NEMT is Complicated. MTM Makes it Simple.
MTM manages transportation for:
- Medicare and Medicaid programs
- Managed Care Organizations (MCOs)
- State and county governments
- Departments of aging
- Hospitals and health systems
- County Health and Human Service Departments
What is NEMT?
Transportation is inexpensive compared to the high and rapidly growing cost of healthcare, making it more cost-effective to transport a member to preventative care rather than waiting for a serious health condition to arise. Studies prove that increasing transportation access to medical services results in such significant savings that it justifies increased NEMT spending. By offering the NEMT benefit to the elderly, individuals with disabilities, and other transportation disadvantaged populations, health plans and state agencies:
- Remove transportation barriers
- Prevent missed medical appointments
- Decrease the impact of chronic disease
- Reduce the costs of inpatient medical treatment
- Save substantial healthcare funding
The Brokerage Approach
As budgets continue to tighten for Medicaid-funded programs like NEMT, states and health plans face increasing pressure to reduce costs and better manage spending. Over the past two decades, many have adopted the outsourced brokerage model as a means for controlling costs, improving service quality, and promoting uniform NEMT delivery, based on recommendations by the Centers for Medicare & Medicaid Services (CMS).
By contracting with a broker like MTM for NEMT services, state Medicaid agencies and health plans receive a liaison between members and subcontracted transportation providers, as the broker facilitates trip scheduling, service oversight, and claims processing. Nationwide, MTM maintains a network of more than 1,250 transportation providers. Through this network, we schedule more than 20 million trips for 12 million members nationwide while handling 7.5 million calls every year.
A strong case can be made that improved access to NEMT for transportation disadvantaged persons is cost-effective in terms of better healthcare. In some cases, this cost-effectiveness translates directly into decreases in healthcare costs that exceed the added transportation costs. In other cases, longer life expectancy or improved quality of life for those suffering from the studied conditions justifies the added costs of improved access to NEMT cost-effectiveness.
2005 Transportation Research Board Analysis
the Link Between SDOH
Where we live, learn, work, and play affect a wide range of health risks and outcomes. Using NEMT to ensure members get to their medical appointments is only half the battle in improving health outcomes and ensuring long-term social wellbeing. The same members who struggle to access healthcare often struggle with other Social Determinants of Health (SDOH) like economic stability, neighborhood and physical environment, food quality and stability, education, and social contact. We know there’s more health plans can do to provide community transportation for their members, with the ultimate goal of improving health outcomes, reducing healthcare expenses, and encouraging members to enhance their quality of life. That’s where MTM comes in.
The MTM Advantage
As an industry leader for more than two decades, MTM has an impressive track record of working with our clients to manage NEMT. Established in 1995 for the sole purpose of managing NEMT, we serve as a true partner in quality transportation.
Managing the complex and dynamic needs of a transportation network can be daunting. MTM has rural and urban networks in more than half of the United States, and has the experience to quickly and efficiently build networks in new locations.
MTM handles it all: recruiting, negotiations, contracting, credentialing, claims review, and payment processing. We hold our providers to high standards for customer service and safety, allowing our clients to rest assured that their members are in good hands.
With reduced funding and a rising demand for transportation, MTM helps clients do more with less, lowering NEMT costs by up to 25% for previously unmanaged programs.
By negotiating fair rates with transportation providers, ensuring the most cost-effective modes of transportation, utilizing volunteer drivers, reducing fraud, and deploying other best practices, MTM introduces efficiencies to help clients make the most of their transportation dollars and protect federal funding.
Technology is the heart of MTM’s operations, enabling automation, protocol adherence, error reduction, and instant access to data. Proprietary, customized software drives MTM.
Our state-of-the-art phone system links our customer service centers, preventing down-time and allowing calls to be routed based on capacity and call volume. Additionally, online portals give clients, transportation providers, medical facilities, and members convenient access to trip scheduling, resources, and reports at any time of the day.
Each year, MTM’s customer service centers handle more than 7.5 million calls while maintaining industry-leading customer satisfaction rates exceeding 95%.
Our contact centers also exceed National Committee for Quality Assurance (NCQA) standards for speed to answer and abandonment rates, and provide multilingual services to ensure members reach a friendly, helpful representative 24 hours a day, 7 days a week, 365 days a year.