MRO Lets Payers and Providers See the Same Ledger

Health care payers, such as CareFirst BlueCross BlueShield, traditionally have only billing data on their patients. That’s why Mo Weitnauer, chief product officer at MRO, calls clinical data “the hottest commodity” in health care.

Piyush Khanna, Vice President Clinical Services at CareFirst BlueCross BlueShield, would like to store all their data in a single repository and use it for “bidirectional conversations” between the payer and providers. This can provide doctors with data at the point where the clinical decisions are being made—for instance, to perform dialysis at-home or in the clinic. Being able to bridge the data gap between payer and providers can provide tremendous benefit to patients, providers, and payers.

With the help of MRO, CareFirst BlueCross BlueShield’s repository covers 3,000 providers serving 1.2 members, and they think they can expand the number soon to 3.5 million. They have increased their STARS rating, and are seeking more operational efficiency by having data more quickly.

Watch this video for more insights on how payers and providers can use a common data repository to make value-based care work.

Learn more about MRO: https://mrocorp.com/

Learn more about CareFirst BlueCross BlueShield: https://individual.carefirst.com/individuals-families/home.page

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About the author

John Lynn

John Lynn is the Founder of HealthcareScene.com, a network of leading Healthcare IT resources. The flagship blog, Healthcare IT Today, contains over 13,000 articles with over half of the articles written by John. These EMR and Healthcare IT related articles have been viewed over 20 million times.

John manages Healthcare IT Central, the leading career Health IT job board. He also organizes the first of its kind conference and community focused on healthcare marketing, Healthcare and IT Marketing Conference, and a healthcare IT conference, EXPO.health, focused on practical healthcare IT innovation. John is an advisor to multiple healthcare IT companies. John is highly involved in social media, and in addition to his blogs can be found on Twitter: @techguy.

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