Cooperation. An alternative to consolidation or bankruptcy

Journal/Book: J Emerg Med Serv JEMS. 1994; 19: 34-8, 40-2.

Abstract: With all the recent consolidation and doomsaying within the EMS industry, the music from the movie "Jaws" is likely playing a constant refrain in the minds of many smaller EMS providers. The word from the consolidators--those large companies buying up small and midsized ambulance services--is that health maintenance organizations (HMOs) soon will be purchasing EMS and other "out-of-hospital" services and that since HMOs are for-profit institutions, they will be looking for the least expensive EMS delivery system. The consolidators and others with a stake in the new order assert that cost-effective services can only be produced by large national EMS companies; smaller companies will be left out in the cold. But will they?

Keyword(s): Emergency Medical Services/organization & administration. Health Care Reform/organization & administration. Health Facility Merger/trends. Health Maintenance Organizations/organization & administration. Models, Organizational. Organizational Affiliation. Planning Techniques. United States

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