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Explosive NEMT Growth at 30 Vehicles | NEMT Experts Podcast Episode 60
March 19, 2025

Explosive NEMT Growth at 30 Vehicles | NEMT Experts Podcast Episode 60

Explosive NEMT Growth at 30 Vehicles | NEMT Experts Podcast Episode 60


Bambi CEO Nirav Chheda talks with Adham Harb, Operations Manager at CareTrips in Texas. They discuss the tactics used to achieve his NEMT business's explosive growth from 30 to 100 vehicles. Adam highlights the CareTrips unique ability to manage trip at any time by optimizing fleet and driver schedules, crediting Bambi NEMT software for this allowing for increased trip counts by 40-45 trips daily.

See the full interview on YouTube. 

Please don't forget to subscribe and like NEMT Experts Podcast on YouTube.

Also, available to watch on Spotify


And listen (audio only) on your other favorite podcast platforms Apple and Pandora.

Learn more about CareTrips: https://caretrips.net/


Explosive NEMT Growth: CareTrips' Journey to 30 Vehicles and Beyond

Episode Summary:

In this episode of the NEMT Experts podcast, Nirav Chheda interviews Adham Harb, Operations Manager at CareTrips, a rapidly expanding NEMT company in Dallas. Adham shares his unconventional journey to the role, highlighting his diverse background and quick mastery of NEMT operations. He credits Bambi software for significantly boosting trip counts and streamlining dispatch, allowing CareTrips to handle any trip, any time, anywhere. 

With a fleet of 40 vans and 27 active drivers, CareTrips offers a wide range of services, including hospital discharges, dialysis transport, and non-emergency medical transportation. Adham’s restructuring plan drastically reduced operational errors, and his vision for the future includes expanding to 100 vans and venturing into out-of-state operations in Arizona. He emphasizes the importance of team collaboration, driver satisfaction, and continuous improvement in achieving CareTrips' remarkable growth.

Key Takeaways:

  • Rapid Growth: CareTrips has seen significant growth, increasing trip counts by 40-45 trips daily using Bambi software.
  • Operational Efficiency: Adham’s restructuring plan reduced operational errors from 27% to 7.5%.
  • Comprehensive Services: CareTrips offers a wide range of NEMT services, including ambulatory, wheelchair, and stretcher transportation.
  • Expansion Plans: The company plans to expand to 100 vans and drivers and explore out-of-state operations in Arizona.
  • Team Focus: Adham emphasizes the importance of team collaboration, driver satisfaction, and continuous improvement.
  • Technology Impact: Bambi software played a critical role in streamlining operations and boosting efficiency.

Important Quotes:

  • "That's our biggest strength. I will tell you that the reason why we get to accommodate so many trips is because we offer that service a lot of other companies don't." - Adham Harb
  • "With Bambi, it's been so simple...everything is streamlined for everybody in this office." - Adham Harb
  • "These guys are humans, they're not robots, they're not machines. They need to be heard and listened to, then their problems need to be met with solutions." - Adham Harb
  • "Run, Bambi. Run. It's the best thing ever you guys need. Whoever's watching this needs to go and implement the software into their system." - Adham Harb.

Conclusion:

Adham Harb's story is a testament to the power of adaptability, strategic implementation of technology, and a people-first approach in the NEMT industry. CareTrips' rapid growth and ambitious expansion plans highlight the company's commitment to providing exceptional service and creating a supportive environment for its team. By prioritizing efficiency, embracing innovation, and valuing its drivers and staff, CareTrips is poised for continued success and expansion, setting a strong example for other NEMT providers.

How to Meet NEMT Standards | NEMT Experts Podcast Episode 59
March 12, 2025

How to Meet NEMT Standards | NEMT Experts Podcast Episode 59

How to Meet NEMT Standards | NEMT Experts Podcast Episode 59



Bambi CEO Nirav Chheda talks with Zackary Clemons, NEMT Training Director of Halifax Education Group, about the challenges and solutions for NEMT businesses to meet industry operating standards across all modes of NEMT transport.

Learn more about Halifax Education Group here: https://halifaxeducationgroup.com/

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See the full interview on YouTube.

Or check out the episode on Spotify.

Please don't forget to subscribe and like NEMT Experts Podcast on YouTube.

And listen (audio only) on your other favorite podcast platforms Apple and Pandora.

