We fix the systems that determine whether people get access, or don’t.
We build and repair the systems that determine whether services funded by government and healthcare programs actually reach people in need.
ALT Legacy works at the intersection of healthcare operations, transportation systems, and government-funded service delivery.
Our work is rooted in direct experience inside these systems—not external theory.
We help organizations stabilize operations, reduce breakdowns, and improve readiness for the environments they operate in, including Medicaid, managed care, and emerging procurement systems.
We offer three areas of focus. Each can be engaged independently or as part of a broader operational or growth strategy.
Government & Systems Readiness
For organizations engaging with government-funded systems, contracting environments, or procurement-based operations.
We help identify operational gaps, improve readiness, and support alignment with the requirements of structured contracting systems such as DIBBS and SAM.gov ecosystems.
We help with:
- Contract readiness and operational alignment
- Procurement opportunity analysis and system understanding
- Supplier and fulfillment structure evaluation
- Operational gaps that impact awardability and execution
- Systems preparation for scaling into government contracting environments
NEMT Operations and Broker Readiness
For established NEMT providers losing trips, facing broker rejections, or struggling to stabilize revenue.
We go inside your operations and identify where breakdowns are happening—then build structured systems to correct them.
We help with:
- Dispatch and scheduling breakdowns
- Broker credentialing and readiness
- Medicaid compliance and documentation
- Revenue leak identification and recovery
- Contract retention and operational stabilization
Healthcare Access and Mobility Consulting
For healthcare organizations and operators serving populations with complex mobility and access needs.
We help design and align systems that ensure access to care is actually achievable—not just theoretically available.
We help with:
- Mobility aid and durable medical equipment access
- Medicaid navigation and program coordination
- Transportation and access gap analysis
- Operational alignment between clinical and logistics teams
Equity and Operations Strategy
For organizations working to reduce access disparities and build infrastructure that can sustain long-term impact.
We bring systems-level thinking to operational, programmatic, and strategic challenges across healthcare and community systems.
We help with:
- Access gap analysis across transportation, housing, and healthcare
- Medicaid managed care operations and strategy
- Program design for underserved populations
- Organizational readiness for equity-focused initiatives
How it works
- Discovery — We begin with a 30-minute call to understand your operational or strategic needs.
- Diagnose — We identify specific breakdowns, gaps, or risks impacting performance or access.
- Fix Plan — You receive a structured, prioritized roadmap tailored to your organization.
- Support — Depending on engagement, we provide implementation support to stabilize and improve systems.
Who This is for
You are a fit if:
- You operate within healthcare, transportation, or government-funded systems
- You manage operational complexity across people, process, and compliance
- You need structure, not general advice
- You are preparing to stabilize, scale, or align your systems for performance
Not a fit:
We do not provide general consulting without implementation intent or support early-stage ideas without active operations.
Not sure where to start?
Start with a free discovery call. We will help you figure out which area of focus fits your situation and what the right next step looks like.
or email info@altlegacy.com