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Most NEMT companies rely heavily on Medicaid and broker-assigned trips for their revenue. While this provides a steady base, it also creates vulnerability — reimbursement rates are fixed, broker requirements are demanding, and contract loss can be devastating. Diversifying into private pay patient services is one of the smartest strategic moves an NEMT provider can make.

The Private Pay Opportunity

Private pay NEMT services — trips paid directly by patients, families, or healthcare facilities rather than through Medicaid — offer higher per-trip revenue, fewer administrative requirements, faster payment, and greater pricing flexibility. The market for private pay medical transportation is growing as the population ages and more patients require regular medical appointments.

How SS Support Network Helps

SS Support Network helps NEMT companies build private pay revenue through professional inbound call handling that converts inquiry calls into booked trips, outbound marketing campaigns to healthcare facilities, hospitals, and assisted living communities, dedicated scheduling and dispatch for private pay trips, billing and payment processing, and customer service that builds patient loyalty and generates referrals.

Factor
Medicaid/Broker
Private Pay
Profit Margin
10-18%
35-55%
Payment Speed
30-60 days
Day of service
Authorization
Required
Not needed
Billing Complexity
High
Simple
Competition
Very high
Moderate
Growth Potential
Contract limited
Unlimited

Revenue Impact

NEMT companies that develop private pay services alongside their Medicaid business typically see 20-35% higher overall revenue per vehicle, with significantly improved profit margins on private pay trips.

Building Your Private Pay Program

Start by identifying the healthcare facilities, senior living communities, rehabilitation centers, and dialysis centers in your service area. Develop relationships with discharge planners and social workers. Offer competitive rates with professional service quality. Use your call center partner to handle scheduling and customer communication.

Conclusion

Private pay services represent the highest-margin opportunity in NEMT. With the right operational support, any NEMT company can build a profitable private pay program alongside their existing Medicaid operations.

Need Help With Your NEMT Operations?

SS Support Network provides 24/7 dispatch, billing, credentialing, and call center services for NEMT and healthcare companies.

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