News & Updates

In cooperation with the American Ambulance Associationwe and others have created a running compilation of local and national news stories relating to EMS delivery, powered by EMSIntel.org. Since January 2021, 2,513 news reports have been chronicled, with 44% highlighting the EMS staffing crisis, and 37% highlighting the funding crisis. Combined reports of staffing and/or funding account for 80.7% of the media reports! 163 reports cite EMS system closures/takeovers, or agencies departing communities, and 95% of the news articles reference staffing challenges, funding issues and response times.


Click below for an up to date list of these news stories, with links to the source documents.

Media Log Rolling Totals Protected.xlsx

  • 29 Dec 2020 8:05 AM | AIMHI Admin (Administrator)

    #EMS association leaders say THANK YOU to #paramedics, #EMTs, #dispatchers, and other #MobileHealthcare professionals. Thank you for serving on the very front lines of our nation’s #COVID19 response!


  • 22 Dec 2020 1:17 PM | AIMHI Admin (Administrator)

    ABC Source | Comments Courtesy of Matt Zavadsky

    Many systems may be considering similar protocols as healthcare system capacity becomes more strained...

    ---------------------------

    American Ambulance will only transport Fresno County 911 callers who have life-threatening or emergency conditions

    Instead of transferring patients to a local hospital, paramedics will evaluate them first.

    By Gilbert Magallon

    Monday, December 21, 2020

     

    https://abc30.com/american-ambulance-fresno-county-911-emergency-call/8962755/

     

    FRESNO, Calif. (KFSN) -- The way American Ambulance responds to your 911 calls in Fresno County is changing.

     

    As of Monday, only patients with life-threatening and emergency conditions will be transferred to the hospital.

     

    "If you feel like you need to call 911, if your family member is sick and you need to call 911, call 911," said Edgar Escobedo, American Ambulance operations manager. "We are going to be there, we are going to assess that patient and if necessary we are going to transfer that patient."

     

    The new Assess and Refer Policy was implemented Monday to relieve overwhelmed emergency rooms.

     

    Escobedo said instead of transferring patients to a local hospital, paramedics will evaluate them first.

     

    Their condition will then determine if they go to the hospital or if they're referred to an urgent care facility, their primary care doctor, or telemedicine.

    CONTINUE READING>

  • 17 Dec 2020 8:29 AM | AIMHI Admin (Administrator)

    Comments Courtesy of Matt Zavadsky

    For those who may have missed it, the American Ambulance Association hosted a webinar and Facebook live event last evening explaining the recent Phase 3 distribution of Provider Relief Funds (PRF).  Scott Moore, Brian Werfel and Asbel Montes did a wonderful job explaining the Phase 3 distribution, and answering many questions from the attendees.

    We strongly encourage all ambulance suppliers and providers to watch the recording of the webinar, which is available here è https://www.youtube.com/watch?v=ne-7ka2Vw6Q&t=42s

    Background:

    HHS recently announced the distribution of funds for Phase 3 under the COVID-19 Provider Relief Fund.  According to the announcement, “ambulance or transportation service providers will be receiving $1.48 billion in Phase 3 funding”. The funding is in addition to the approximately $350 million distributed to ambulance service providers and suppliers under Phase 1 and 2 for a total of $1.83 billion. The American Ambulance Association has been tirelessly advocating for a total of $2.89 billion in relief for our industry.

    The new funds are being distributed to those providers and suppliers who applied for funds under Phase 3. The funds cover lost revenue and increased expenses incurred during the first and second quarters of 2020 due to the COVID-19 pandemic.

    The funding under Phase 3 is intended to cover up to 88 percent of losses so those applicants who previously reached that threshold will not receive any funds under the latest round. While the AAA encouraged members to apply for Phase 3 even if they did not believe they would be eligible for additional funds, we will be pushing for another round of funds to enable those who didn’t apply to receive additional relief.


  • 14 Dec 2020 2:21 PM | AIMHI Admin (Administrator)

    Traverse City Eagle Source | Comments courtesy of Matt Zavadsky

    Let’s see.... 

