Economic Benefit of "Modern" Nonemergency Medical Transportation That Utilizes Digital Transportation Networks.

Rochlin, Danielle H; Lee, Chuan-Mei; Scheuter, Claudia; Milstein, Arnold; Kaplan, Robert M (2019). Economic Benefit of "Modern" Nonemergency Medical Transportation That Utilizes Digital Transportation Networks. American Journal of Public Health, 109(3), pp. 472-474. American Public Health Association 10.2105/AJPH.2018.304857

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OBJECTIVES

To determine the economic benefit of "modern" nonemergency medical transportation (NEMT) that utilizes digital transportation networks compared with traditional NEMT in the United States.

METHODS

We used the National Academies' NEMT cost-effectiveness model to perform a baseline cost savings analysis for provision of NEMT for transportation-disadvantaged Medicaid beneficiaries. On the basis of a review of the literature, commercial information, and structured expert interviews, we performed a sensitivity analysis to determine the incremental economic benefit of using modern NEMT. We estimated confidence intervals (CIs) by using Monte Carlo simulation.

RESULTS

Total annual net savings for traditional NEMT in Medicaid was approximately $4 billion. For modern NEMT, estimated savings on ride costs varied from 30% to 70%. In comparison with traditional, modern NEMT was estimated to save $268 per expected user (95% CI = $248, $288 per member per year) and $537 million annually (95% CI = $496 million, $577 million) when scaled nationally.

CONCLUSIONS

Modern NEMT has the potential to yield greater cost savings than traditional NEMT while also improving patient experience. Public Health Implications: Barriers to NEMT are a health risk affecting high-need, economically disadvantaged patients. Economic arguments supporting modern NEMT are important given decreased support for human services spending. (Am J Public Health. Published online ahead of print January 24, 2019: e1-e3. doi:10.2105/AJPH.2018.304857).

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine > Centre of Competence for General Internal Medicine
UniBE Contributor:	Scheuter, Claudia
ISSN:	0090-0036
Publisher:	American Public Health Association
Language:	English
Submitter:	Tobias Tritschler
Date Deposited:	16 Apr 2020 10:16
Last Modified:	05 Dec 2022 15:25
Publisher DOI:	10.2105/AJPH.2018.304857
PubMed ID:	30676791
URI:	https://boris.unibe.ch/id/eprint/125447