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
For decades, motorcoach providers have provided commuter-express service, under contract, to transit agencies (and, occasionally, to municipalities which do not even have formal transit agencies). Particularly in the past 20 years, this role has expanded: Motorcoach providers are increasingly providing service on local and regional routes, often with regular buses – not even motorcoaches. Similarly, many motorcoach companies also own schoolbuses, and provide schoolbus service, under contract, to school districts. For decades, roughly a third of all schoolbus service has been contracted out, and this percentage had remained surprisingly consistent. For the same reasons that contracted transit service has been
Most motorcoach companies do not provide paratransit service. So learning the nuances of this mode is often limited. But much can be learned from this rarely-creative, inefficient and often dangerous service. Paratransit’s tight schedules, and the reasons for them, provide important lessons for any mode of transportation. In contrast to motorcoach operators, transit agencies have a formal responsibility under the Americans with Disabilities Act (ADA) to provide complementary paratransit service. Most transit agencies contract out these services to private companies. Either way, tight schedules trigger safety compromises. If the victim has an effective attorney, tight schedules are a liability. Ingenuity
