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Credentialing and Provider Enrollment in 2018: Three Key Industry Survey Findings

Medical groups, hospitals, and healthcare organizations are facing an uncertain healthcare environment, escalating costs, and declining reimbursements. These organizations continue to seek strategies and solutions to decrease costs, increase revenue, and accelerate their provider enrollment process in order to obtain more timely reimbursement.

It is against this backdrop that Echo, A Healthstream® Company (Echo), and Morrisey®, A Healthstream® Company (Morrisey®), examine the current and changing landscape of provider enrollment and the implications for medical groups, hospitals and healthcare organizations. We present our research collected in early 2017 by Echo and Morrisey® from 505 credentialing and provider enrollment professionals throughout the U.S. who indicate that creating efficiency and automation are higher priorities in their organization than in recent years.

Here are three important observations from our research:

  1.  Most organizations indicate their provider enrollment process is “adequate” and concede that improvement opportunities exist.
    When asked to assess the effectiveness and efficiency of their organization’s provider enrollment process, 63.7% rate their organizational process as adequate. However, 21.4% rate their organization as challenged, and 3.0% say that immediate and widespread improvement is urgently needed. Interestingly, only 4.1% rate their process as best-in-class.
    improvement opportunities
  2.  Almost two-thirds of organizations indicate that improving the provider enrollment process is a higher priority than one year ago.
    On an item asking respondents to reflect on the past year in regard to provider enrollment as a priority for their organization, a solid 64.3% agree that it has become a higher priority. improving provider enrollment
  3. By far, the top priority for improvement is reducing the time required to enroll a provider.

    Respondents were asked to provide an importance rating on a range of items about processes, as shown in the table below. The item with the highest importance was “reducing time to enroll provider” (81.2% very important). Other items considered “very important” by more than half of respondents included:

    • Improving provider satisfaction with the credentialing and enrollment process
    • Implementing process efficiencies to improve the financial results related to employing physicians and/or owning physician practices
    • Reducing required resources and administrative costs through automation and process simplification
    • Maintaining an accurate provider directory (provider plan participation and office locations) on your website to support patients’ decision-making
    • Tracking metrics, benchmarks, and provider enrollment data to drive efficiencies and decrease onboarding time 
      opportunities for improvement

ABOUT MORRISEY®, A HEALTHSTREAM® COMPANY

Morrisey®, a HealthStream® Company delivers an industry-leading medical staff credentialing and privileging solution that includes a medical staff credentialing platform, a comprehensive library of clinical privileging content healthcare’s most adopted clinical privileging solution, provider network management, a practitioner performance reporting platform, and consulting proficiency with deep insights from a team of nationally recognized experts.

ABOUT ECHO, A HEALTHSTREAM® COMPANY

Echo, a HealthStream® Company delivers enterprise-class solutions for medical staff credentialing, privileging, and enrollment for hospitals and health systems; the industry’s most adopted credentialing and enrollment solution for medical groups; and innovative solutions to optimize patient experience contact centers. Echo is passionate about helping healthcare organizations launch paperless credentialing processes, reduce provider enrollment timelines, enable legacy call centers to transform patient experiences, accelerate provider onboarding, increase provider satisfaction, and drive improvement and transparency. 

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