No Surprises Act Crimps Earnings at Air Ambulance Company - Bloomberg

Times are changing. Those bonuses don't mean much if they have to start closing a bunch of bases and putting people out of work. Now is the time to hook up with a hospital-based program or one with their own part 135.

show your work

because they werent balance billing to begin with.  They've been getting underpaid, mostly, so they're not taking some huge dip in the bottom line over this.  When you're sending patients a bill for upwards of 80k, it's no wonder this legislation is cutting deep.

it was what I expected, though. I did like the part about them not making as much money so they won't lose as much lol

It was not a non-answer.  Hospital based are often much cheaper for the transports and do not go after the patient for billing. Basicly take was the insurance pays because they are all so receivi the down stream revenue by bringing the patient to their facility. By the way I didn't say all but many operating this way.
Fact ! 

was the billing after the transport. the rest, no

fly innocent 3rd party soles for hire ya have to have an AC Certificate.

incorrect on the first statement.

Especially if they are using the Marine One H-3 for transport, like the one in the pic....

The hospital based are also doing a lot more with less money. Most are twin engine 135/145 with two critical care nurses versus single engine with paramedics. It costs more per transport for them. And yes, there is downstream revenue that flows into the hospital, but there are also many transports that go to a different health system. Bottom line - air methods is feeling the repercussions of becoming way too greedy. They just recently attempted to try to go in network with payors. Too little, too late? 

scary time for air methods pilots/techs. 

many of the hospital programs lose money. 

If the article is valid and they have $46m in cash (with a revolving credit facility at 72% utlitized and one currently untapped for now).

With 5,000 published employees at an avg $7,000 (guestimate) per month in total wage and benefit costs per person thats only 1.3 months of wages covered. With all the overhead for the aircraft, maint,fuel, facilities etc they may well be considered near broke hence the $125m credit line being secured against recievables (factoring effectively), which begs the question how much more flxibility is there for further credit because their can't be any room for more notes with other debt maturing in 24; secured against what - American Securities ? What assets are left to sell, at what return.

Change in direction for revenue and time to pay required quite urgently. Better hope those recievables actually turn up. Not a pretty picture - hoping for the best for the benefit of all the crews working away to do their job. 

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