A Neutral Contracting Framework for Healthcare Staffing Agencies

 PMA does not change how agencies operate — it changes how contracts are formed. PMA is designed to reduce reliance on fragmented, one-off negotiations by providing a standardized, market-based contracting framework while preserving independent competition and non-exclusivity. Agencies continue to compete on execution quality, responsiveness, credentialing strength, and regional reliability. PMA governs the contracting framework only — not execution — and does not staff clinicians, endorse agencies, or sell access.

PMA Is:

• Independent market infrastructure, governed by healthcare organizations
• Standardized contracting frameworks, established through market-based RFPs
• Non-exclusive participation for agencies
• Competition based on execution quality, responsiveness, and regional capability — not incumbency or relationship opacity
• Regionally aligned, reflecting how labor markets actually function

PMA Is Not:

• Not a staffing agency
• Not an MSP or VMS
• Not an agency endorsement program
• Not a “hunting license” or access-for-fee model
• Not a rate-setting body

• PMA does not recruit agencies through open enrollment.
• Agency participation occurs through structured, market-based processes, aligned to HCO-governed contracting activity.
• Operational and economic details are shared only under confidentiality, as part of the formal participation process.

Agencies engage with PMA when they want:

• Fewer bespoke contracts, without sacrificing independence
• Clear contracting expectations, disclosed upfront
• Predictable frameworks, rather than constant renegotiation
• Competitive neutrality, governed by HCOs — not intermediaries
• Competitive differentiation based on execution quality and regional capability, not relationship opacity

PMA is governed by healthcare organizations, not agencies.

• Agencies do not control market rules
• Agencies do not set contract standards
• Agencies do not influence governance decisions

Participation is voluntary and non-exclusive, and agencies remain free to contract outside PMA frameworks at all times. Governance (PMA) and execution (staffing, MSP, VMS technology) are structurally separated. 

PMA uses aggregated and anonymized benchmarking to support market transparency.

• No agency-specific data is shared
• No competitive intelligence is distributed
• No preferential access to data exists

Data governance is designed for auditability and antitrust compliance by construction.