• May 8, 2025
• | Modio in the Press

Provider credentialing: the process of verifying a clinician’s license, board certifications and work history is one of the biggest hidden drains on U.S. healthcare budgets. Although clinical advances and policy shifts grab headlines, credentialing still depends on manual checklists and duplicate data entry. Those outdated steps drive nearly a quarter of the $4.3 trillion national spend into waste, with simple paperwork mistakes delaying approvals by up to six months and costing hospitals millions in lost revenue.

Our co-founder John Bou of Modio highlights how automated, interoperable systems can transform this back-office burden. Instead of resubmitting the same credentials state after state, AI-driven platforms can verify data once, push updates automatically and flag missing information in real time. That change not only cuts billing delays and revenue losses but also frees clinical teams to focus on patient care rather than chasing paperwork.

To make credentialing reform real, the article urges healthcare leaders to review internal workflows, invest in modern credentialing platforms and partner with regulators like CMS and state licensing boards on data standards. A national repository and streamlined licensing rules could vastly reduce redundant work, lower provider burnout and expand patient access.

Read the full article on Forbes Technology Council: Why Healthcare Credentialing Reform Matters – and Why You Should Care