Transportation is the Missing Infrastructure Layer in Healthcare

Healthcare has spent the last decade digitizing clinical and financial workflows. Transportation is one of the last major functions still operating without true infrastructure—and it is costing health plans more than they realize.

Non-emergency medical transportation (NEMT) exists to solve a critical access problem. Yet in practice, it remains disconnected from the rest of the healthcare system by operating as a fragmented service reliant on call centers, intermediaries, and manual workflows never designed for real-time coordination or oversight. The result is not just inefficiency. It is a structural limitation that prevents plans from delivering consistent access, controlling costs, or ensuring accountability.

Medicaid NEMT supports tens of millions of rides annually (e.g., over 60 million ride-days per year based on federal data).” making transportation one of the most utilized and operationally complex benefits in the program.

Most transportation programs rely on a patchwork of brokers, call centers, and transportation providers. A single trip moves across multiple handoffs between phone calls, spreadsheets, and disconnected systems—before the trip is even scheduled. By the time a trip is completed, the data is often delayed, incomplete, or unverifiable.

This is not a matter of optimization. The model itself is fundamentally reactive.