Revolutionizing care access: Why payers are taking medical transport in-house


Many payers still rely on brokers to manage nonemergency medical transportation (NEMT). This model is rife with inefficiencies, including misaligned incentives, fraud risk, outdated workflows and lack of data visibility.

Missed appointments, access delays and rigid advance-notice requirements can increase costs and directly harm health outcomes — especially in care access deserts and underserved communities. For Medicaid plans, it's a member experience liability. For commercial and MA plans, it's an operations and retention issue.

This whitepaper, based on an executive discussion at Becker's Spring Payer Issues Roundtable, explores why health plans like Partnership HealthPlan of California are ditching brokers and digitizing transport operations internally.

Inside, learn how payers are:
 
  • Automating ride booking and eligibility in minutes
  • Building transparent, fraud-resistant billing workflows with RCM integration
  • Reducing rigid ride-request windows from 72 hours to same-day
  • Enabling AI-powered coordination that elevates — not replaces — call center staff
 

Please fill out the form to download the whitepaper.