Archives for USDOT

NEMT Brokers – Motivecare and MTM: Stealing Hundred of Billions from our Healthcare System

Two defendants are constantly sued, mostly for wheelchair tipovers. But most plaintiffs’ attorneys leave vast sums of money on the table: Motivcare (formerly LogistiCare) and MTM – two non-emergency medical brokers operate in all or part of 45 states and the District of Columbia. These companies make most of their money simply by stealing what they don’t waste (through incompetence and reckless disregard). I estimate that these two defendants, together, are stealing between $300B and half a trilliion dollars a year from our healthcare system. Before regulations (more than 20 years ago) legitimized the hiring of brokers, most transportation companies

Survival and Prosperity, Part 3: The Gains of Winning, The Cost of Failure

In Part 1 of this series, I identified a gaping hole of opportunity for profitable motorcoach service – in countless corridors where intermediate-distance travel is provided only by commercial airlines. In earlier installments, I exposed the travesties of the commercial airline industry (Southwest Airlines excluded) which make travel of any distance by Today’s commercial airlines an expensive, inconvenient-at-best obstacle course (see https://transalt.com/article/drivers-v-robots-part-2-the-nature-of-modern-travel/). I explored this sector’s corruption in great detail (see https://transalt.com/article/expanding-the-mode-split-dividing-line-part-1-exponential-airline-industry-corruption/). These factors render a mode-split from small- and medium-distance commercial airline flights to luxury motorcoach travel an extraordinary opportunity. All we need is the right vehicle, described in

What’s in Store for the Post-COVID Era Motorcoach Industry

As disturbing as recent USDOT appointments have been, I almost did not write this column. When the FMCSA administrator was nominated, I felt I had to. This is because the FMCSA regulates, governs and largely influences both the troubled motorcoach industry and vaccine distribution (at least those vaccines delivered by trucks). Given even the most conservative budgets currently being discussed (as of February 2, 2021), the potential waste in vaccine distribution is disturbing since it greatly exceeds what is needed to completely restore the motorcoach industry – including subsidies it may need for several years to get back on its tires. This article is not a partisan political criticism. I voted for neither recent candidate. I am