Economic credentialing: Part 2
Abstract: When HMOs were morphing into MCOs more than 20 years ago, there was a strong movement to accept onto provider panels only physicians who could practice cost-efficient medicine. Such “economic credentialing” provoked vigorous debate. Now, the enactment of the Patient Protection and Affordable Care Act (PPACA) has brought economic credentialing back to the forefront. The PPACA’s Medicare Shared Savings Program will offer incentives to enhance care quality, improve clinical outcomes and increase the value of services delivered through the development of Accountable Care Organizations. This article shows where the issues stand now.