Health Care partner Michael Callahan discusses the concept of economic credentialing, or medical staff credentialing decisions based on economic or financial factors unrelated to a physician's professional qualifications. While it may sometimes be economically unwise to place certain physicians on the medical staff, denial of membership could lead to a legal challenge. Michael provides key elements of successful economic credentialing, as well as steps to consider if a hospital chooses to proceed with suspension or termination. He concludes by noting that the development of a shared vision between hospitals and physicians that considers the financial realities of all parties is essential to establishing and implementing a successful strategic plan.