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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