Medical Transportation in New York: Challenges and Lessons in Patient Care Access

In this session, learn how Sentry leverages OmniSci to assess and overcome transportation challenges in order to cost-effectively provide high-acuity patients with more efficient access to care in New York State. Medicaid Non-Emergency Medical Transportation (NEMT) is a benefit that provides populations with access to transportation to and from medical care using available public transportation, taxis, specialty vehicles, ambulances, and even sometimes helicopters. Unfortunately, comprehensive information and research regarding the benefit, its costs, utilization, and impact on care outcomes is difficult to gather. By leveraging OmniSci, Sentry has optimized its day-to-day operations (currently, over 5,000 daily trips serviced by over 100 different transportation providers), helped address geographical inefficiencies in its provider network, and has more readily identified outlier behavior in transportation providers, drivers, and passengers for fraud waste & abuse investigations. Sentry has also used the OmniSci platform to deliver cost savings through dedicated trip route and grouping management for one of the largest Programs of All-Inclusive Care for the Elderly (PACE) plans in the country.

Max Zinner

Head of Enterprise Risk Management