http://www.tyngsboroughma.gov/download/documents/2015/Tyng%20Ambulance%20Comm%20Final%20Report%2011-30-2015.pdf

5 pages

the Town voted to hire two more FF/EMT and to begin operating a BLS FD
ambulance - replacing the private ambulance service (Trinity)

On page 3 or 5 - Medicare pays far less for an ambulance trip than a
private HMO - (dont like the sound of that at all)

Per pg 3 of 5 - if you do the math - the expected insurance
reimbursements are $600 per BLS call and $1000 per ALS call

Tyngsborough is right on the border with Nashua New Hampshire - which
runs multiple private ALS ambulances IIRC - and the Lowell paramedics
that respond to Tyngsboro are not very close - 11 to 13 minutes for
Lowell paramedics (Lowell Genl Hosp to Tyngsboro police station) - 5
to 9 minutes for Tyngs police station to Spit Brook Rd fire station in
Nashua - I am not sure where the Nashua ambulances are based - they
are probably pretty flexible - I wonder if they are licensed to
practice in Massachusetts? - maybe not

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