In managed care credentialing, delegation is defined as a formal process by which an organization gives another entity the authority and responsibility to perform certain functions on its behalf through a contractual arrangement. For health plans that wish to delegate components of its credentialing process to another entity, NCQA and URAC require several elements to be in place, including a predelegation assessment, a delegation agreement, and oversight assessment activities.

Yale New Haven Hospital's Late Career Practitioner Policy, which features an assessment of whether clinicians 70 and older are fit to practice medicine independently, has been challenged in federal court.

Most of the bylaws we all operate under are essentially decades old so you're not alone in that regard. However, it is important to review your bylaws annually to make sure they are up to date and still applicable. If a "wholesale review" has not been done in the past five years or more, now is the time to start.

Earn continuing education units at the 2020 CRC Symposium! This years' conference has been approved for credits by the following organizations:

• National Association Medical Staff Services (NAMSS): 12.5 continuing education units
• Accreditation Council for Continuing Medical Education (ACCME): 12.5 AMA PRA Category 1 Credits^TM

Held from April 20-21 at the Sheraton New Orleans Hotel, the 2020 CRC Symposium gives MSPs, physician leaders, and quality professionals the chance to earn CEUs in their field while networking with colleagues from around the nation. CRC members save an additional $100! Register now by clicking here or by calling 800-650-6787.

The 2010s are officially over. However, it’s worth a peek back into the last decade at the top trends and changes over the last 10 years for MSPs. We saw changes to what’s expected of MSPs among their healthcare colleagues, the rise of employed physicians, and new technologies that presented exciting ways to automate processes.

A recent report provides five system-level strategies with specific initiative examples for hospitals to improve prevention, identification, and treatment of opioid use disorder.

As physician practices transition to value-based care and incorporate population health management (PHM) solutions into their day-to-day workflows, there are opportunities to close the communication gaps that can lead to opioid abuse. By aggregating and analyzing data across the care continuum, healthcare organizations can proactively recognize patients with conditions that put them at risk for abuse (e.g., cancer, COPD, and muscular skeletal disorders), flag specialists that are overprescribing, and note which pharmacies are dispensing the most opioid prescriptions.