Quality Matters: A Podcast by NCQA

Credentialing: The Unsung Hero of Quality


Listen Later

Credentialing rarely makes headlines, but it plays a critical role in determining how quickly patients can access care, how providers join health plan networks, and how healthcare organizations maintain quality at scale.

In this episode of Quality Matters, host Tsveta Polhemus examines why credentialing has become one of the most important foundations for modern healthcare delivery—especially as virtual care continues expanding across states and specialties.

Joining the conversation are Sharon Meers, President and Co-Founder of Midi Health, and Greg Smith, Director of Operations at Evernorth Health Services. Together, they explore how credentialing impacts providers, payers, and patients alike, and why standardized, trusted processes are essential for improving access while maintaining confidence in care.

Sharon shares Midi Health's remarkable growth from approximately 20 clinicians to nearly 800 providers serving patients nationwide. As the organization rapidly expanded across all 50 states, credentialing and payer enrollment became one of its greatest operational challenges. She explains how achieving NCQA Credentialing Accreditation enabled delegated credentialing with major national payers, reducing enrollment timelines from months to just days and allowing patients to access care sooner.

Greg offers the payer perspective, discussing how credentialing supports network adequacy, strengthens audit readiness, and creates greater consistency across provider networks. He explains why recognized standards help reduce administrative friction while giving health plans greater confidence in the organizations they partner with.

The episode concludes with a Patient Voice segment featuring Carroll Schreibman, who shares her experience navigating perimenopause symptoms after years of searching for answers. She reflects on how quickly accessing virtual care through Midi Health transformed her health, work, and quality of life—and why listening to patients remains central to delivering meaningful care.

As healthcare delivery continues evolving, one message becomes clear: credentialing isn't simply a compliance exercise. It's the infrastructure that enables trusted, timely, and equitable access to quality care.

Highlights

Credentialing Enables Access

Credentialing determines how quickly providers can begin seeing patients, making it one of the most important drivers of timely access to care.

Scaling Virtual Care Responsibly

Midi Health shares how standardized credentialing supported rapid national expansion while maintaining consistency and quality.

Trusted Standards Build Confidence

NCQA Credentialing Accreditation creates a common framework that strengthens relationships between providers, payers, and patients.

The Payer Perspective

Credentialing helps health plans improve network adequacy, streamline oversight, and reduce administrative burden while supporting quality care.

A Patient's Experience

Carroll Schreibman shares how timely virtual access to menopause care helped restore her quality of life after years of unanswered questions.

 

 

Key Quote

"Credentialing isn't just a compliance requirement—it's the infrastructure that makes timely, trusted, high-quality care possible."

— Sharon Meers

 

 

Time Stamps - Waiting on Final File

(00:00) Why Credentialing Matters More Than Ever

(01:52) Meet Sharon Meers & Greg Smith

(05:43) A Patient's Journey to Virtual Care

(09:25) Credentialing 101: Why It Matters

(12:12) How Delegated Credentialing Improves Access

(14:36) Scaling Midi Health from 20 to 800 Clinicians

(18:00) Balancing Speed, Quality, and Trust

(24:44) Measuring Patient Access and Outcomes

(28:47) The Future of Credentialing and Virtual Care

(33:25) Patient Voice: Carroll Schreibman's Story

(42:47) Key Takeaways and Closing Thoughts

 

 

Links & Resources

NCQA Credentialing Accreditation

Learn more about Midi Health

Learn more about Evernorth Health Services

Connect with Sharon Meers

Connect with Greg Smith

Connect with Carroll Schreibman

Connect with Tsveta Polhemus


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

...more
View all episodesView all episodes
Download on the App Store

Quality Matters: A Podcast by NCQABy NCQA

  • 4.6
  • 4.6
  • 4.6
  • 4.6
  • 4.6

4.6

35 ratings


More shows like Quality Matters: A Podcast by NCQA

View all
Stuff You Should Know by iHeartPodcasts

Stuff You Should Know

78,636 Listeners

Planet Money by NPR

Planet Money

30,666 Listeners

Radio Advisory by Advisory Board

Radio Advisory

176 Listeners

HBR On Leadership by Harvard Business Review

HBR On Leadership

170 Listeners