United Medical Transportation Providers Group (UMTPG) | NEMT Business Train
Start, scale, and grow your Non-Emergency Transportation business through direct pay contract and service agreements
Start, scale, and grow your Non-Emergency Transportation business through direct pay contract and service agreements
Hospital and emergency room case managers are notorious for upcoding to more quickly discharge patients by ambulance. Although convenient for case managers and profitable for ambulance providers, the problem is this strategy costs Medicare 7-10 times the amount as compared to using an NEMT provider. This waste can trigger CMS audits which can cost the hospital serious time and HR resources. It is better for hospitals to use NEMT providers for non-emergency transportation discharges.
Hospitals are becoming more profitable due to increased patient revenue, market leverage, and strategic decisions to focus on profitable services. Hospitals utilize non-emergency medical transportation companies to ensure patients, especially those with mobility issues or who need to attend appointments, can access necessary healthcare services, improving patient outcomes and potentially reducing healthcare costs.
So many Non-Emergency Medical Transportation (NEMT) providers are focused exclusively on Medicaid work, either working directly to Social Services or through a Medicaid Broker, because reimbursements are guaranteed through the government. However, they are completely neglecting the dramatically higher rates of reimbursement from private pay and direct-pay contracted work.
See the results below, but test for yourself. Do an online search for "What percentage of the US population is on Medicaid?" The answer you'll find is ONLY 18.9% as of 2023. That's less than 1 in 5 people being on Medicaid, so why would you build your business around less than 20% of the market? It makes no sense!
Continue with another search, "What percentage of the US SENIOR population is on Medicaid?" The answer is ONLY 7% as of 2022 and it actually dropped to 6% by 2024. This means that, while the elderly population is exponentially growing, the percentage of seniors on Medicaid is in decline, yet many NEMT providers are still fixated exclusively on Medicaid seniors and broker work while neglecting all the additional NEMT type of transports and contracted opportunities.
Most NEMT providers are fixated on Medicaid broker work which leaves greater ROI trips for you!
As an active UMTPG member, you have FREE access to our videos on Teachable. Consider one of our most popular videos featuring a conference call between Joel Davis and a client-provider operating in two states. The two discuss strategies for how to leverage his custom Market Analysis for penetrating cross-border facilities - hospitals, rehab, nursing facilities, assisted and independent communities.
Founded in 2010, the UMTPG was created in response to a lack of continuity, organization, and accurate information throughout the medical transportation industry.
We're here to serve, educate, enhance, and preserve the interests of the medical transportation industry and our member-partners.
Dedicated to helping you be successful in the medical transportation industry, there are many benefits to becoming an active UMTPG member-partner.
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