NEMT Providers: Stop Losing Revenue to Operational Breakdowns
ALT Legacy identifies exactly where your operation is failing and builds the systems to fix it. Dispatch. Compliance. Broker readiness. Revenue recovery.
We also work with healthcare organizations and mission-driven operators. Learn who we serve →
- 10+ years inside Medicaid managed care and NEMT brokerage operations
- Direct experience across Connecticut, Massachusetts, Rhode Island, New Hampshire, and Pennsylvania
- Connecticut Certified S/MBE and WBE | SAM.gov Registered
Who are you?
[I am a Healthcare Organization →]
[I am a Mission-Driven Operator →]
Most providers do not lose contracts because of demand. They lose them because of systems.
Trips are completing but revenue is not adding up. Brokers are rejecting claims and the pattern is not clear. Compliance gaps are sitting unaddressed because there is no time to fix them. Dispatch is running on instinct instead of structure.
These are not random problems. They are system problems. And system problems have solutions.
ALT Legacy works inside your operation to find exactly where the breakdown is and build the structure to fix it permanently.
How We Help
We work with NEMT providers, healthcare organizations, and mission-driven operators at the intersection of healthcare access, transportation equity, and Medicaid systems.
NEMT Operations and Broker Readiness Dispatch audits, compliance reviews, broker readiness evaluations, and full operational resets for established providers losing revenue. [See NEMT Services →]
Healthcare Access and Mobility Consulting Advisory for health plans, managed care organizations, and operators working with complex populations navigating Medicaid, mobility barriers, and access gaps.
Equity and Operations Strategy Systems-level consulting for mission-driven organizations working to reduce access disparities and build infrastructure that holds for underserved communities.
What Clients Can Expect
Providers who work with ALT Legacy typically identify 3 to 5 revenue leakage points within the first week of engagement, receive a documented correction plan by week two, and have implementation support through week four.
You are in the right place if:
- You are an established NEMT provider losing trips, facing broker rejections, or watching revenue drop without a clear explanation
- You are a healthcare organization trying to close the gap between clinical programming and actual access to care for complex populations
- You are a mission-driven operator who has the programming but needs the systems infrastructure to execute it sustainably
- You are ready to fix the problem, not just understand it
Not a fit:
- We do not work with startups with no operations or revenue, or organizations looking for general advice without a commitment to implementation.
Built from the inside out
ALT Legacy was founded after over a decade of working inside the systems that determine whether underserved communities actually receive care. A nonprofit NEMT brokerage. A Medicaid managed care organization. Multiple states. Complex populations.
That experience is not background. It is the methodology. We do not consult from a distance. We fix from the inside, with the pattern recognition of someone who has watched these systems fail and knows exactly where and why they break.
“I have spent over a decade watching the same operational breakdowns cost providers contracts and cost communities access to care. I built ALT Legacy because I knew exactly how to fix them.” — Keayona Thomas, Founder
[Learn more about ALT Legacy →]
Have a question before booking? Email us directly at info@altlegacy.com
The consulting funds the mission. The mission is this.
ALT Legacy Care Initiative (ALCI) is the nonprofit extension of this work, focused on reducing social isolation, mobility barriers, and access gaps for low-income older adults in affordable senior housing.