Benefit Analysis of Private Health Sector Investments in Public/Human Transportation

State departments of transportation (DOTs) are responsible to the transit-dependent public for maximizing investments of state and federal dollars in public transportation, but available funds often leave projects partially or wholly unfunded. Available public funding is not sufficient to meet all transportation needs, particularly in those areas where public transit does not currently exist. Planning efforts that focus on maximizing transportation availability and accessibility may not be furthered due to lack of implementation resources. Mobility managers, who are frequently housed within state DOTs, are responsible for coordinating transportation resources for individuals with unique access needs and are sometimes challenged to find any transportation options for the individuals they aim to serve. While the Coordinating Council on Access and Mobility (CCAM) is addressing non-emergency medical transportation (NEMT) from a federal policy and funding perspective, additional, unencumbered private resources for this transportation need could create meaningful change in support of CCAM’s work. If private and nonprofit funding from the health care industry, including hospitals, is available to subsidize transportation, opportunities exist to increase the availability of NEMT while also providing an even greater monetary benefit to the health care industry. In some cases, health care providers and hospital systems are able to provide transportation funding or develop their own services to transport their clients. The aim of this research is to provide information that will inform decisions to incentivize private health investment in NEMT by demonstrating its returned value, and for future research to examine the effects of such an investment. The objective of this research is to design and conduct a benefits analysis that state DOTs, public transit and NEMT providers, and transportation stakeholders could utilize to demonstrate to hospitals and other health care providers how they might make small, supportive private investments in NEMT. This research should explore the effects of healthcare investments in communities with existing public transit, human services transportation, and other NEMT. The research could include cost-benefit analyses of healthcare investment in transportation, including analyses conducted in a rural, small-urban, and urbanized area in states with varying geography, demographics, and economies. It should also provide a tool for measuring the direct and indirect benefits (monetary and public health) of transportation subsidies by healthcare providers, and a recommended process for presenting the findings to the healthcare industry to incentivize investment.


  • English


  • Status: Proposed
  • Funding: $400000
  • Contract Numbers:

    Project 08-172

  • Sponsor Organizations:

    National Cooperative Highway Research Program

    Transportation Research Board
    500 Fifth Street, NW
    Washington, DC  United States  20001

    American Association of State Highway and Transportation Officials (AASHTO)

    444 North Capitol Street, NW
    Washington, DC  United States  20001

    Federal Highway Administration

    1200 New Jersey Avenue, SE
    Washington, DC  United States  20590
  • Project Managers:

    Crichton-Sumners, Camille

  • Start Date: 20220607
  • Expected Completion Date: 0
  • Actual Completion Date: 0

Subject/Index Terms

Filing Info

  • Accession Number: 01846779
  • Record Type: Research project
  • Source Agency: Transportation Research Board
  • Contract Numbers: Project 08-172
  • Files: TRB, RIP
  • Created Date: May 24 2022 7:31PM