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.

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