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The case for change

The Status Quo, Counted

Industry surveys put physician credentialing at three to four months of waiting, while eight systems hold the same truth. The status quo, counted and cited.

Industry baselinenot a Rōvn number
Physician credentialing
Three to four months
Payer enrollment, added
Five to six months more
RN vacancy, national
8.6 percent, about 158,600 roles open
RN time to hire
measured in months, per industry difficulty indices

Every line names its source below.

cited, not Rōvn's

§ 01 · Credentialing tail

Three to four months, before day one.

Industry surveys put physician credentialing and privileging at three to four months of waiting.

MGMA reporting puts the gap between a submitted application and completed verification at 90 to 180 days. Payer enrollment can add another five to six months before a new provider is clear to bill, per credentialing specialists MGMA has interviewed.

Application to verification
90 to 180 days
Payer enrollment, additional
Five to six months
Credentialing-linked denials
Reported rising by more than half of practices, 2021

Source: MGMA, Navigating the credentialing gauntlet, and an MGMA Stat poll, August 2021, on credentialing-related denials.

§ 02 · Vacancy economics

A vacant seat keeps a running total.

The average physician generates nearly $2.4 million a year for the facility that employs them, up 52 percent since the survey was last run in 2016. Every month that seat sits empty is modeled against that same number.

One month vacant, family medicine
$175,994 opportunity cost
Six months vacant, family medicine
$1,055,966 opportunity cost
Three months vacant, orthopedic surgery
$821,691 opportunity cost
24 months vacant, orthopedic surgery
$6,573,529 opportunity cost

Source: Merritt Hawkins, part of AMN Healthcare Physician Solutions, 2019 Physician Inpatient/Outpatient Revenue Survey. Figures are modeled opportunity cost, not billed or collected revenue.

§ 03 · Workforce economics

Nursing runs its own annual scorecard.

The NSI National Health Care Retention & RN Staffing Report surveys hundreds of acute care hospitals every year and publishes the vacancy, turnover, and recruitment numbers below.

RN vacancy rate, national
8.6 percent, down from 9.6 percent
Unfilled RN positions, nationwide
About 158,600
Average open RN roles per facility
43
RN turnover rate, national
17.6 percent, up from 16.4 percent
Cost per RN who leaves
five figures per departure, per industry surveys
RN recruitment difficulty index
over two months, per industry surveys

The average hospital lost an estimated $5.19 million to RN turnover in 2025. Source: NSI Nursing Solutions, National Health Care Retention & RN Staffing Report, 2026 edition, surveying 527 acute care hospitals across 40 states.

§ 04 · The claim ladder

What this page does not claim.

Not a Rōvn outcome.

Every number above measures the market Rōvn operates in, not Rōvn itself. No Rōvn customer, deployment, or result appears on this page.

Not a forecast.

A cited survey result reports what a dated sample found. It is not a guarantee for any one hospital, practice, or nurse.

Not exhaustive.

These are named, dated, publicly available figures, not a full literature review. Newer editions of these same reports will report different numbers.

The numbers above are the industry's, not Rōvn's yet.

A demonstration runs against your own roster, not a national average.

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