Who We Serve
We work with organizations operating at the intersection of healthcare systems, transportation infrastructure, and government-funded service delivery.
ALT Legacy is not a generalist consulting firm. We bring direct operational experience inside Medicaid managed care, NEMT brokerage systems, and complex service environments where execution determines outcomes.
We work best with organizations that are serious about fixing what is broken and building systems that actually function.
NEMT Providers
Established providers operating in Medicaid-funded transportation who are losing trips, facing broker rejections, or struggling to stabilize revenue.
You already have contracts, but operational gaps are impacting performance and revenue.
You are a good fit if you are:
- Currently operating and generating revenue
- Experiencing dispatch breakdowns, missed trips, or compliance issues
- Preparing for broker audits, contract renewal, or expansion into new markets
- Ready to fix internal systems, not just receive advice
Healthcare Organizations & Managed Care Operators
Health plans, managed care organizations, and healthcare operators working with populations that face mobility, transportation, and access barriers.
You need clarity on how transportation systems, mobility resources, and Medicaid navigation function in real-world environments not just on paper.
You are a good fit if you are:
- Working with Medicaid populations in New England or other regions
- Trying to close gaps between clinical programming and real-world access
- Building or improving programs that intersect with transportation or mobility
- Seeking expertise from someone who has worked inside these systems
Government Systems & Contracting Readiness
Organizations operating in or preparing to engage with government-funded contracting systems, procurement environments, or structured service delivery networks.
This includes emerging suppliers, small contractors, and organizations seeking to understand how to participate in federal and state procurement ecosystems.
We help bridge the gap between operational capability and system readiness.
You are a good fit if you are:
- Preparing to pursue government or public sector contracts
- Working to understand procurement systems such as DIBBS and SAM.gov
- Building internal capacity to meet contract requirements and execution standards
- Looking to align operations with structured government-funded opportunities
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 and systems advisory engagements.
Not a fit:
We may not be the right fit if you are:
- A startup with no operations, revenue, or active systems
- Looking for general advice without implementation readiness
- Seeking a transactional vendor relationship instead of a strategic consulting partnership
If you are unsure, start with a discovery call and we will provide honest guidance.