    Annual Cost = $755,000 - $1,548,000, plus capital.  Annual Revenue = $484,000.  Clearly this is a tough decision...  J

    If they require MMR to pay for First Responder services, bet the payer would then require an EMD process that only trigger a first response unit for cases that evidence shows a first response may make a difference in the patient’s outcome.  That will certainly reduce the fire department’s response volume!

    ------------------------

    Ambulance study shows changes could cost millions

    By Jordan Travis

    jtravis@record-eagle.com  

    Dec 13, 2020

    TRAVERSE CITY — Making Traverse City Fire Department the city’s primary emergency management services transport provider would be a costly undertaking.

    Buying two new ambulances, as would be needed, would cost up to $500,000 for both, according to a study by TriData. Then, the city would need to spend $755,000 to $1,548,000 on staffing to add seven to nine employees to each shift. That doesn’t include the costs of modifying Stations 1 and 2 to accommodate the larger crews.

    Charging for services would cover some of the costs, but EMS transport rarely turns a profit, according to the study. The city could anticipate $484,000 in revenues for transport each year, and up to $338,000 if it charges for EMS first responder services without transport.

    That’s the findings of a study city commissioners will hear more about at their study session Monday. City Fire Chief Jim Tuller said the idea of Traverse City becoming a primary EMS transport provider goes back to the 1980s when a countywide ambulance service dissolved and Munson Healthcare took over.

    Continue Reading►

  • 14 Dec 2020 8:35 AM | AIMHI Admin (Administrator)

    60 Minutes Source | Comments Courtesy of Matt Zavadsky

    Fascinating report on 60 Minutes this evening.  The link below contains the video version – well worth the watch!

    Interesting that the California AG who did the investigation, brought the suit, and negotiated the proposed $575 million settlement, is the Biden Administration’s pick for HHS Secretary.

    ----------------------

    How a hospital system grew to gain market power and drove up California health care costs

    Sutter Health is in the midst of a lawsuit for business practices that drove up health care prices for Californians.

    The coronavirus pandemic has unleashed more than a flood of disease in this country. It's also expected to accelerate a wave of hospital mergers and acquisitions – with big hospitals buying up smaller ones. This consolidation, economists say, is one of the main reasons the cost of health care in this country is going through the roof.

    There's a lawsuit over this in COVID-ravaged California, with the state attorney general claiming that Sutter Health, a hospital chain based in Sacramento, got so big it had essentially become a monopoly.

    On the eve of the trial, Sutter tentatively agreed to a settlement that's awaiting a judge's approval. But this is, even at this stage, a landmark case because it pulled back the curtain on what has rarely been seen or so thoroughly documented before: how and why hospital prices have been skyrocketing.

    Sutter is a sprawling health care system that's the largest and most dominant provider in Northern California.

    Xavier Becerra: They're like the bully on the block. They were able to bully everyone else to conform; it was my way or the highway.

    The state's attorney general, Xavier Becerra, filed a civil lawsuit against Sutter in 2018. We interviewed him before the pandemic and before he was nominated for secretary of Health and Human Services.

    Xavier Becerra: They were gobbling up hospitals. They were gobbling up physicians through these physician practices. They were just munching away, getting bigger and bigger.

    Till they amassed a conglomerate of 24 hospitals, 12,000 physicians, and a string of cancer, cardiac and other health care centers.

    Xavier Becerra: Sutter got big enough that it could use its market power to dominate, to dictate. It was abusing of its power.

    The suit accuses Sutter of embarking on "…an intentional, and successful, strategy…" of cornering much of the market in Northern California, and then jacking up prices -- for example, on the price of delivering a baby.

    CONTINUE READING►

  • 9 Dec 2020 9:13 AM | AIMHI Admin (Administrator)

    MedArrive Press Release in Fierce Healthcare| Comments courtesy of Matt Zavadsky

    Heads up EMS’rs....  Another VC funded company leveraging the trusted EMS provider community to provide patient-centered care, that adds value to the payers...

