MRO wants to make the exchange of data between providers and payers more frictionless.
They have developed a new solution that caters to this payer-provider interface. By bridging this data gap, MRO aims to enhance trust between providers and payers.
Two Decades in Data Exchange
MRO has been a key player in clinical data exchange for over twenty years. Founded in the release of information space, the company has helped to modernize what has traditionally been a very analog and manual process. MRO has been recognized by KLAS as a category leader more than ten times – a rare feat for any company.
Recently, the company announced the release of new solutions aimed at improving the flow of data between provider organizations and payers called Payer Hub. To find out more, Healthcare IT Today sat down with Matt Wildman, Chief Commercial Officer at MRO.
Trust Divide Between Providers and Payers
“We have a fragmented system that makes interoperability difficult,” stated Wildman. “We must own the fact that there is a trust divide between payers and providers. Payers want access to as much clinical information as they can possibly get, and providers are hesitant to share it.”
To address this challenge, MRO has found a balance between providing payers with the information they need, while still protecting the privacy of patients. Their solution, called Payer Hub, allows payers to gather clinical data from disparate information sources, aggregate it, and normalize it. However, unlike other solutions which simply “scoop” the entire medial record, Payer Hub only gathers information that the payer needs to help members with their health and care. Nothing more.
By narrowing the amount of information shared, MRO is addressing the trepidation that providers have over sharing data with payers.
Positive Impact on Members
To date MRO has integrated Payer Hub with 250 different data sources, mostly EHRs. This level of integration allows payers to see a consolidated, longitudinal record of their members – one that spans multiple points of care access.
CareFirst Blue Cross Blue Shield has been working with MRO for several years. They have been using Payer Hub to improve the lives of members in the DC, Maryland, and Virginia area. According to Wildman, CareFirst has seen double and triple-digit improvements in the areas of HbA1c, blood pressure management, diabetes management, and immunization compliance.
“We have seen a real improvement in the payer and provider dynamics when it comes to treatment, payment, and operations,” said Wildman. “Through the consolidated information, payers can view and up-to-date medical record and make more holistic care decisions.”
When payers have a better understanding of a patient’s health narrative, they can help identify potential gaps in care for their members and offer interventions before a more serious issue occurs. Armed with a longitudinal view, payers can be a more proactive contributor to member health.
Watch the interview with Matt Wildman to learn:
- What’s on the development roadmap for Payer Hub
- How the same longitudinal view available to payers can help providers
- Why payers have been struggling to gather health information
Learn more about MRO at https://mrocorp.com/
Learn more about CareFirst Blue Cross Blue Shield at https://www.carefirst.com/
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