Physician Credentialing In A Consumer-Centric World

As managed care responds to the rising tide of consumerism in medicine, it is necessary to reexamine the functions that health plans have performed. Chief among the activities that demand resources but return minimal value is the process of physician credentialing. As consumers are asked to assume m...

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Bibliographic Details
Published inHealth Affairs Vol. 21; no. 5; pp. 152 - 156
Main Author van Amerongen, Derek
Format Journal Article
LanguageEnglish
Published United States Health Affairs 01.09.2002
The People to People Health Foundation, Inc., Project HOPE
Subjects
Accreditation
Ambulatory care
Consumer Behavior
Consumerism
Consumers
Credentialing
Election results
Employees
Employers
Fees and Charges
Health facilities
Health maintenance organizations
HMOs
Hospitals
Humans
Information Services
Insurance premiums
Managed care
Managed Care Programs - organization & administration
Managed Care Programs - standards
Managed competition
Medical Staff Privileges
Physicians
Physicians - classification
Physicians - standards
PPOs
Presidential elections
Price increases
Quality control
Surgeons
United States
Value analysis
Workforce
United States > US
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Summary:As managed care responds to the rising tide of consumerism in medicine, it is necessary to reexamine the functions that health plans have performed. Chief among the activities that demand resources but return minimal value is the process of physician credentialing. As consumers are asked to assume more control in their health care decisions and to pay more for their care, the credentialing process must be changed if it is to add value for consumers. This paper discusses the role of credentialing and how it might be reconfigured to become more meaningful to consumers.
Bibliography:ObjectType-Article-1
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ISSN:0278-2715
1544-5208
2694-233X
DOI:10.1377/hlthaff.21.5.152