Dr. Nick van Terheyden aka Dr. Nick
Host of News You Can Use
LinkedIn: Nick van Terheyden, MD
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In this week’s special edition of “News You Can Use” on Healthcare NOW Radio I sat down with John Bou, President of Modio Health (a CHG company), to explore the company’s remarkable journey from a garage startup to a NASDAQ-listed pioneer in Edge AI.
Listen to the Conversation
Healthcare’s Worst Escape Room
John Bou is the co-founder and President of Modio Health, a physician-founded platform, revolutionizing provider credentialing which is looking to modernize an inefficient and archaic system that plagues healthcare, especially doctors, across the country.
We discuss the current system, which requires up to 120 days to verify a provider’s qualifications, involving extensive paperwork, redundant information collection, and varying requirements across different states and institutions. This bureaucratic maze forces experienced physicians to repeatedly prove their credentials even when moving within the same healthcare network, creating unnecessary delays that ultimately impact patient care.
Modernizing an Inefficient System
Modio Health is tackling these challenges head-on by leveraging technology to create a streamlined, automated credentialing solution. The company aims to serve as a single source of truth for medical credentials, using data aggregation and automation to reduce administrative burdens and accelerate the verification process. As we discuss, this path to modernization isn’t without obstacles. Trust remains a significant barrier, as hospitals bear responsibility for credentialing errors and are naturally cautious about adopting new systems. The Centers for Medicare & Medicaid Services (CMS) is working to address this through the development of a National Provider Database, which could provide the regulatory framework needed to build confidence in automated credentialing solutions.
Modio’s Slicing Through the Bureaucratic Jungle
Looking ahead, the future of healthcare credentialing appears promising, with AI and continuous credentialing technologies expected to transform the landscape by 2025. John envisions a system where verification times could shrink from months to days or weeks, or even, as he puts it, be “continuous credentialing”. Importantly this is not a continuous imposition of the bureaucratic nightmare but rather the continuous availability or readiness of the physician to be able to practice to the top of their license. This would allow providers to focus more on patient care rather than paperwork. These changes will unfold incrementally over the next 5-10 years. They promise to create a more efficient system that reduces costs, eliminates delays, and ultimately improves healthcare delivery across the United States.
Until next week, keep solving healthcare’s mysteries before they become your emergencies.
This article was originally published on the Dr. Nick – The Incrementalist blog and is republished here with permission.
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News You Can Use gives you a quick insight into the latest news, twists, turns and debacles going on in healthcare with Dr. Nick and Dr. Craig and where every diagnosis comes with a side of side-splitting humor. Your hosts are Dr Nick a long-time host, innovator and healthcare wizard who can prescribe a digital dose of innovation to cure even the most ailing operational inefficiencies. And Dr. Craig Joseph is the healthcare guru who can diagnose both patient and software glitches with equal precision, making sure hospitals run smoother than a well-oiled robot doc.
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