MECHANICSBURG, Pa. — EMS agencies now have fresh financial benchmarks to measure performance with the release of the August 2025 EMS Financial Index from PWW Advisory Group (PWW|AG), in partnership with EMS|MC .

The report tracks key metrics, including emergency response service mix, patient financial responsibility on commercial claims, Medicare versus Medicare Advantage reimbursement levels, and reimbursement trends for treatment-in-place services.

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Many EMS agencies face severe financial strain, hindering recruitment/retention and even forcing service cuts or closures. Shifting reimbursement rules — including the One Big Beautiful Bill Act , new state balance-billing laws, Medicare Advant

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