MedCare Transport
The PACE Program Guide to Transportation
A practical playbook for understanding the true cost of member transportation, sizing your fleet to your census, and deciding whether to build in house or partner. Written for PACE programs by a team that runs PACE transportation every day.
- 1See the full PMPM cost picture, including the expenses that never appear on an invoice.
- 2Model your own program with our interactive Cost Analysis tool and see what sits below the surface.
- 3Get a clear framework for the build or partner decision.
Get the guide and the Cost Analysis tool
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Ten focused sections, built for operators
Each section ends with a short audit so you can pressure test your own program as you read.
The census engine
Why enrollment, not vehicles, is the number that should drive your transportation model.
Routing geometry and the far zone
The distant addresses that quietly inflate cost, and how to see them before they hurt you.
Fleet sizing
How to size by zone and vehicle type so you are not over buying or stranding members.
The PMPM cost iceberg
The real per member per month cost, including the expenses that never show up on an invoice.
Drivers
Recruiting, training, and retention that protect your members and your reputation.
The safety scorecard
The handful of metrics every PACE program should track, and why they matter.
Routing and utilization
Getting more productive trips out of every vehicle and every driver hour.
Compliance
Meeting your obligations without the constant fire drills.
The ramp curve
What the first twelve months of a transportation program actually look like.
Build or partner
A clear framework for the decision, with the numbers laid out both ways.
Plus the Cost Analysis tool
Enter your census, vehicles, and driver pay and see your full loaded cost per member per month in minutes, including the costs that sit below the surface.
It comes from people who run PACE transportation
MedCare Transportation is a specialty non emergency medical transportation company built around PACE programs and health system partners. We size fleets, recruit and train drivers, run safety scorecards, and manage compliance for PACE every day.
This guide is the same thinking we use in the field, written so you can apply it to your own program.
What we handle for PACE programs
See the numbers behind your transportation program
Open the interactive Cost Analysis tool and see your true cost per member per month. It takes one minute.
Open the Cost Analysis tool