One of the biggest early decisions in starting or scaling a non-emergency medical transportation (NEMT) business is vehicle selection. New vs used. Minivan vs transit van. Wheelchair vs stretcher capable. Ramp vs lift. These choices impact insurance, operations, maintenance, compliance, service capability, and long-term profitability. There isn’t a single right answer—and that’s where many providers go wrong. Vehicle decisions are often made based on budget alone instead of b

Starting a non-emergency medical transportation (NEMT) business can be a strong opportunity, but it’s not a simple “buy a van and start driving” operation. NEMT is a regulated industry that involves compliance, licensing, insurance, training, operational planning, and long-term infrastructure. There are many different paths to starting an NEMT company. Some providers start with private pay, some focus on facility contracts, some pursue broker relationships early, and others b