Payers are moving beyond the broker model because this legacy model often introduces significant inefficiencies — from outdated workflows and limited data visibility to misaligned incentives and heightened fraud risk. The impact is far-reaching: missed appointments, care delays, and inflexible scheduling windows that inflate costs and worsen member outcomes. In underserved communities and care deserts, these challenges are even more pronounced.
This whitepaper, based on a discussion at a Becker's Spring Payer Issues Roundtable, highlights how leading plans — including Partnership HealthPlan of California — are taking control by eliminating the brokers and digitizing transportation workflows internally.
Download and discover how innovative payers are:
- Automating ride booking and eligibility checks in just minutes
- Building transparent, fraud-resistant billing systems integrated with RCM
- Reducing rigid ride request windows from 72 hours to same-day availability
- Enabled AI-enabled coordination tools that elevate — not replace — human interaction>
.png)
.jpg)
