Aug 4, 2026 · 42 min · 10 segments
RouteGenie helps NEMT providers simplify the entire transportation operation with one platform for routing, scheduling, dispatching, billing, fleet management, driver workflows, and passenger…
Cameron CraigGuest
Beau HamiltonHost
I want to Zoom out a little bit before we get into the transportation part specifically.

I know you're talking to your healthcare plans, providers, transportation companies every day, and you've got a pretty unique vantage point on where the system is kind of being strained.

So what are some of the biggest challenges facing healthcare today? And then how does access to care fit into that?

Yeah, I think it's important to set the stage as we go deeper into the medical transportation space around just healthcare in general.

I think the biggest challenge right now is everyone's trying to separate what's real from noise.

I think that's true about AI specifically, as you mentioned, around where it actually moves the needle.

I think every payer, healthcare provider, transportation provider is just under pressure to do more with each dollar.

I think the pressure on access, which you mentioned, you know, especially preventative care, right? Underserved communities, you know, And it's not that anyone believes that that care doesn't matter.

So it ends up being some of those things that are kind of first under the microscope from cost-cutting perspective.

And on the other side, you've got a real kind of overdue focus on fraud, waste, and abuse, which is obviously kind of big in headlines today.

You know, NEMT, the non-emergency medical transportation space, it's barely 1% of Medicaid spent.

And it's the cheapest dollar, I think, in the system that keeps a much more expensive dollar from being spent later, right, on emergency visits and other follow-up care where the right preventative and an upfront access could have really moved the needle.

So If someone can't get to a dialysis appointment or a primary care visit, that saved trip of cost turns into, like I mentioned, those ER and hospital admissions that cost far more for the healthcare ecosystem.

So, you know, the place that people treat, you know, transportation is just pure logistics.

It's really one of the highest leverage dollars, I think, in the whole system for cost and for outcomes, which is going to be a focus in how we measure those dollars in the healthcare ecosystem as we go forward.

It's interesting to just think that you can have some of the best hospitals in the world, but if you can't get your patients there, they just can't physically get there, you can't you know, they're pointless, they're useless, you know? Um, and getting there is, is, is easier said than done.

I want to Zoom out a little bit before we get into the transportation part specifically.

I know you're talking to your healthcare plans, providers, transportation companies every day, and you've got a pretty unique vantage point on where the system is kind of being strained.

So what are some of the biggest challenges facing healthcare today? And then how does access to care fit into that?

Yeah, I think it's important to set the stage as we go deeper into the medical transportation space around just healthcare in general.

I think the biggest challenge right now is everyone's trying to separate what's real from noise.

I think that's true about AI specifically, as you mentioned, around where it actually moves the needle.

I think every payer, healthcare provider, transportation provider is just under pressure to do more with each dollar.

I think the pressure on access, which you mentioned, you know, especially preventative care, right? Underserved communities, you know, And it's not that anyone believes that that care doesn't matter.

So it ends up being some of those things that are kind of first under the microscope from cost-cutting perspective.

And on the other side, you've got a real kind of overdue focus on fraud, waste, and abuse, which is obviously kind of big in headlines today.

You know, NEMT, the non-emergency medical transportation space, it's barely 1% of Medicaid spent.

And it's the cheapest dollar, I think, in the system that keeps a much more expensive dollar from being spent later, right, on emergency visits and other follow-up care where the right preventative and an upfront access could have really moved the needle.

So If someone can't get to a dialysis appointment or a primary care visit, that saved trip of cost turns into, like I mentioned, those ER and hospital admissions that cost far more for the healthcare ecosystem.

So, you know, the place that people treat, you know, transportation is just pure logistics.

It's really one of the highest leverage dollars, I think, in the whole system for cost and for outcomes, which is going to be a focus in how we measure those dollars in the healthcare ecosystem as we go forward.

It's interesting to just think that you can have some of the best hospitals in the world, but if you can't get your patients there, they just can't physically get there, you can't you know, they're pointless, they're useless, you know? Um, and getting there is, is, is easier said than done.
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