    Two versions of the announcement are below.

    We are in hyperturbulent times in our communities and healthcare systems.  Hometown EMS agencies should leverage their community trust and ‘Swiss army knife’ approach to healthcare, including the important 9-1-1 component of our service delivery, to demonstrate new value to our payers!

    Many agencies have been very successful doing this, especially during the pandemic.  Some of us have even applied for, and already received approval, to be ‘Type 73’ providers for CMS, making us eligible for reimbursement from Medicare, Medicaid and others for things like vaccine administration and monoclonal antibody infusions...

    This is OUR time...  J

    Tip of the hat to Curt Bashford and Rob Lawrence for helping assure this information was distributed.

    ----------------

    MedArrive launches to bring more humanity to healthcare

    With $4.5 million in funding from Kleiner Perkins and Define Ventures, and backed by Redesign Health, MedArrive is poised to bridge the virtual care gap and make affordable at-home care the new norm.

    December 03, 2020

     

    https://www.globenewswire.com/news-release/2020/12/03/2139204/0/en/MedArrive-launches-to-bring-more-humanity-to-healthcare.html

     

    SAN FRANCISCO, Dec. 03, 2020 (GLOBE NEWSWIRE) -- Today MedArrive launched a new care management platform that enables healthcare providers and payors to extend services into the home, scaling access to high quality healthcare and meaningfully reducing costs for providers and their patients. MedArrive – co-founded by Dan Trigub and Inna Plumb – bridges the virtual care gap by integrating physician-led telemedicine with hands-on care from a network of trusted EMS professionals, improving patient outcomes while empowering an underutilized segment of healthcare workers.

     

    Backed by Redesign Health, MedArrive is also announcing a $4.5 million seed round, co-led by Kleiner Perkins and Define Ventures. In connection with the investment, Annie Case, Principal at Kleiner Perkins, and Lynne Chou O'Keefe, Founder and Managing Partner at Define Ventures, will both join the MedArrive Board of Directors.

     

    “Now more than ever, as we continue battling a global pandemic, patients deserve healthcare that is accessible, affordable, and safe,” said Dan Trigub, co-founder and CEO of MedArrive. “The current pandemic has placed additional stress on our already flawed health system – patients are avoiding clinics, delaying preventative and critical care, and facing financial strain. By working alongside communities of EMS professionals, providers, and payors to bring high quality care into the home at a fraction of the cost of alternatives, MedArrive’s integrated solution is putting patients back at the center of care.”

     

    MedArrive taps into a capable workforce of EMS professionals (e.g., EMTs and paramedics) so they can leverage the full scope of their training, earn supplemental income and diversify their day-to-day responsibilities. At the same time, patients using MedArrive are able to access trusted medical expertise from the safety of their homes and within their existing health systems, ultimately resulting in better patient outcomes, a better utilized healthcare workforce, and significant cost savings for patients and providers alike.

     

    “Telehealth has enabled patients across the country to access important care from the safety of their homes throughout the pandemic. But many care needs require in-person visits and diagnostics, and often benefit from deeper insight into a patient’s experience at home,” said Pat Songer, COO of Cascade Medical Hospital, Executive Director of the National EMS Management Association, and Advisor to MedArrive. “EMTs and paramedics are highly-trained medical professionals and trusted members of their communities. What MedArrive is doing is enabling this workforce to utilize the full scope of their training and provide care in the home that cannot be done as effectively in a clinic setting, such as medication reconciliation, discharge instruction adherence, fall risk assessment, and collection of key SDoH and environmental data. This translates to better care experiences for patients and lower costs.”

     

    MedArrive launches with $4.5 million in funding from Kleiner Perkins and Define Ventures. This injection of capital will enable MedArrive to continue building their innovative platform, growing their team of industry experts, and driving the expansion of key healthcare provider partnerships across the country. With an initial focus on the Florida market, the team expects to expand quickly and effectively over the coming months.

