Operations & money
Growth gets the attention, but operations decide whether the growth is worth having. Dispatching, pricing, billing, fuel, insurance, vehicles: each one quietly sets your margin before you've run a single extra trip.
These guides get specific. How to price trips so the math works, which billing habits protect your cash flow, which vehicles earn their keep, and where operators cut real costs without cutting service. If you only read one, make it the pricing guide. Most margin problems start there.
New here? Start with How to PRICE NEMT trips to maximize revenue. The rest builds on it.
The $20,000 NEMT Trip — How to Do Long Distance
Jeanine of SailorGirl Transport on multi-day, cross-state senior moves: vehicles, crews, regulations, pricing, and referral sources for long-distance NEMT.
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The Trip You Haven't Booked Yet
The messiest part of NEMT dispatch deserves its own feature: how Duet's Reservations helps dispatchers handle interruptions and price shoppers.
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High-Volume vs. High-Margin NEMT: Choosing the Right Business Model for Your own company
Learn whether a high-volume or high-margin NEMT business model is right for you — and how to build your entire operation around a clearly defined strategy.
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How to Lower NEMT Insurance Premiums
Commercial broker John Kecskes on cutting NEMT insurance costs: underwriting factors, claims management, telematics discounts, and renewal-timing strategy.
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How to PRICE NEMT trips to maximize revenue
Podcast from Duet: How to PRICE NEMT trips to maximize revenue.
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The EASIEST way to Cash In on Stretcher Trips
Broda's Ed Bandas on the Traversa chair — switch between wheelchair and stretcher modes to unlock dual-service trips in any state.
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How the largest EV fleet in NEMT saves money with electric vehicles
LEAP Institute's Rey Leon on running the largest electric-vehicle fleet in NEMT — operational benefits, cost savings, and what scales (and what doesn't).
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30% margin and more: how to profitably grow an NEMT service
Rachel Scholler on profitable NEMT growth: pricing vs volume, picking trip sources, trimming overhead, and using driver retention as a hidden margin lever.
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Fuel cards: cut NEMT expenses by 10%+
CarIQ Pay's Khalid El-Awady on using fuel cards to cut NEMT operating costs 10%+ through discounts, spend analytics, and fraud prevention.
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How to pick the best NEMT vehicles
Choosing and financing NEMT vehicles with industry vet Michael Shank: full-size vs minivan, new vs used, rear vs side entry, and lease/loan tradeoffs.
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Reporting And Billing Are Vital To Your Cash Flow Management
Why billing and reporting are vital to NEMT cash flow. Cover costs, balance high-margin trips, and accelerate invoice-to-payment with the right software.
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Do You Dispatch Or Schedule?
Real-time dispatching beats static scheduling for NEMT profitability. How dynamic optimization cuts idling, lifts vehicle utilization, and grows margins.
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Driver Management Made Easy
Schedule shifts, track clock-in/out by GPS, manage appointments, and automate payroll reports — how Duet makes NEMT driver management effortless.
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Filed under other topics, worth reading alongside these.
