1995 almanac. EMS in the United States. 1995 survey of providers in the 200 most populous cities

Abstract

In summary, the continued acquisition of technology capable of providing managers with comprehensive analysis of system operations will enable managers to develop EMS configuration models capable of predicting operational and financial performance. Increased involvement of MCOs in the design and funding of EMS, in addition to recent HCFA decisions to reimburse for treatment--not provider training--will result in a move away from funding mechanisms that reward consumption of services to mechanisms that reward conservation (e.g., capitation). Ultimately, we (the authors) predict that the realignment of funding mechanisms, with assurances that quality patient care will not deteriorate, will result in some significant changes in the 200 most populous cities.