Trending Topics

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

FR1 Affiliate images - 2025-08-19T114651.559.jpg

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.

| READERS RESPOND: We are not a taxi service: Preventable nursing home transfers

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.

Trending
The longstanding partnership between the Virginia Association of First Responders and the German Red Cross has strengthened EMS and built lasting international friendships
Amsterdam Fire Department is hiring non-firefighter EMTs and paramedics on ambulances while firefighters complete training
FDNY response times to life-threatening medical emergencies increased in fiscal 2026, according to the city’s latest Mayor’s Management Report
Meramec Ambulance District crews relied on previous training in caring for animals
Company News
First Due is again the highest-ranked Fire & EMS software company on the list

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.