Archive of Transportation as a Barrier to Care

Adherence Barriers to Chronic Dialysis in the United States

November, 2014

Hemodialysis patients were more likely to miss their dialysis treatment if they had no access to a vehicle or had to take a city bus or public transportation to appointments. Missing appointments may be a “substantial roadblock to achieving better patient outcomes.”

Author

K.E. Chan, R.I. Thadhani, and F.W. Maddux

Impact of the Affordable Care Act on Non-Emergency Medical Transportation (NEMT): Assessment for Transit Agencies

October, 2014

Based on projections in participating states, it is estimated that nearly 9 million individuals will enroll in the Medicaid program because of the ACA expansion. Of these 9 million, it is estimated that only about 270,000 new enrollees will require NEMT because they will be more ambulatory and less transit-dependent than the traditional Medicaid-eligible population.

Author

Richard Garrity and Kathy McGehee, National Academy of Sciences

Transportation to Healthcare Destinations: How a Lifeline for Patients Impacts the Bottom Line for Healthcare Providers

September, 2014

Study by The National Center for Mobility Management estimated the range of lost revenue for a health system due to patients’ missed appointments is between $150 to $274 per patient. If the system’s no-show rate is 10% (about half of the national average), and they treat 45,000 patients annually, those missed appointments amount to between […]

Author

The National Center for Mobility Management

Medicaid Expansion and Premium Assistance: The Importance of Non-Emergency Medical Transportation (NEMT) to Coordinated Care for Chronically Ill Patients

March, 2014

A 2006 study found a delay or failure to fill a prescription was more common among those who reported transportation issues. Even after adjusting for socio-economic characteristics, those who reported transportation problems were more likely to report medication non-adherence.

Author

MJS & Company (citing Wroth, T., Pathman, D., "Primary Medication Adherence in a Rural Population: The Role of the Patient-Physician Relationship and Satisfaction with Care," Journal of the American Board of Family Medicine, September-October 2006; Vol. 19: No. 5)

Medicaid Expansion and Premium Assistance: The Importance of Non-Emergency Medical Transportation (NEMT) to Coordinated Care for Chronically Ill Patients

March, 2014

A previous analysis of National Health Interview Survey data (1999 to 2009) found that 7% of Medicaid beneficiaries reported transportation as a barrier to accessing timely primary care treatment and even 0.6% of those with private coverage reported struggles with similar transportation barriers. As many states propose to scale back the Medicaid transportation benefit, it […]

Author

MJS & Company