Top 3 Takeaways from the Interview
  1. Halifax Education Group Bridges the Gap in NEMT Compliance & Training
    • Halifax Education Group was founded to help Emergency Medical Services (EMS) and Non-Emergency Medical Transportation (NEMT) providers stay compliant with regulations, ensuring their licenses remain active. They focus on filling gaps in training, compliance, and operational standards that many providers struggle with.
  2. Common Compliance Pitfalls for NEMT Businesses
    • Many NEMT providers are caught off guard by compliance issues such as background checks, drug testing delays, insurance requirements, and evolving regulatory standards. Halifax assists by creating a structured approach to compliance, including loss prevention and liability management.
  3. Halifax Offers Tiered Training & Compliance Solutions
    • Halifax Education Group provides different levels of training and certification for NEMT businesses, covering everything from basic ambulatory transport to wheelchair and stretcher transport. They aim to instill a professional mindset in providers, ensuring they follow best practices such as proper patient transfer, documentation, and consent procedures.

Top 3 Quotes from the Interview
  1. "You gotta be insurance-rich in business." – Zackary Clemons
    • Emphasizing the importance of having comprehensive insurance coverage to protect against unforeseen liabilities.
  2. "We were always caught off sides… doing the right thing, but when it came down to compliance, it was like, ‘Wait, how did I miss that?’" – Zackary Clemons
    • Describing the common challenge of navigating complex compliance regulations in the NEMT industry.
  3. "We don’t want to be a regulatory body; we want to be a liaison and advisor to professionals." – Zackary Clemons
    • Clarifying Halifax’s role in helping NEMT providers meet compliance standards without acting as a governing authority.

Disruption to NEMT in 2025 | NEMT Experts Podcast Episode 56
March 6, 2025

Disruption to NEMT in 2025 | NEMT Experts Podcast Episode 56

Disruption to NEMT in 2025 | NEMT Experts Podcast Episode 56

Bambi CEO Nirav Chheda talks with Matt Daus, a leading lawyer in the transportation industry, Partner at Windels Marx and President of the IATR, about the big disruptors coming to the NEMT industry in 2025.

Learn more about Windels Marx here: https://www.windelsmarx.com/
Learn more about the IATR here: https://iatr.global/
Reach out to Matt Daus at: mdaus@windelsmarx.com

See the full interview on YouTube.
Or check out the episode on Spotify.
Please don't forget to subscribe and like NEMT Experts Podcast on YouTube.
And listen (audio only) on your other favorite podcast platforms Apple and Pandora.

Top 3 Key Takeaways

  1. Regulatory Evolution in NEMT – Matt Daus emphasizes the importance of regulatory updates in the Non-Emergency Medical Transportation (NEMT) industry. The industry is facing potential mandates for training and certification, as well as reconsideration of the taxi exemption in public paratransit. These changes aim to improve safety, efficiency, and legal protection for providers.
  2. Opportunities & Disruptions – Contrary to fears that Uber and Lyft will take over NEMT, Daus argues that their involvement has actually driven improvement and competition in the industry. He sees continued opportunities for growth, partnerships, and innovation, with the market projected to expand significantly in the coming years.
  3. Impact of the Trump Administration – The new administration is expected to scrutinize Medicaid and Medicare spending on NEMT, leading to increased audits and financial oversight. While this may pose challenges for providers, there are also opportunities for enhanced public-private partnerships to make transportation services more cost-effective.

Top 3 Quotes

  1. "Regulators need to be ahead of the curve on disruption. We were way behind and fought the wrong fight many years ago when Uber came into the market and started changing rides." – Matt Daus highlights the need for proactive regulation to keep up with industry changes.
  2. "Disruption is always good for business. There’s always an opportunity to do things better." – Daus encourages new entrants to see market shifts as a chance to innovate rather than a threat.
  3. "If you don’t have good software and tracking, an audit could cost you more in legal fees than what you might owe." – He warns NEMT providers about the increasing risk of audits and the necessity of proper compliance systems.

How to Start a NEMT Business in Alaska: Technology
March 6, 2025

How to Start a NEMT Business in Alaska: Technology

How to Start an NEMT Business in Alaska: A "Bambi Knows Best" State-By-State Series

Part 7: Embrace That Technology

We’ve reached an exciting milestone: after covering all the business essentials, it's time to focus on integrating helpful technology into your Alaska NEMT operations!

Harness the Power of NEMT Software

At Bambi, we combine AI innovation with a human-centered design to elevate your NEMT operations. Our advanced all-in-one aiNEMT software is crafted to revolutionize your business, delivering cutting-edge features that set new benchmarks in patient care and operational efficiency. Bambi, the deer and our dear software both thrive in Alaska's wild forests and expansive terrain, bringing the perfect blend of technology and nature to your NEMT services.

