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The data is in. What the Full Medicare Ambulance Cost Report Says About the EMS Economic Model

by EMS|MC | Dec 19, 2025

Four years of Medicare Ground Ambulance Data Collection System (GADCS) reporting have confirmed what EMS leaders have long understood: reimbursement continues to fall well below the true cost of providing emergency medical services. In this EMS1 article, PWW|AG EMS & Mobile Healthcare Consultant Matt Zavadsky examines the full Medicare ambulance cost report, highlighting key findings on cost of service, Medicare reimbursement, readiness costs, and EMS financial sustainability. Learn how agencies can use this data to strengthen advocacy efforts, inform policymaking, and advance reimbursement reform that better reflects the value of EMS.

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