Medallion Report Flags Multi-Million-Dollar Revenue Losses from Credentialing Delays, Highlights AI Adoption Gap

New updates have been reported about Medallion.

Medallion is sharpening its strategic position in healthcare operations with the release of its 2026 State of Payer Enrollment and Medical Credentialing Report, which quantifies a growing financial and operational crisis tied to outdated credentialing and payer enrollment processes. Drawing on responses from more than 550 healthcare leaders across provider groups, health systems, and payers, the report finds that over half of hospitals and provider organizations are losing measurable revenue due to credentialing delays, with many reporting losses exceeding $1 million annually. The research also shows that nearly one-third of organizations face denial rates of 25–50%, with 40% of denials linked to application-related errors—an area where Medallion’s AI-assisted credentialing and enrollment platform is directly positioned to intervene.

The report underscores a structural resourcing problem: 38% of organizations report high turnover or burnout in administrative and clinical roles, and another 20% are carrying vacancies in medical staff services teams, amplifying reliance on manual, error-prone workflows. Despite aggressive industry investment in AI, only 12% of AI initiatives currently address credentialing and enrollment, suggesting a large, underpenetrated market for Medallion’s automation-focused infrastructure. CEO and founder Derek Lo stresses that each credentialing delay represents avoidable financial leakage and compliance risk, and argues that organizations that prioritize automation can accelerate revenue recognition and free staff to focus on higher-value tasks. To deepen engagement with financially minded stakeholders, Medallion has added tailored report summaries for executive, financial, and operational leaders, as well as segment-specific analysis for provider groups, health systems, and payers. Taken together, the findings strengthen Medallion’s commercial narrative: it operates at the intersection of critical revenue cycle performance, workforce strain, and lagging AI adoption, positioning the company to capture demand from healthcare organizations seeking to protect margins and reduce denial risk through automated credentialing and enrollment at scale.