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EMS Financial Index for August 2025 reveals reimbursement pressures facing providers

The quarterly index from PWW|AG and EMS|MC distills data from over 1,500 agencies to guide revenue-cycle best practices amid funding and staffing strain

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PWW Advisory Group

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 Advantage growth and the first CMS Ground Ambulance Data Collection System findings — add to the challenges.

The Index is published quarterly, distilling benchmark revenue-cycle data from over 1,500 EMS|MC client agencies nationwide, with core themes and rotating focus topics each edition. The benchmarks and best-practice recommendations can help EMS agencies evaluate RCM performance and strengthen financial health.

Download the report at the PWW|AG Resource Hub.

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Bill Carey is the associate editor for FireRescue1.com and EMS1.com. A former Maryland volunteer firefighter, sergeant, and lieutenant, Bill has written for several fire service publications and platforms. His work on firefighter behavioral health garnered a 2014 Neal Award nomination. His ongoing research and writings about line-of-duty death data is frequently cited in articles, presentations, and trainings. Have a news tip? He can be reached at news@lexipol.com.