One size doesn’t fit all. Configure your transportation benefit around your program.
Most health plans either contract NEMT to a broker or bring the whole program in-house. Both models assume one party has to run every function, so changing any part of the program means changing all of it, and many plans stay with a setup that no longer fits. In this white paper, Kinetik Chief Business Officer Mohammad S. Hossain lays out a third option: a single data infrastructure underneath the NEMT benefit, so health plans can choose who runs each function and change those choices as their program evolves.
The paper includes a self-assessment that shows you where to start. You’ll evaluate six functions against the standards you’re held to, using your own records instead of a vendor’s report. Each answer points to a clear move: keep it, share it, or delegate it. You’ll also see whether a gap is in performance or just in proof, so you only change what actually needs changing.
What you’ll learn:
- Why today’s in-house and broker models can’t be fixed with a better vendor
- How one record of the trip moves decisions from after the claim to before it
- How to own, share, or delegate your call center, network, and billing independently
- Where to place integrity controls so trips are verified before they’re paid
- How pricing that follows the operator shows you the same rate card your providers see
Programs on the Kinetik platform have seen up to a 40% reduction in cost per ride.*
Already run the assessment? Send your results to connect@kinetik.care, and we’ll walk through the configuration they point to using your own trip data.
*Reported by a large health plan in Northern California running on the Kinetik platform and services.