     

    "Telemedicine is the clearest example of the pandemic remaking business as usual, but telemedicine alone is not the answer," says Annie Case, Principal at Kleiner Perkins. "We need platforms like MedArrive that can enrich and expand the use cases of telemedicine through onsite visits, and we believe MedArrive's partnership-driven approach will help them emerge as a leader in the space. We're looking forward to working with the incredible team at MedArrive as they scale their innovative model and reinvent at-home care."

     

    "Before the COVID-19 pandemic, the healthcare system was focused on the continuity of care from hospital to home,” says Lynne Chou O'Keefe, Founder and Managing Partner at Define Ventures. “With this trend and the urgency of COVID, we believe MedArrive is an important scalable solution that will help redefine how healthcare is delivered to patients at the home."

     

    Today, MedArrive partners can tap into a dense network of more than 20k trusted EMTs and paramedics ready to be deployed across the country, with equal representation in rural and urban markets. This will be particularly critical for our partners looking to distribute flu vaccines and, when available, a COVID-19 vaccine without overwhelming health systems. Additional services include chronic condition management, transitional care, readmission prevention, urgent care, palliative care and more. MedArrive provides the most extensive coverage for providers and payors looking to expand their impact and scale care into the home to meet the diverse needs of their patients.

     

    About MedArrive

    MedArrive enables healthcare providers to seamlessly extend care services into the home, unlocking access to high quality healthcare for more people at a fraction of the cost. MedArrive’s fully integrated care management platform allows providers and payors to bridge the virtual care gap by marrying physician-led telemedicine with hands-on care from EMS professionals. This unique approach means that patients are able to access trusted medical expertise from the comfort and safety of their homes without any interruption to continuity of care, ultimately resulting in better patient outcomes, a better utilized healthcare workforce, and significant cost savings for patients and providers alike. MedArrive has more than 20k highly-skilled EMS providers in its national network and services span dozens of clinical use cases including chronic condition management, transitional care, readmission prevention, urgent care, vaccinations, palliative care and more. For more information, visit medarrive.com.

     

    -----------------

    Dan Trigub left Uber Health to start a new healthcare venture. Here is what he's working on

    by Heather Landi

    Dec 3, 2020

     

    https://www.fiercehealthcare.com/tech/dan-trigub-left-uber-health-to-start-a-new-healthcare-venture-here-what-he-s-working

     

    In his two years at Uber Health, Dan Trigub worked to expand access to medical transportation, and, now, he's focused on building a unique approach to home health.

     

    Trigub and co-founder Inna Plumb have launched MedArrive as a new care management platform that enables healthcare providers and payers to extend services into the home.

     

    The startup bridges the virtual care gap by integrating physician-led telemedicine with hands-on care from a network of trusted EMS professionals, improving patient outcomes while empowering an underutilized segment of healthcare workers, according to the company.

     

    Backed by Redesign Health, MedArrive banked a $4.5 million seed round co-led by Kleiner Perkins and Define Ventures. In connection with the investment, Annie Case, principal at Kleiner Perkins, and Lynne Chou O'Keefe, founder and managing partner at Define Ventures, will both join the MedArrive board of directors.

     

    Based in New York City, Redesign Health is a venture studio and holding company incubating tech-enabled healthcare businesses.

     

    The injection of capital will enable MedArrive to continue building its platform, grow its team of industry experts and drive the expansion of key healthcare provider partnerships across the country. With an initial focus on the Florida market, the team expects to expand quickly and effectively over the coming months.

     

    The COVID-19 pandemic has placed additional stress on the health system, with patients avoiding clinics, delaying preventive and critical care and facing financial strain.

     

    "By working alongside communities of EMS professionals, providers, and payors to bring high-quality care into the home at a fraction of the cost of alternatives, MedArrive’s integrated solution is putting patients back at the center of care," said Trigub, CEO of MedArrive.

     

    “Now more than ever, as we continue battling a global pandemic, patients deserve healthcare that is accessible, affordable and safe,” he said.

