Improving paratransit service is no easy task. Each action taken to make improvements uncovers more that need to be fixed. However, the pressure to improve the quality and productivity of paratransit service remains constant and will likely only increase as the U.S. demographics shift toward an aging population that is living much longer than before. Maintaining the status quo is simply not in the cards if you are trying to improve service productivity and hold the line on budget expenditures. In order to find a solution, it’s important to first know what is hindering success. In this article, we give detailed insight into exactly what those problem areas are as you start the process of finding solutions.