Secrets of Sustainable NEMT Growth

James from Duet, an NEMT technology company, discussed with with Christopher Buell, owner of NEMT Alliance, about what's been most important to his growth and how he's avoided the pitfalls that take out many seemingly-successful NEMTs. This discussion covers:

• Eugene's secret to hiring the best drivers (it involves asking uncomfortable questions)


• How he sourced trips to grow from 0 to 5 vehicles


• How to get into government contracts (e.g., from VAs) as a subprime, and what's required to win large contracts as a prime


• The resources needed to double revenue in 12 months


• Why 90% of the NEMT owners he's met have failed (and how to avoid the same mistakes)

You can learn more about Eugene and C.A.T.S at their website.
If you want an NEMT dispatching software built to help you grow, go to Duet website.

By James O’Donnell, Cofounder & COO at Duet March 19, 2026