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ET3 Partnerships

We support the Centers for Medicare & Medicaid Services Emergency Triage, Treat, and Transport (ET3) program and are committed to delivering a better model for care delivery. ET3 provides greater flexibility to ambulance care teams to address emergency health care needs of Medicare beneficiaries following a 911 call.

Under the ET3 model, the Centers for Medicare & Medicaid Services (CMS) will pay participating ambulance suppliers and providers to:

  1. Transport an individual to a hospital emergency department (ED) or other destination covered under the regulations.
  2. Transport to an alternative destination (such as a primary care doctor’s office or an urgent care clinic).
  3. Provide treatment in place with a qualified health care practitioner, either on the scene or connected using telehealth.

ET3 Model Goals

  • Reduce expenditures and preserve or enhance quality of care
  • Provide person-centered care, such that beneficiaries receive the appropriate level of care delivered safely at the right time and place while having greater control of their healthcare through the availability of more options
  • Encourage appropriate utilization of services to meet health care needs effectively
  • Increase efficiency in the EMS system to more readily respond to and focus on high-acuity cases, such as heart attacks and strokes


GMR Company Selected to Implement Innovative CMS’ ET3 Pilot Program
American Medical Response (AMR), a Global Medical Response (GMR) company, has been selected as a participant to implement the Centers for Medicare & Medicaid Services’ (CMS) Emergency Triage, Treat and Transport (ET3) program in 14 states across America. AMR is the largest participant under the ET3 program with 62 of the total 205 applicant awards. The AMR service areas will cover millions of Medicare beneficiaries.