RouteGenie, the medical transportation software platform, shared a customer success story in NEMT showing how St. Louis-based 360 Quality Care + Transport Services scaled to a 30-vehicle premium fleet, held 98% on-time performance, and earned NEMTAC accreditation, becoming one of only 11 nationally accredited NEMT providers in the United States.
Most medical transportation operators answer flat Medicaid rates by chasing volume. 360 Transport took the opposite bet: a trademarked premium tier, Priority Medical Transport, built for chronic, high-acuity passengers and hospital discharges, and priced on reliability rather than trip count. The open question was whether a quality-first model could keep its discipline as the fleet grew.
Live on RouteGenie's NEMT software since March 2023, 360 Transport uses automated scheduling, dispatching, and billing to hold a revenue mix split evenly across private-pay, facility, and broker work, and to cap each driver's morning at six scheduled legs so capacity stays open for the 10 to 25 hospital discharges that arrive daily. The operation now coordinates more than 750 trips a week with four dispatchers, and facility partners, especially skilled-nursing facilities, book discharge trips directly through the facility portal. The full story is at routegenie.com/case-studies/360-transport-nemt-software/.
"We were stuck in a world where we had ten vans, and now we're at 30. We could not have done that on our old software platform," said Steve Newman, founder and CEO of 360 Quality Care + Transport Services.
The discipline shows up in safety and accountability. After 360 Transport tied an in-vehicle camera program to its insurance group's standards, average driver safety scores climbed from 66% to above 97%, with several drivers posting a perfect 100 in a recent month. NEMTAC accreditation followed in September 2023, six months after go-live, placing 360 Transport among 11 nationally accredited NEMT providers as of April 2026. The company backs its service with a written guarantee of up to $500 in future-transport credit on pre-booked, private-pay trips when it is the direct cause of a missed appointment.
"Working alongside Steve on this story, what stood out was the discipline. 360 chose to compete on reliability instead of trip count, and the reason that held through tripling the fleet is simple: the standard is enforced by the software, not by one person's memory," said Yurii Martynov, marketing director at RouteGenie.
Providers looking to move off volume-based operations can request a walkthrough at routegenie.com/get-a-demo/. The story reflects RouteGenie's work to help medical transportation providers trade trip-count growth for margin and reliability as healthcare moves toward paying for outcomes.
About 360 Quality Care + Transport Services
360 Quality Care + Transport Services (360 Transport) is a St. Louis-based medical transportation provider specializing in premium, high-acuity transport through its trademarked Priority Medical Transport tier. The company serves hospitals, skilled-nursing facilities, and private-pay passengers across the greater St. Louis region and holds NEMTAC accreditation and a BBB A+ rating. Learn more at 360careandtransport.com.
About RouteGenie
RouteGenie is the operating platform and ecosystem for medical and patient transportation. Headquartered in Buffalo, N.Y., RouteGenie helps more than 700 fleets and 20,000 vehicles across 46 states and two countries automate scheduling, routing, dispatching, billing, and rider communication. The platform coordinates more than 1 million rides every month, serving NEMT providers, senior care and PACE programs, health systems and clinics, health plans, transit agencies running paratransit and microtransit, and the trip brokers that connect them, with 25+ direct broker integrations for seamless trip exchange. RouteGenie has been recognized on the Inc. 5000 in 2023 and 2024 and is a multi-time SourceForge Top Performer. Learn more at routegenie.com.
Media Contact
Yurii Martynov
Marketing Director
RouteGenie
+1 877 599 6560
marketing@routegenie.com