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American Medical Response, Inc. (AMR) is a private ambulance company in the United States that provides and manages emergency medical services, non-emergency and managed transportation, rotary and fixed-wing air ambulance services, and disaster response across the United States. [2]
In 2002, the federal government increased the reimbursement for medical flights for Medicare and Medicaid patients. This caused an increase in the number of for-profit ambulance services, which charge much higher rates than non-profit hospitals and expanded services available to people with private health insurance.
These were often controlled by the municipal hospital or fire department. Sporadically, funeral home hearses, which had been the common mode of transport, were being replaced by fire department, rescue squad, and private ambulances. Prior to the 1970s, ambulance service was largely unregulated.
In some areas, private companies may provide only the patient transport elements of ambulance care (i.e. non-urgent), but in some places, they are contracted to provide emergency care, or to form a 'second tier' response, where they only respond to emergencies when all of the full-time emergency ambulance crews are busy.
The Central Ohio Transit Authority (COTA) operates 41 fixed-route bus services throughout the Columbus metropolitan area in Central Ohio.The agency operates its standard and frequent bus services seven days per week, and rush hour service Monday to Friday. [1]
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