Cost-Benefit Analysis of Providing Non-Emergency Medical Transportation (2005) / Chapter Skim
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Chapter 3: The Transportation-Disadvantaged Population and Access to Healthcare As stated in the Introduction, the overall goal of this study is to determine if the net benefits of providing NEMT to transportation-disadvantaged persons who currently lack access to NEMT exceed the costs of providing this service, including both transportation and healthcare costs. This determination, however, is complicated by one very important consideration: transportation-disadvantaged status alone is not sufficient to indicate that someone misses medical care due to a lack of NEMT.
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misses medical care is larger. According to the 2001 MEPS, 31.63 million Americans missed non-emergency medical care for some reason or the other in a year.
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Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics) , and the Medical Expenditure Panel Survey (MEPS, produced by the U.S.
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For the 2002 NHIS, the weighted results to this question for the adult sample show that 1.33 percent of adults responded affirmatively as shown in Table 3-1. A separate analysis (not shown)
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After responding "yes" to this question, respondents are given a list of 14 items from which they are asked to select the main reason for experiencing difficulty. Of these reasons, three are germane to transportation access: (1)
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3.2 Additional Estimates of the Size of the TransportationDisadvantaged Population That Lacks Access to NEMT As discussed earlier in this report, an unambiguous estimate of the size of the transportation-disadvantaged population does not exist, and even the definition of transportation disadvantaged varies. The variation in estimates grows further if one attempts to incorporate missed trips that derive from the transportation-disadvantaged designation.
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equipment or assistance to travel outside the home, compared with just 0.66% of those without disabilities. • As discussed earlier in this chapter, the 2001 MEPS indicates approximately 3.5 million people who cite a transportation-related reason to explain why they had difficulty obtaining medical care.
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to lack of transportation someday proves correct, only the estimates derived from the NHIS and MEPS are associated with data related to medical conditions and healthcare use; thus, only for the 3.6 million is the data rich enough to permit the cost comparisons required for this study. Nonetheless, despite confidence in the estimate of the size of the target population, there are important limitations.
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