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eBook Dec 31, 2025

What We Learned from the first CMS Ambulance Cost Report

Male speaker in a white shirt delivers a talk on stage, gesturing with his hand as a large screen glows behind him.

The first CMS Medicare Ground Ambulance Data Collection System (GADCS) report confirms what EMS leaders have long known: ambulance reimbursement is not keeping pace with the cost of providing care.

This eBook breaks down the report's most important findings, including the documented 57% revenue shortfall facing ambulance services, and explains what the data means for EMS agencies, reimbursement strategy, operational planning, and long-term financial sustainability.

Inside this eBook, you'll learn:

Key findings from the first CMS Medicare GADCS report
What the 57% revenue shortfall means for EMS agencies
How to use GADCS data to strengthen reimbursement advocacy
Strategies to improve financial sustainability and operational performance
Why every EMS leader should understand the future of Medicare ambulance reimbursement

This practical guide helps EMS leaders turn CMS data into actionable insights for stronger financial decision-making and more effective advocacy.

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