Thought Leadership

New Perspectives To Improve the Credentialing Industry

How Credentialing Systems Can Create a Competitive Edge for Payers

As seen in Becker’s Hospital Review. Written by Scott Friesen, CEO of Newport Credentialing Solutions.

In the highly-competitive insurance industry, payers are constantly tasked with finding new ways to differentiate themselves from their competition. An often-overlooked opportunity to stand out among the crowd is the provider data management and the credentialing process.

Credentialing starts during the physician on-boarding process. Recruitment of providers onto payer panels is critical to a payer’s success and presents a unique first-impression opportunity for payers. This is where a payer sets the stage for the physician relationship going forward. A smooth, automated on-boarding process is key to achieving physician satisfaction and creates a positive start to the relationship. Identifying additional ways to add value throughout the credentialing lifecycle is essential to maintaining a mutually beneficial relationship.

For example, collecting information and providing it to a physician, who in turn can pass it along to their patients, improves patient satisfaction, and therefore physician satisfaction. Something as basic as the layout of a building can add significant value to both physicians and patients. Knowledge of which doorway patients must go through or whether a clinic is on the first or second floor is important to patients with limited mobility as it represents ease of access. Payers that are able to track this level of detail, which is then passed onto the patient, differentiate themselves from those payers that can’t track this information. The result is happier physicians and patients.

Click here to read the full article.

Newport Credentialing