates if more people sign up for insurance.

Councilman Dale Culbreth said he supported the rate hike, in part, because he believes it will help offset the costs that Medicare and Medicaid will not cover.

"It doesn't matter what the rate goes to. Medicare and Medicaid will only pay 'X' amount," Culbreth told WYFF.

told the council that 73 percent of the patients served by EMS are on Medicare or Medicaid. The remaining 27 percent are covered by commercial insurance or pay out of pocket, Greene said.

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The rate increase is expected to generate $4.8 million in charges but only $105,000 in collected revenue.

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"The rate hike will only apply to that 27 percent," Greene said.

Upstate county raises EMS rates

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"If you look at their rates, we are lower than the average charge for those systems," Greene told WYFF.

Greene said the current basic level of Nike Huarache Ultra Breathe Black service costs $423 and includes an ambulance ride Nike Huarache Gold And White

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to the hospital and the simple treatment of injuries like bandaging a wound. The rate hike will increase that rate to $560, Greene said. Service calls that involve using cardiac equipment and drugs come with higher charges.

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