Who We Serve
We work with organizations operating at the intersection of healthcare, transportation, and access.
ALT Legacy is not a generalist consulting firm. We bring deep, direct experience in Medicaid managed care and NEMT systems — and we work best with organizations that are serious about fixing what is broken and building what should exist.
NEMT Providers
Established providers operating in Medicaid-funded transportation who are losing trips, facing broker rejections, or struggling to stabilize revenue. You have contracts but operational gaps are quietly costing you.
You are a good fit if you are:
- Currently operating and generating revenue
- Experiencing dispatch breakdowns, missed trips, or compliance issues
- Preparing for a broker audit, contract renewal, or new market entry
- Ready to fix internal systems, not just get advice
Healthcare Organizations and Managed Care Operators
Health plans, managed care organizations, and healthcare operators working with complex populations who face mobility and access barriers. You need operational clarity on how transportation, mobility aids, and Medicaid navigation actually work on the ground.
You are a good fit if you are:
- Working with Medicaid populations in New England or beyond
- Trying to close gaps between clinical programming and access to care
- Building or improving programs that touch transportation or mobility
- Looking for someone who has worked inside these systems, not just studied them
Mission-Driven Operators and Community Organizations
Organizations working to reduce access disparities and build infrastructure that holds for underserved communities. You have the mission. You need the operational and systems expertise to execute it sustainably.
You are a good fit if you are:
- Running programs that serve low-income older adults, people with disabilities, or Medicaid recipients
- Navigating housing, transportation, or healthcare access gaps in your community
- Building organizational capacity to serve complex populations more effectively
- Looking for a partner who understands both the systems and the stakes
Where we work
ALT Legacy is based in Connecticut and works with organizations across New England. Depending on the scope of the engagement, we also work with organizations nationwide through remote consulting.
We may not be the right fit if you are:
- A startup with no operations or revenue yet
- Looking for basic advice without a commitment to making changes
- Seeking a vendor relationship rather than a consulting partnership
If you are not sure whether we are the right fit, start with a free discovery call and we will tell you honestly.