Whether you’re a seasoned operator or new to the field, Bambi’s technology is designed to support you. Our team is here to help with training and support, ensuring you make the most of our tech stack to deliver exceptional care and operational excellence to your customers. With Bambi, managing schedules, dispatching vehicles and coordinating care becomes seamless, allowing you to focus on what you do best: providing outstanding patient care and customer service.

By embracing our technology, you’re setting your Alaska NEMT business up for true Bambi success. Let us help you navigate the digital landscape and thrive in the Last Frontier!

Ready to see our aiNEMT in action or need more information? We’re here for you! Reach out to us at Bambi for a demo or expert advice tailored to your specific NEMT needs in Alaska.

Here’s to embarking on a successful NEMT business journey in the breathtaking state of Alaska!

How to Start a NEMT Business in Alaska: People
March 6, 2025

How to Start a NEMT Business in Alaska: People

How to Start an NEMT Business in Alaska: A "Bambi Knows Best" State-By-State Series

Part 6: Build and Train Your Top-Notch NEMT Team in Alaska

Assembling a standout NEMT team in Alaska requires finding dedicated drivers, skilled pilots, and experienced boat captains who can deliver exceptional service across the vast and varied landscapes of the Last Frontier. Your recruitment strategy should be as thorough as Bambi’s knowledge of the forest, too! Use platforms like Indeed, LinkedIn and local job fairs to identify the best candidates for your team.

Finding Your Team

In Alaska, it’s essential to look for individuals who understand the specific needs of its diverse and often remote communities. Recruiting locally not only helps in the understanding of regional nuances but also strengthens community ties and builds trust. Seek out individuals who are familiar with Alaska's unique geography, from the bustling urban centers like Anchorage to remote villages like Deadhorse.

Training Your Team

Once you've built your team, comprehensive training is vital. Ensure that all drivers, pilots and boat captains are well-acquainted with safety protocols, customer service excellence and the particular requirements of patients needing medical transportation. Training should also address Alaska’s unique challenges, such as navigating icy roads, flying in harsh weather conditions and managing remote logistics. Thorough training ensures that your team is prepared for any scenario, providing reliable and compassionate service to all passengers.

Building a Positive Culture

Creating a positive and supportive work environment is what’s needed in order to retain top talent these days. Foster open communication, offer professional development opportunities and recognize exceptional performance. A motivated and well-trained team not only enhances service quality but also drives the overall success of your NEMT business. Celebrating milestones and promoting a sense of camaraderie will contribute to a cohesive and efficient team. We know all about those good feels at Bambi. Fun is a big part of our ethos!

As you near the end of our Bambi-guided journey, get ready to dive into Part 7, where we’ll explore how technology can streamline your NEMT operations. Click here to continue, or check out the table of contents for more valuable insights to guide your entrepreneurial adventure in Alaska.

How to Start a NEMT Business in Alaska: Fleet
March 6, 2025

How to Start a NEMT Business in Alaska: Fleet

How to Start an NEMT Business in Alaska: A "Bambi Knows Best" State-By-State Series

Part 5: Build Your NEMT Fleet in Alaska

Building a robust NEMT fleet in Alaska is a critical step in getting your business ready to roll (or take flight). Whether navigating icy roads, flying over rugged terrain or managing remote areas, a well-planned fleet is essential for providing reliable transportation across the Last Frontier. 

Alaska has one of the highest numbers of certified pilots per capita in the US due to its vast, remote geography and limited road infrastructure. Many residents depend on small aircraft for travel, access to remote communities and essential services, leading to a strong tradition of aviation in the state. Here’s how to create a top-notch fleet that meets the diverse needs of Alaska’s residents:

1 | Choose the Right Vehicles

Selecting the right vehicles is crucial for Alaska's diverse terrain and weather conditions. Look for vehicles that cater to your passengers' needs, including wheelchair accessibility and compliance with ADA regulations. Given Alaska's vast distances and challenging environments, consider a mix of durable all-weather vehicles, helicopters and seaplanes that can handle extreme conditions. Additionally, boats may be necessary for reaching isolated coastal communities. If you’re considering eco-friendly options, explore hybrid or fuel-efficient vehicles and aircraft that can perform well in Alaska's unique setting.

