MSB Locations

Kentucky’s EMS agencies confront devastating financial pressures with Medicaid reimbursements averaging just $150-190 per transport while serving Appalachian communities with extreme poverty and geographic barriers—realities ...

Kansas EMS providers battle severe reimbursement challenges with Medicaid rates among the nation’s lowest at $140-180 per transport, forcing many rural services toward insolvency. Ambulance ...

Iowa’s rural EMS agencies face critical financial challenges, with the average transport distances exceeding 25 miles and Medicaid reimbursements covering less than 45 % of ...

Indiana’s EMS providers struggle with Medicaid reimbursement rates that barely cover 40% of actual transport costs, forcing agencies to rely heavily on commercial insurance and ...

Illinois ambulance services face mounting financial pressure from low Medicaid reimbursement rates averaging just $200-$250 per transport, combined with lengthy payment delays exceeding 90 days—pressures ...

Idaho’s emergency medical services face unprecedented challenges with the lowest EMS tax levy in the state, creating critical funding gaps that directly impact ambulance collections ...

District of Columbia’s ambulance providers manage unique federal jurisdiction complexities with 40% of transports involving federal employees or facilities, creating billing challenges while navigating strict ...

Hawaii’s ambulance providers navigate extraordinary challenges with inter-island patient transfers requiring air ambulance coordination, tourist emergencies comprising 30% of transports, and geographic isolation creating the ...

Georgia’s ambulance providers face critical challenges with 62 rural hospitals closed or financially distressed, forcing 90-mile average transports in some counties, while Atlanta’s traffic congestion ...

Florida’s ambulance providers battle the perfect storm of 25% uninsured emergency transports, aggressive managed-care prior-authorization denials, and the nation’s highest elderly population requiring complex Medicare ...

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