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Why Most NEMT Companies Struggle to Scale (And How Duet Fixes It)

Most NEMT companies don’t have a scaling problem… 👉 they have a backend problem.

Host: Te`ya Miles, That NEMT Girl.
Guest: James O'Donnell, Cofounder & COO of Duet

By James O'Donnell, Cofounder and COO, Duet ·


In this episode, Te`ya sat down with James O’Donnell, Cofounder & COO of Duet, to break down why so many NEMT providers get stuck — and what actually needs to be in place to grow without everything falling apart.

They get into:

  • Why dispatch and operations are the real bottleneck

  • How messy systems are costing you money

  • What needs to be in place before you scale

  • How platforms like Duet help bring structure to your business

If you’re serious about building a real NEMT company, this is a conversation you need to hear. 📞 Connect with James / Duet at james@duetinc.com or go to Duet website.

About the author

James O'Donnell cofounded Duet and leads its sales, partnerships, and growth services. He talks with NEMT operators every week, hosts the NEMT Growth podcast, and answers Duet's sales line himself. More about Duet's founders →

Watch the full episode

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