2 | Equip for Excellence

Outfit your fleet with high-quality amenities and safety features to ensure a comfortable and secure ride. Essential equipment like wheelchair lifts, first-aid kits and advanced safety systems are a must for ground vehicles. For helicopters and seaplanes, ensure they are equipped with medical equipment and emergency supplies. Adding comfort features such as ergonomic seating and climate control will for sure set your fleet apart from the competition. Partner with local suppliers to support Alaska’s economy and ensure timely service and maintenance for your fleet, benefiting both your business and the community at large.

3 | Maintain Regular Vehicle and Equipment Checks

Keeping your fleet in top condition is essential for reliability and safety. Establish a regular maintenance schedule to ensure all vehicles, aircraft and boats are inspected and serviced frequently. This proactive approach will minimize breakdowns and ensure compliance with both state and federal regulations. Regular upkeep will also enhance your reputation as a dependable NEMT provider, ensuring your passengers enjoy a reliable and safe transportation experience.

By focusing on these strategies, you’ll build a fleet that meets regulatory requirements and exceeds expectations in safety, comfort and environmental responsibility.

Ready to move forward? Click here to dive into Part 6, where we’ll explore strategies for recruiting and training your ideal NEMT team. Or, consult the series table of contents for more insights to guide your business endeavors in Alaska.

How to Start a NEMT Business in Alaska: Funding
March 6, 2025

How to Start a NEMT Business in Alaska: Funding

How to Start an NEMT Business in Alaska: A "Bambi Knows Best" State-By-State Series

Part 4: Secure Funding in Alaska

Launching an NEMT business in Alaska requires a special individual—someone who can handle not only extreme weather but also the potential complications that come with it. However, this isn’t meant to scare you away. Embarking on a business adventure in the land of Denali (America’s tallest mountain) is thrilling and full of potential! Just as Bambi must tread carefully in the wild, securing the right funding is crucial for a successful start. With strategic planning and exploration of various financial options, you can set the foundation for delivering exceptional transportation services across Alaska.

1 | Explore Small Business Loans

Alaskan entrepreneurs have access to a variety of loan programs to support their ventures. The US Small Business Administration (SBA) offers loan options such as the 7(a) loan program, which can help cover startup costs, operational expenses, and more. Additionally, local lenders and the Alaska Industrial Development and Export Authority (AIDEA) provide resources and guidance to help you secure loans and navigate the application process.

2 | Financial Incentives and Support

The Alaska Department of Commerce, Community, and Economic Development (DCCED) administers various incentive programs aimed at fostering economic growth and supporting small businesses. These programs may include grants, tax credits and low-interest loans designed to stimulate business development and job creation throughout the state. Explore DCCED’s offerings to find incentives that align with your particular business goals and operational needs. This could help get you off the ground, saving you funds from the get-go.

3 | Grants and Specialized Funding Opportunities

While direct grants for new startups can be limited, Alaska offers specialized funding opportunities for areas such as technology innovation, workforce development and community initiatives. Resources from organizations like the SBA and local entities, such as the Rasmuson Foundation, can help you identify and apply for grants that support your business objectives. For NEMT services in rural Alaska, consider exploring federal grant opportunities available through Grants.gov and Alaska-specific resources for additional funding avenues.

4 | Networking and Community Resources

Network with local business communities, chambers of commerce and entrepreneurial support groups to expand your funding possibilities. Networking events, workshops and mentorship programs offer valuable opportunities to connect with potential investors, business partners and industry experts who can provide financial support and strategic insights for your NEMT business.

By leveraging these funding strategies and resources, we’re Bambi confident you'll be well-equipped to launch and grow your NEMT business in Alaska. Stay proactive, explore all funding options and prepare to meet the transportation needs of Alaska’s diverse and wide-spread communities.

Keen to move onto the next step? Click here to dive into Part 5, where we’ll explore strategies for building a robust NEMT fleet. Or, check the series table of contents for more insights to guide your entrepreneurial journey.

How to Start a NEMT Business in Alaska: Regulations
March 6, 2025

How to Start a NEMT Business in Alaska: Regulations

How to Start an NEMT Business in Alaska: A "Bambi Knows Best" State-By-State Series

Part 3: Understand Alaska’s Regulations and Secure Insurance

Starting your NEMT business in Alaska is as exhilarating as exploring the wilderness of Denali. To lay a solid foundation for your business, it’s important to understand Alaska’s unique regulations and insurance requirements.

So here’s your Bambi guide to navigating Alaska’s regulatory landscape and securing the necessary coverage.

