When the Spreadsheet Meets the Siren: How CMS’s Proposed GEMT Rule Could Reshape EMS Funding

The future of EMS funding may depend on how policymakers define the value of readiness. In this EMS1 article, PWW|AG EMS & Mobile Healthcare Consultant Matt Zavadsky examines CMS's proposed changes to Ground Emergency Medical Transportation (GEMT) reimbursement and what they could mean for Medicaid supplemental payments, agency budgets, staffing, equipment, and long-term financial sustainability. Learn why EMS leaders must understand the proposed rule, educate policymakers, and advocate for reimbursement models that recognize the true cost of maintaining 24/7 emergency response capability.