Policy Update

The Future of Local Emergency Medical Service: Ambulance Wars or Public-Private Truce?

Policy Update 18

The 1990s were a tumultuous decade for public and private officials seeking to privatize ambulance services. Public officials had hoped that local battles among providers early in the decade would bring greater competition and better services. However, consolidation and changes in reimbursements in the mid-1990s altered the landscape. Now, at the beginning of the 2000s, new models are emerging that offer public officials viable alternatives for achieving market-based solutions.