Rides to Wellness
A significant factor in rising healthcare costs is the prevalence of chronic disease across the country, with a disparate impact on low income populations. According to the Centers for Disease Control and Prevention (CDC), chronic conditions such as heart disease, stroke, cancer, diabetes, obesity and arthritis are among the most common, costly, and preventable of all health problems and the leading causes of death and disability in the United States. CDC notes that 86% of all health care spending in 2010 were for individuals with one or more chronic medical condition, contributing to the approximate 17% of GDP being spent on healthcare. Chronic conditions reduce workplace productivity and cause absenteeism, producing an annual economic loss of over $1 trillion.
Lack of transportation access can create a barrier for treatment and screening, with an estimated 3.6 million Americans missing or delaying non-emergency medical care each year because of transportation issues. Many people may not make appointments or take advantage of free health screenings due to not being able to get a ride.
For all of these reasons, the Federal Transit Administration launched the Rides to Wellness Initiative to increase partnerships between health and transportation providers and show the positive financial benefit to such partnerships.
The initiative’s goals are to:
- Increase access to care
- Improve health outcomes
- Reduce health care costs
In March 2015, FTA hosted a Rides to Wellness summit, a cross-agency effort to clarify the needs, identify the barriers and brainstorm solutions. Representatives from FTA, HHS, USDA and the Department of Veterans Affairs attended.
The FAST Act included a competitive pilot program for innovative coordinated access and mobility (Section 3006(b)) to help finance innovative projects for the transportation disadvantaged that improve the coordination of transportation services and non-emergency medical transportation (NEMT) services; such as:
- the deployment of coordination technology
- projects that create or increase access to community
- One-Call/One-Click Centers
The FAST Act authorized the pilot program for five years, starting in 2016. The 2016 opportunity closed on May 31, 2016, but to receive notice regarding the 2017 program, sign up for email updates. Learn more about the Rides to Wellness Demonstration and Innovative Coordinated Access and Mobility Grants pilot program and/or view the FTA webinar.
- Read our Fast Lane blog post about the Healthcare Access Challenge Grants: Creative Ways to Make that Healthcare Appointment.
- Healthcare Access Challenge Grants Announcement.
- Healthcare Access Challenge Grants Awards and information about the current projects.
- Read the Rides to Wellness Panel Presentation