 That said, despite policy efforts and increased funding and federal reimbursement in urban areas, the triple aim (of improving patient experience, enhancing population health, and reducing the per-capita cost of care) remains a challenge without providers' and payers' collaboration to increase access to preventive care and decrease in ED usage.As a result, many experts support the notion that emergency medical services should serve only immediate risks in both urban and rural areas.As stated above, EMTALA includes provisions that protect patients from being turned away or transferred before adequate stabilization.