HMA Solutions
HMA Helps NEMT Stakeholders Overcome Challenges
Lack of transportation is a common barrier to accessing healthcare, leading to poorer health outcomes and health inequities. Non-emergency medical transportation (NEMT) is a critical Medicaid benefit that helps beneficiaries access the health care they need. However, the NEMT industry has faced numerous challenges. States, NEMT brokers and providers, beneficiaries, and other stakeholders have struggled with low member satisfaction, transportation network adequacy, and workforce shortages (especially in rural areas), difficulties attaining sufficient Medicaid reimbursement, ride timeliness (e.g. pickup, drop-off, post-discharge), ensuring passenger safety, digitization of records, sufficient funding, and program integrity.
The NEMT industry is also experiencing significant changes and opportunities related to innovation and new technologies, expansion in modes of NEMT transportation (such as rideshare), standardization of tools and metrics, and the introduction of new NEMT models.
HMA has a long history of working with the full range of stakeholders directly or indirectly involved in, or affected by, NEMT, including:
- State and county Medicaid agencies
- Managed care organizations
- NEMT brokers
- NEMT transportation provider organizations and vendors
- Transportation network companies (TNCs/rideshare)
- NEMT associations or commissions
- Health systems
- Emergency medical services (EMS)
- Transportation insurance providers
- NEMT software companies
- Medicaid beneficiary and disability advocacy organizations
HMA can help organizations with:
- Conducting contract reviews, policy scans, actuarial analyses, and evaluations to identify and address critical challenges as well as best practices in NEMT
- Supporting procurement and readiness review activities as well as vendor management and oversight
- Performing market analysis and strategic implementation planning for NEMT and other health information technology solutions
- Developing and evaluating value-based incentive models for NEMT services
Our team includes:
- Former health plan executives, state Medicaid and public health officials, and NEMT provider leads with federal and state NEMT policy and operational expertise
- Researchers and evaluators with extensive experience examining the implementation and impact of NEMT policy and operational changes
- Actuarial analysts with deep experience in quantitative assessments and analyses of the NEMT benefit
Other resources related to NEMT include:
- State Medicaid Non-Emergency Medical Transportation Contracts: Key Provisions, Standards, and Considerations
- Medicaid’s Non-Emergency Medical Transportation Benefit: Stakeholder Perspectives on Trends, Challenges, and Innovations
- https://www.healthmanagement.com/blog/medicaid-non-emergency-transportation-benefit-stakeholder-perspectives-on-trends-and-innovations/
- Medical Transportation Access Coalition Announces First-Of-Its-Kind Research Paper Analyzing Non-Emergency Medical Transportation and Non-Medical Transportation | Medical Transportation Access Coalition
- Independent Review of Non-Emergency Medical Transportation in the Indiana Medicaid Fee-for-Service System
- Moving Forward Together: Opportunities to Improve Program Integrity in Medicaid Non-Emergency Transportation
