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Pages 391-406

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From page 391...
... I-1   Policy Problem Statements Policy Problem Statements • Policy Coordination to Improve Rural Non-Emergency Medical Transportation (NEMT) Patient Care and Reduce Fiscal Risk • Sustainability and Mode Choice in the Essential Air Service (EAS)
From page 392...
... I-2 Rural Transportation Issues: Research Roadmap expressed concern that Medicare and VA were unwilling or unable to discuss coordination with their peers. A separate 2016 GAO report found NEMT to be at high risk for fraud and abuse (U.S.
From page 393...
... Policy Problem Statements I-3   III. Research Objective The objective of this research is to prepare a policy analysis paper outlining the strengths and weaknesses of the existing rural NEMT system in the United States, policy options for overcoming the system's shortcomings, and recommended administrative and policy actions.
From page 394...
... I-4 Rural Transportation Issues: Research Roadmap Potential benefits of the proposed research include the following: • Improved rural NEMT customer experience and patient care • Improved operational efficiency to control NEMT cost growth • Reduced costs for the administration of NEMT programs • Reduced risk of fraudulent claims and chargebacks to state agencies • Reduced risk of crashes, adverse medical outcomes, and mistreatment of riders Implementation of the study recommendations is likely to require action by Congress and various federal, state, and local agencies. Depending on the scale of the recommended changes, affected stakeholders could include patients, medical providers, private insurers, public transportation agencies, private transportation providers, and ridesourcing companies.
From page 395...
... Policy Problem Statements I-5   of the Rural Public and School Transportation Theme Report in order to provide panel-selected problem statements in time for the TCRP deadline in June 2019. The Rural Public and School Transportation Theme Report was accepted by the panel in May 2019 and distributed to relevant staff at AASHTO, APTA, TRB, CTAA, National RTAP, and other organizations for sharing with interested committees, councils, and so forth for their use.
From page 396...
... I-6 Rural Transportation Issues: Research Roadmap In the early days of commercial aviation, frequent refueling stops were necessary (EAA c.
From page 397...
... Policy Problem Statements I-7   III. Research Objective To resolve the ongoing uncertainty over the value and long-term direction of the EAS program, this policy study will: • Conduct an economic and financial analysis of the EAS program, including utilization trends and the geographic and socioeconomic distribution of EAS program benefits.
From page 398...
... I-8 Rural Transportation Issues: Research Roadmap V Duration and Cost Estimate The estimated cost of the policy study is $750,000 for a 24-month study.
From page 399...
... Policy Problem Statements I-9   benefited from reduced costs for outbound freight, it is likely that, in other sectors, the reduced cost of inbound freight made local products less competitive with items produced elsewhere. Similarly, the improved facilities probably made it easier for rural destinations to attract tourists, but it also made it easier for local residents to spend their leisure time far from home.
From page 400...
... I-10 Rural Transportation Issues: Research Roadmap III. Research Objective The objective of this project is to develop a concise guidebook that will assist state and local decision makers in understanding the characteristics of transportation economic development projects that successfully contribute to sustainable economic growth.
From page 401...
... Policy Problem Statements I-11   I Problem Title Realistic Solutions for Funding Rural and Small-Town Pedestrian Infrastructure II.
From page 402...
... I-12 Rural Transportation Issues: Research Roadmap acknowledging the unique challenges these communities face. To achieve this objective, the proposed research project will: • Define "safe access" in rural terms.
From page 403...
... Policy Problem Statements I-13   National Highway Traffic Safety Administration.
From page 405...
... Abbreviations and acronyms used without denitions in TRB publications: A4A Airlines for America AAAE American Association of Airport Executives AASHO American Association of State Highway Officials AASHTO American Association of State Highway and Transportation Officials ACI–NA Airports Council International–North America ACRP Airport Cooperative Research Program ADA Americans with Disabilities Act APTA American Public Transportation Association ASCE American Society of Civil Engineers ASME American Society of Mechanical Engineers ASTM American Society for Testing and Materials ATA American Trucking Associations CTAA Community Transportation Association of America CTBSSP Commercial Truck and Bus Safety Synthesis Program DHS Department of Homeland Security DOE Department of Energy EPA Environmental Protection Agency FAA Federal Aviation Administration FAST Fixing America's Surface Transportation Act (2015) FHWA Federal Highway Administration FMCSA Federal Motor Carrier Safety Administration FRA Federal Railroad Administration FTA Federal Transit Administration GHSA Governors Highway Safety Association HMCRP Hazardous Materials Cooperative Research Program IEEE Institute of Electrical and Electronics Engineers ISTEA Intermodal Surface Transportation Efficiency Act of 1991 ITE Institute of Transportation Engineers MAP-21 Moving Ahead for Progress in the 21st Century Act (2012)
From page 406...
... Transportation Research Board 500 Fifth Street, NW Washington, DC 20001 ADDRESS SERVICE REQUESTED ISBN 978-0-309-68680-8 9 7 8 0 3 0 9 6 8 6 8 0 8 9 0 0 0 0

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