Medicaid spending in 2020 topped $679 billion
Category: NEMT

Medicaid spending in 2020 topped $679 billion

By the spring of 2020, healthcare use and spending dropped steeply due to cancellations of elective care. Hospitals needed the increased capacity and social distancing measures to lessen community spread of the coronavirus. Telemedicine use increased exponentially but as the year progressed, in-person care resumed for hospital and lab services and healthcare use and spending started to rebound. One area to realize a significant spending increase in 2020 was Medicaid managed care organizations (MCOs).

by: Kellie Meilleur

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How NEMT providers are untangling their “spaghetti systems”
Category: NEMT

How NEMT providers are untangling their “spaghetti systems”

Unfortunately, providers who are using multiple, disjointed platforms or "spaghetti systems" as we call them, are finding it harder and harder to effectively manage all parts of their operation – to keep their members safe and happy. Smart health service providers have one priority – delivering quality care and service to their members! And the first step begins with cleaning up their spaghetti mess by moving towards ONE nice, neat, interconnected bundled solution.

by: Kellie Meilleur

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The Life-Changing Link Between Transportation & Health
Category: NEMT

The Life-Changing Link Between Transportation & Health

A person's health and wellness is directly linked to their social and economic environment.  According to research conducted by the University of Wisconsin Population Health Institute, just 20% percent of health can be attributed to medical care. While 40% is directly linked to social and economic factors – like housing status, access to healthy food, access to education and access to non emergency medical transportation (NEMT). Importantly, transportation is an economic and social factor that impacts people’s daily lives. Transportation barriers can affect a person’s access to health care services

by: Kris Lyon

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The ACA Gets a Boost from Biden’s American Rescue Plan Act
Category: NEMT

The ACA Gets a Boost from Biden’s American Rescue Plan Act

Biden's $1.9 trillion American Rescue Plan makes provisions to boost coverage under the Affordable Care Act (ACA). This is great news for the Non-Emergency Medical Transportation (NEMT) industry as the anticipated increase in NEMT trips being done under Medicaid, will result in substantial business for NEMT Brokers and Providers.

by: Kellie Meilleur

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Non-Emergency Medical Transportation Trip Denial Process
Category: NEMT

Non-Emergency Medical Transportation Trip Denial Process

Non-Emergency Medical Transportation (NEMT) trip requests get denied. When this happens, Medicare health plans are required to issue a Notice of Denial of Medical Coverage (or Payment), also known as an Integrated Denial Notice (IDN). Denials happen for several reasons, all related to eligibility. Some services that are not covered and therefore lead to trip denials.

by: Kris Lyon

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