Mor3 with less? Or more with lots more?  

So clearly most people commenting aren't in the HAA world. Out of all the major EMS providers, Air Merhods will be the best well off. They are in-network with more insurance companies than anyone of the major players. They only ones holding out for now is Atena and Cigna which will eventually go in-network too. Meaning, NSA will have minimum effect on the whole. Any company not going in-network, those employees need to bail, that's a sinking ship. 

Yes, HAA is declining, and it needs too, however, going in-network is the only way to save yourself