Scaling Provider Enrollment: A Strategic Framework for Health Systems

At $7,500 in lost revenue per physician per day to credentialing delays, the provider onboarding and network participation are struggling to keep pace with the increasing demand for care. For most health systems, these processes remain fragmented, manual, and chronically understaffed. That changes here.

Written by: Barbara Walter

Health Systems

The Problem No One Is Solving Fast Enough

Healthcare demand is rising. Provider networks are expanding. But the administrative infrastructure that underpins provider enrollment and credentialing has not kept pace. The result: a process that can stretch up to 120 days for a single provider, departments that report to different leaders and operate in disconnected systems, and credentialing specialists each managing portfolios of 120 to 150 providers with no relief in sight.

Nearly one in four healthcare executives is dissatisfied with how credentialing works at their organization. Four in ten are dissatisfied with credentialing timelines. The industry knows it has a problem. Fewer know how to fix it.

$7,500 in daily revenue lost per physician due to enrollment delays120 days maximum time to complete credentialing for a single provider $350 Bn lost annually to administrative complexity in the U.S. healthcare system

What You Will Learn in This Playbook

Sutherland, in partnership with Healthcare Dive, developed this playbook for health system leaders ready to treat provider enrollment as a strategic priority rather than a back-office function.

  • Why enrollment bottlenecks create compounding financial and compliance risk
  • How fragmented systems and manual workflows drive duplication, errors, and revenue leakage
  • The 6-Pillar Framework for building a scalable, modern enrollment operation
  • How AI and automation are cutting verification times by up to 68%
  • What to look for in a credentialing partner who can close your capability gaps

Scale Your Enrollment Operations with Confidence

Provider enrollment and credentialing are no longer processes you can afford to optimize in isolation. It sits at the intersection of revenue cycle performance, clinical capacity, regulatory compliance, and provider satisfaction. Getting it right requires the right framework, the right technology, and the right partner.

Take the first step to modernize your enrollment and credentialing processes now. Download the playbook now.

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