How RMI has helped the U.S. Air Force reduce medevacs for over a decade

Military personnel are frequently deployed to isolated areas, where access to hospitals and urgent care facilities is limited. In the absence of on-site medical care, those who fall ill or get injured must undergo medical evacuation. This procedure is not only costly but also time-intensive, particularly for personnel stationed on the remote islands of the Pacific. To mitigate the frequency of such medical evacuations, RMI has been proactively deploying medical staff and supplying necessary medical equipment to these remote locations since 2008.


In situations where hospitals and urgent care clinics are not easily accessible, the presence of on-site medical providers becomes crucial. These on-site professionals must possess a broad range of expertise to handle a diverse array of injuries and illnesses. For instance, the presence of a physician significantly enhances the level of medical capability on-site. However, this increased capability comes with a higher cost, as physicians are more expensive than medics. Our clients are continually striving to strike the right balance between medical proficiency and cost efficiency.

RMI Approach

Since 2008, RMI has been dynamically adapting its medical provider staffing strategies. Our primary goal is to assist our clients in effectively managing their healthcare costs and enhancing their medical capabilities. We are committed to gaining a deep understanding of our clients’ unique needs and responding to them in a timely and efficient manner.

In 2014, we proposed a reduction in the level of medical provider staffing at a specific location. This recommendation was tailored to the unique needs of that island. We concluded that RMI could achieve cost savings without compromising the quality of available medical care.

We have also collaborated with our clients to decrease expenses while simultaneously increasing the pool of available staff. Certain remote islands impose stringent requirements on the qualifications of their on-site medical personnel. For instance, the islands we worked with only permitted the employment of credentialed providers from Hawaii and Alaska, which are among the costliest states for hiring medical professionals. As a measure to save costs, we consistently propose alternative staffing options. The adaptability of RMI has enabled us to deliver services in these isolated locations for over a decade, catering to the needs of two distinct clients. Collaborating with our clients to provide the most appropriate solution at the optimal time is the cornerstone of our operations.

PACIFIC OCEAN – F-35B Lightning IIs with Marine Fighter Attack Squadron 211, the Wake Island Avengers, 13th Marine Expeditionary Unit (MEU), fly over Wake Island during a regularly scheduled deployment of the Essex Amphibious Ready Group and the 13th MEU, August 1, 2018. (U.S. Marine Corps photo by Cpl. Francisco J. Diaz Jr.)
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