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Article
Efficiency Through Accountability: Some Lessons from Kentucky’s Improved Medicaid Transit Service
Journal of Transportation and Statistics
  • Lenahan O’Connell, University of Kentucky
  • Ted H. Grossardt, University of Kentucky
  • Bruce Siria, University of Kentucky
  • Scott Marchand, University of Kentucky
  • Maureen McDorman, University of Kentucky
Abstract

The cost of providing nonemergency transportation to Medicaid and other transportation-eligible people has escalated sharply in the United States. In response, many states have reformed their human services transportation delivery systems. In this paper, we assess the results of Kentucky’s comprehensive reform of its transit system, including the impact on the quality of transit service for Medicaid-eligible users. With three sources of data—financial and other service data, a sample of Medicaid-eligible residents, and a sample of the transit providers—we assess the effectiveness of the new system. The data show that patronage levels increased dramatically under the new process, while unit costs declined substantially. Further, despite measures taken to increase efficiency, passengers still expressed satisfaction with the service. We attribute these positive results to an improved structure of accountability. The conclusion contains implications for future reforms.

Document Type
Article
Publication Date
1-1-2002
Notes/Citation Information

Published in Journal of Transportation and Statistics, v. 5, no. 2/3, p. 73-81.

Material published by Journal of Transportation and Statistics is in the public domain and may be used and reprinted without special permission.

Citation Information
Lenahan O’Connell, Ted H. Grossardt, Bruce Siria, Scott Marchand, et al.. "Efficiency Through Accountability: Some Lessons from Kentucky’s Improved Medicaid Transit Service" Journal of Transportation and Statistics Vol. 5 Iss. 2/3 (2002) p. 73 - 81
Available at: http://works.bepress.com/ted_grossardt/66/