     

    Clinical care is moving more into the home, and telemedicine is growing with the tailwinds of the COVID-19 pandemic, but it can’t solve every health problem, Trigub told Fierce Healthcare.

     

    "Our mission statement is to improve people’s lives to bring more humanity to healthcare, the physical touch and the contact, and telemedicine strips out the human side of care. By building this platform and infrastructure, we're connecting three stakeholders, patients, health plans and health systems and we're leveraging the most under-utilized workforce in healthcare, EMTs and paramedics," he said.

     

    MedArrive taps into a capable workforce of EMS professionals so they can leverage the full scope of their training, earn supplemental income and diversify their day-to-day responsibilities. At the same time, patients using MedArrive are able to access trusted medical expertise from the safety of their homes and within their existing health systems, ultimately resulting in better patient outcomes, a better-utilized healthcare workforce and significant cost savings for patients and providers alike, according to the company.

    Trigub, who left Lyft to become the head of Uber Health, announced in September that he was leaving the ride-share giant.

     

    "Uber, at the end of the day, is not a healthcare-first organization. It's a massive company with amazing scale and reach. But there are lots of competing priorities. I wanted to give my full attention to a pure healthcare business, and it's a tremendous opportunity outside of a large tech environment that can have a lot of red tape and internal politics," he said.

     

    While telehealth has helped to increase access to care, many care needs require in-person visits and diagnostics and often benefit from deeper insight into a patient’s experience at home, said Pat Songer, chief operating officer of Cascade Medical Hospital, executive director of the National EMS Management Association and adviser to MedArrive.

     

    “What MedArrive is doing is enabling this [EMS] workforce to utilize the full scope of their training and provide care in the home that cannot be done as effectively in a clinic setting, such as medication reconciliation, discharge instruction adherence, fall risk assessment, and collection of key SDoH and environmental data. This translates to better care experiences for patients and lower costs," Songer said.

     

    MedArrive partners can tap into a network of more than 20,000 trusted emergency medical technicians and paramedics, with equal representation in rural and urban markets. This will be particularly critical for the company's partners looking to distribute flu vaccines and, when available, a COVID-19 vaccine without overwhelming health systems, according to MedArrive executives.

     

    Additional services include chronic condition management, transitional care, readmission prevention, urgent care and palliative care.

     

    The COVID-19 pandemic has accelerated the shift to providing clinical care in patients' homes, according to Plumb, who has experience in private equity, finance and analytics.

     

    "Care is moving into the home, but how can we do it cost-effectively? By leveraging EMS and existing players in the market to deliver care in a cost-effective way, we can be active in both rural or urban environments," she said.

     

    By leveraging virtual care and in-person care, MedArrive enables providers and payers to see what's going on in a patient's home to address social determinants of health and quality of life issues, Trigub said.

     

    That taps into Trigub's experience at Uber Health, where he led the company to form partnerships with Medicare Advantage plans to open up ride-sharing options. Uber Health also has put a focus on Medicaid as a key market to focus on at-risk populations.

     

    "What we can truly do here at MedArrive is have an outsized impact to help democratize healthcare," he said.


  • 4 Dec 2020 5:25 PM | AIMHI Admin (Administrator)

    Washington Post source | Comments courtesy of Matt Zavadsky

    There has been a plethora of national and local news stories this week about this issue –

    An NBC News report and a recent MSNBC interview with Dr. Ed Racht earlier this week.

    Ambulance agencies large and small, urban and rural, on the brink of collapse!

    --------------------

    Pandemic is pushing America’s 911 system to ‘breaking point,’ ambulance operators say

    Surging demand, financial strain are leaving ambulance corps exhausted and running out of funds

    By William Wan, Dec. 3, 2020

    https://www.washingtonpost.com/health/2020/12/03/911-ambulance-services-breaking-point/

    The coronavirus pandemic has pushed America’s 911 system and emergency responders to a “breaking point,” with ambulance workers and their services financially strained.

