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Ambulance Services at a Crossroads: Coverage Shifts, Medicaid Changes, and Revenue Implications

April 20, 2026
3:00 pm –
3:50 pm
Meeting Room 109-110
Tracks: Hot Topics


In the years ahead ambulance providers are likely to face increases in the number of uninsured patients they serve and tightening state budgets due to changes in state directed payments. Both of these factors may impact provider revenue, but this will vary by state. Panelists will discuss projected levels of the uninsured by state, changes to Medicaid state directed payment and provider tax rules, the associated revenue challenges providers will face, and the strategies policymakers are taking to provide coverage options for the newly uninsured and address Medicaid payment changes resulting from HR 1.

Speakers:

Zach Gaumer
Zach Gaumer
Managing Principal
Health Management Associates

Zach Gaumer is an accomplished policy analyst and project manager with nearly 20 years of health policy experience. He possesses a deep understanding of Medicare, healthcare payment systems, federal and state policymaking, healthcare datasets, research methods and policy reform efforts. Zach is a skilled researcher with a passion for answering complicated payment policy questions. Prior to joining HMA, Zach was a principal policy analyst at the Medicare Payment Advisory Commission (MedPAC)....

Amy Bassano
Amy Bassano
Managing Director, Coverage Policy and Program Design
Health Management Associates

A senior executive and nationally recognized health policy expert, Amy Bassano has more than 20 years of experience developing organizational vision and strategic plans, designing, and implementing payment systems, and driving change in the healthcare delivery system. She joins HMA as managing director of Medicare services after serving as the deputy director for the Center for Medicare and Medicaid Innovation (CMMI) at the Centers for Medicare & Medicaid Services (CMS). As senior...

Farah Hanley
Farah Hanley
Regional Director
Health Management Associates

Farah Hanley is a healthcare executive with more than 30 years of experience with state Medicaid programs, policies, and budget initiatives. She is a subject matter expert in all aspects of Michigan’s Medicaid program. Her experience includes service delivery model development, system design, and financing across managed care, behavioral health, long-term care and other healthcare sectors. Her government experience uniquely positions her to support community partners engaged with publicly funded...