The EMS landscape has changed considerably just in the last few years. More payers are paying for services other than ambulance transport. Treatment in place, telehealth, community paramedicine and other delivery models are reshaping the EMS landscape. EMS agencies must understand the new economic model driving sustainability and success in EMS. This session will look at both the microeconomic and macroeconomic realities for EMS, so that leaders can fully understand and appreciate the bigger financial picture in the industry in which they operate.