Healthcare's Growing Problem: Slow Credentialing Costs Revenue, Says Medallion Report

Slow Credentialing and its Impact on Healthcare Revenues

In the evolving landscape of healthcare, a new report by Medallion sheds light on a critical issue: the slow pace of credentialing and enrollment processes is significantly affecting revenue in the sector. According to their 2025 State of Payer Enrollment and Credentialing report, 60% of executives acknowledged that inefficient processes are detrimental to their bottom line.

Despite the pressing need for reform, most healthcare organizations remain hesitant to transition from manual to automated workflows. Medallion surveyed 507 healthcare organizations across the United States and found that a staggering 83% rely primarily on manual or semi-automated processes. This reluctance to embrace technology not only hampers efficiency but also leads to significant delays. 33% of respondents reported credentialing delays that extend between 30 to 45 days, with 18% of organizations facing delays of 60 days or more.

The report also highlights that 51% of enrollment and credentialing teams experienced turnover in the past year. Interestingly, 56% of respondents felt their teams were understaffed, even though many organizations had no unfilled positions. This indicates a critical disconnect in talent management and resource allocation that inevitably contributes to systemic inefficiencies.

The slow pace of enrollment processes has a cascading effect on revenue. With 60% of C-level executives admitting that these delays negatively impact income, provider groups find themselves in a particularly vulnerable position. As a result, organizations face burnout among their staff who are overworked and overwhelmed by manual tasks. The report emphasizes the need for healthcare leaders to reevaluate their operational strategies, especially given the pressing nature of the current healthcare environment.

Derek Lo, CEO and founder of Medallion, articulated the urgency of this issue, saying, "Healthcare operations are at a pivotal moment, and everyone's asking the same question: 'How do we reduce the admin burden and get back to what really matters?'" He highlighted that while adopting automation is crucial, organizations often hesitate due to fears of losing control over their processes. Approximately 85% of organizations continue to handle enrollment tasks in-house, prioritizing perceived control over operational efficiency.

The Medallion report issued a call to action for healthcare organizations to tackle these inefficiencies head-on. As automation technology emerges as a feasible solution, organizations must overcome barriers that deter them from adopting such systems. There's a clear trend showing that those who adopt technological advancements, particularly in the areas of credentialing and enrollment, can refocus their teams towards delivering quality patient care instead of getting mired in administrative tasks.

In summary, the 2025 State of Payer Enrollment and Credentialing report emphasizes the urgent need for healthcare organizations to transition towards automation in credentialing and enrollment practices. Slow processes aren’t merely an operational challenge; they are a direct threat to revenue and quality care delivery. Organizations that embrace change and automate administrative workflows stand to enhance their operational efficiency while reserving their human resources for higher-value patient interactions.