1 | Familiarize Yourself with Alaska’s NEMT Regulations

To operate an NEMT business in Alaska, you need to understand the state’s regulations overseen by the Alaska Department of Health and Social Services and the Alaska Division of Insurance. These regulations cover driver qualifications, vehicle standards and operational guidelines specific to NEMT services. Compliance with these rules is essential for running a legal and safe operation.

2 | Adhere to Federal NEMT Guidelines

In addition to state-specific regulations, your NEMT business must also comply with federal guidelines set by the Centers for Medicare & Medicaid Services (CMS). These federal standards ensure consistency and are vital for participating in Medicaid-funded transportation services. Being well-versed in these requirements helps align your operations with federal law and ensures smooth business operations.

3 | Secure Comprehensive Insurance Coverage

Insurance is crucial for protecting your NEMT business, employees, and passengers in Alaska. Partner with insurance providers specializing in NEMT to obtain policies that meet both state and federal requirements. Essential coverages include liability insurance, vehicle insurance and additional protection tailored to the unique risks of transporting medical passengers. 

And being that your fleet might involve helicopters, airplanes and even boats, it’s important to look at all these varying types of insurances and plans to be Bambi sure you’re playing it safe and are covered.

4 | Acquire Necessary Licenses and Permits

Ensure you secure all required licenses and permits to legally operate your NEMT business in Alaska. Consult with local and state agencies to obtain the necessary authorizations. This step is vital for avoiding penalties and ensuring smooth operations from day one.

5 | Understand Employer Responsibilities

As you build your team, familiarize yourself with Alaska’s employment laws and responsibilities. This includes securing workers' compensation insurance, unemployment insurance and complying with new hire reporting requirements. The Alaska Department of Labor and Workforce Development provides resources and guidance to help you manage these responsibilities effectively.

By following these steps and utilizing available resources, you’ll be well-prepared to establish a successful NEMT business in Alaska. Stay informed and compliant as you embark on your journey to deliver essential transportation services across the Last Frontier.

Ready for the next step? Click here to dive into Part 4, where we’ll explore funding opportunities for your NEMT business in Alaska. Or, check out the table of contents for more insights in our Bambi Knows Best series.

How to Start a NEMT Business in Alaska: Business Plan
March 6, 2025

How to Start a NEMT Business in Alaska: Business Plan

How to Start an NEMT Business in Alaska: A "Bambi Knows Best" State-By-State Series

Part 2: Develop a Business Plan and Get Registered in Alaska

Now that you’ve got a good grasp of the Alaskan NEMT market, it’s time to create a robust — you know, like an Alaskan grizzly bear — business plan. This step lays the groundwork for your business, aids in securing funding and helps you navigate Alaska’s regulatory environment.

Begin by consulting resources like the Alaska Department of Commerce, Community, and Economic Development for guidance on setting up your business. Key steps include choosing the right business structure, completing your registration, acquiring necessary licenses and permits and getting to know the tax regulations.

The Alaska Small Business Development Center (SBDC) offers valuable resources and advice for new businesses. Additionally, organizations like the Alaska Business Development Center (ABDC) and local chambers of commerce provide support, training, resources and networking opportunities to help you kickstart and grow your business.

To ensure a smooth start, follow this streamlined guide to setting up your NEMT business in Alaska:

1 | Choose a Business Structure

Selecting the right legal structure is crucial for your business. Options in Alaska include Sole Proprietorship, Partnership, Limited Liability Company (LLC), and Corporation (C-Corp or S-Corp). Each has unique legal and tax implications, so choose one that aligns with your goals and consult a legal advisor if needed.

2 | Register Your Business Name and Entity

Once you’ve chosen your structure, pick a name that reflects your brand and register it with the Alaska Department of Commerce, Community, and Economic Development. This step officially establishes your business and ensures compliance with state regulations.

3 | Obtain an Employer Identification Number (EIN)

If you plan to hire employees, which you very likely will as NEMT businesses are quite the endeavors (and who do you think is going to fly those planes to your customers anyway?), apply for an Employer Identification Number (EIN) from the IRS. This number is essential for tax reporting and managing employee records.

4 | Register for State Taxes

Register for applicable state taxes and get the important permits through the Alaska Department of Revenue. They oversee tax registrations, including sales tax and provide what you need to know on the required permits for your business.

Now let’s head over to Part 3, where we’ll explore Alaska’s specific regulations and insurance requirements. Click here to continue. For more insights in this series, check out the table of contents for additional guidance.