Oregon to Streamline Provider Credentialing
Ryan also says Oregon's electronic system shouldn't replace outside provider credentialing organizations because outside verification makes good sense.
"I don't think it will completely remove the need… if they're doing it right," says Ryan, who also works with the Oregon Association of Medical Staff Services (OAMSS) to help steer the state toward how the mandatory system will operate.
The Oregon Health Authority (OHA), which oversees the state's public health plan as well as its children's health insurance program and employee benefits, is tasked with working out the technical details of the system.
Tom Holt, director of government affairs for Regence BlueCross BlueShield in Oregon, says there are two legislative sessions between now and the due date for Oregon's system, and while the operational minutiae are getting worked out, he expects the end result to benefit all parties who touch the credentialing process, including insurance companies like Regence.
"From our point of view, the win is simply taking the friction out of the administration of healthcare," says Holt. "Every health plan, [and every] hospital, has something that they're using. In an ideal world, there'd be one central place. For here it makes sense. We have a uniquely collaborative culture."
Jacqueline Fellows is an editor for HealthLeaders Media.
- New G-Codes to Pay Doctors for Broad Array of Non-Face-to-Face Care
- CMS Sets 2014 Pay Rates for Hospital Outpatient and Physician Services
- States Rejecting Medicaid Expansion Forgo Billions in Federal Funds
- Douglas Hawthorne—A Chance to Do Something Big
- Telehealth Improves Patient Care in ICUs
- Why You Should Involve Patients in Nursing Handoffs
- Hospital M&A Volume Up, Value Down in 3Q
- Not-for-Profit Hospitals Find Opportunity Amid Uncertainty
- The 5 Biggest Healthcare Finance Trouble Spots
- 50 Years of Fighting Pressure Ulcers Called Into Question