    Ambulance providers from New York to Iowa to Georgia say the situation is increasingly dire. Desperate for a financial infusion to keep such operations afloat, the American Ambulance Association recently begged the Department of Health and Human Services for $2.6 billion in emergency funding.

    “The 911 emergency medical system throughout the United States is at a breaking point,” Aarron Reinert, the association’s president, wrote to federal health officials in a Nov. 25 letter obtained by The Washington Post. “Without additional relief, it seems likely to break, even as we enter the third surge.”

    The strain could result in longer wait times and some providers going out of business, ambulance operators said.

    Ambulance providers are struggling to meet surging demand even while grappling with increased costs of personal protective equipment, overtime, staff shortages as workers fall ill and decreases in the type of emergency calls that are reimbursed.

    CONTINUE READING►


  • 3 Dec 2020 5:36 PM | AIMHI Admin (Administrator)

    CMS Source | Comments Courtesy of Matt Zavadsky

    CMS is delaying the data collection and reporting period for ground ambulance organizations selected to participate in year 1 for two years and for one year for ground ambulance organizations selected to participate in year 2.

    With this modification, the data collection period for year 1 and year 2 selected ground ambulance organizations will begin between January 1, 2022 and December 31, 2022.

    Does cause a bit of a challenge, since the data from this process is going to be used to evaluate the Medicare reimbursement rates, so further delays may cause a time compression issue on the back end of this timeframe.

    CMS has issued a revised blanket waiver yesterday: https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf to delay the Medicare Ground Ambulance Data Collection System. 

    Please see page 31 of the above linked document 


  • 2 Dec 2020 9:08 AM | AIMHI Admin (Administrator)

    Source Slide Deck | Comments Courtesy of Matt Zavadsky

    Nice to see EMS in the Phase 1a sequence recommended by the (Advisory Committee on Immunization Practices) ACIP yesterday afternoon! 

    May help with talking points for state officials who do not seem to think EMS providers should be in Phase 1?!

    You can download the full slide deck here è https://www.cdc.gov/vaccines/acip/meetings/slides-2020-12.html


  • 2 Dec 2020 8:51 AM | AIMHI Admin (Administrator)

    Modern Healthcare Source | Comments courtesy of Matt Zavadsky

    Perhaps a little bit of a mixed-bag for some telehealth services, but overall, seems that the extension of the telehealth services for emergency department visits, and the hint that those provisions may become permanent, may help the role of telemedicine in EMS and patient navigation.

    The final rule also contains coverage for telehealth services provided in a patient’s home.

    The use of video telemedicine for physicians to supervise other healthcare providers – could also be beneficial for an EMS integration strategy.

    ---------------------

    CMS signs off on physician fee schedule changes

    MICHAEL BRADY

    December 01, 2020

    https://www.modernhealthcare.com/physician-compensation/cms-signs-physician-fee-schedule-changes

     

    CMS on Tuesday signed off on Medicare's 2021 physician fee schedule, giving providers just a month to prepare for the changes.

     

    The final rule permanently allows Medicare providers to use telehealth to carry out home visits for so-called evaluation and management services and some visits for people with cognitive impairments. It also temporarily continues telehealth services for emergency department visits and other services with an eye toward making them permanent, according to a CMS fact sheet.

     

    "Telehealth has long been a priority for the Trump Administration, which is why we started paying for short virtual visits in rural areas long before the pandemic struck. But the pandemic accentuated just how transformative it could be," CMS Administrator Seema Verma said in a statement.

     

    According to CMS, more than 24.5 million of Medicare's 63 million beneficiaries and enrollees received a Medicare telemedicine service during the public health emergency. The agency expanded the telehealth services rural enrollees can receive at healthcare facilities. During a call with reporters, Verma reiterated that Congress needs to change federal law to permanently allow non-rural beneficiaries to receive telehealth benefits or for Medicare beneficiaries to receive telehealth services at home. She noted the agency will study the safety, quality and cost of remote patient monitoring and virtual physician supervision.

    Continue Reading>


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