The role of technology and innovation in the future of Medicaid

The role of technology and innovation in the future of Medicaid

A new article in Forbes titled “The Role of Technology and Innovation in the Future of Medicaid” showcases insights from Sufian Chowdhury, CEO of Kinetik. Sufian highlights several of the structural challenges facing today’s Medicaid and health-plan landscape, particularly the need for stronger digital infrastructure, greater transparency, and a reduction of inefficient layers between plan administrators, brokers, providers, and members. 

Across the country, many Medicaid programs still run on technology built in the 1970s, which leads to limited oversight and interoperability problems. As a result, fraud ranging from false mileage claims to billing scams continues across a fragmented healthcare system where outdated and disconnected technology makes real-time detection difficult. 

At Kinetik, these gaps are exactly why we built our platform. Transportation is not just a logistics problem — it is a care-access and cost-efficiency challenge that matters deeply in a capitated, value-based world. We deliver solutions that map directly to this challenge by:

  • Connecting health plans, brokers and providers through an API-based platform that brings real-time scheduling, dispatch, claims and payment into one system.

  • Eliminating payment latency and manual claims processing, helping partners reduce lag times between ride completion and reimbursement, the very friction Sufian observed when entering this industry. 

  • Delivering transparency and oversight that allow plan administrators to monitor utilization, spot trends, and control cost-leakage rather than using legacy “black-box” broker models.

  • Enabling scalability and stronger network adequacy, where rides are easier to schedule, providers are better engaged, and members are less likely to miss critical care because of transportation barriers.


By way of example, when a health plan partners with Kinetik, they gain access to our Trip Scheduler, Trip Assistant, and RCM modules, which are all designed to align member access goals with operational and financial metrics.

In his Forbes article, Sufian emphasizes that digital transformation in Medicaid is imperative: “As I see it, every dollar lost to fraud is a dollar that could have funded chemotherapy, physical therapy or mental health services.” At Kinetik, we couldn’t agree more, and we remain committed to translating that vision into concrete technology, deployment and results across the health-plan ecosystem.

Read the full article here: Forbes - “The Role of Technology and Innovation in the Future of Medicaid”

About client

Safe and cost effective solution

Divine Right Transportation provides safe and cost effective transportation to addiction and recovery programs, pharmacy trips, doctors appointments, clinic visits, physical therapy, diabetes treatment, dialysis treatment, oncology trips, and more.

Their company strive to provide safe and timely social assistance and health-related transportation needs to those who are under-served with limited income.

Partnership with Kinetik

After three years of operating only in California, Divine Right Services was ready to expand its non-emergency medical transportation footprint in 2022. But with more states, more regulations and more rides to process, Divine Right would need a massive infusion of billing staff.

Instead, they brought on RCM Pro billing services from Kinetik.

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Challenge

Quickly schedule and manage patient trips with full visibility into transportation benefit utilization. Trip Scheduler and Trip Assistant improves patient flow and lets healthcare workers get back to providing care.

Solution

With the nation’s largest digitally integrated NEMT transportation network, Kinetik is your partner for scalability. Trip Scheduler streamlines trip assignment and provides full ride visibility.

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Impact

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Robert McBride

Founder and CEO at Divine Right Transportation

Billing can be very labor-intensive and manual. Kinetik has automated a huge part of the process and allows our people to deliver a better customer experience because they are not pushing paper.

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Robert McBride

Founder and CEO at Divine Right Transportation

Billing can be very labor-intensive and manual. Kinetik has automated a huge part of the process and allows our people to deliver a better customer experience because they are not pushing paper.

What our clients say

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Brian Lawrence

Head of Financial Department at HCA Healthcare

Superior to any other service we have ever used. They taught our team how to build email and SMS automation from scratch. In the past, our employees were unsure how automation worked.

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Brian Lawrence

Head of Financial Department at HCA Healthcare

Superior to any other service we have ever used. They taught our team how to build email and SMS automation from scratch. In the past, our employees were unsure how automation worked.

avatar

Brian Lawrence

Head of Financial Department at HCA Healthcare

Superior to any other service we have ever used. They taught our team how to build email and SMS automation from scratch. In the past, our employees were unsure how automation worked.

avatar

Brian Lawrence

Head of Financial Department at HCA Healthcare

Superior to any other service we have ever used. They taught our team how to build email and SMS automation from scratch. In the past, our employees were unsure how automation worked.

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