Payers
Health Plans
Extract, aggregate and standardize member data for a longitudinal view with Exchange Nexus, an end-to-end interoperability solution for health plans.
Make more informed healthcare decisions.
Payers can access longitudinal member records within Exchange Nexus
Supports over 1,000+ discrete elements
Exchange Nexus can also bring in unstructured data from clinical notes. Payers can view encounter data, procedures, family history, and more all in one place.
Easily create a clinical data repository for all member visits to in-network providers for longitudinal data analysis.
Get a 360-degree view of members in-network across providers and periods, standardizing longitudinal member records.
Powers use cases such as HEDIS supplemental data, Risk Adjustment, payment audits, and population health management.
Rapidly ID diagnosis alerts to enable care management teams to quickly intervene with patients.
Make better-informed decisions about the health of patient populations.
Clinical Data Aggregation and Standardization for Multiple Use Cases
170,000 unique NPIs across more than 2,000 hospitals and health systems.
Case Study
Blueprint for Better Outcomes: The CareFirst-MRO Partnership Journey
Learn how MRO and CareFirst partnered to uncover ways to visualize gaps in quality performance, share information, and enhance clinician relationships for insights that drove better patient outcomes.
- Reduction of provider participation administrative burden
- Improved chart retrieval time from months to 24 hours
- Member’s longitudinal record from multiple EMRs and service locations
- Member’s longitudinal record from multiple EMRs and service locations
- MRO uncovered quality data gaps missed by traditional HEDIS data gathering techniques.
Achieving better value from the healthcare delivery system is dependent on the secure exchange of actionable data. The work we’re doing with MRO and our healthcare provider partners, aligned with the driving pillar of interoperability for the BlueCross BlueShield Association, is a critical component as we look to drive better outcomes for our patients. When providers have visibility and clinical insights, from both in and out of their network, they have the information needed to facilitate better quality care for their patient populations.
—Brian Wheeler
Executive Vice President, Health Services, CareFirst BlueCross BlueShield
Why Partner with MRO?
Performance
Cost avoidance for health plans to aggregate EHR data from across a myriad of sources.
Cost avoidance for health plans to aggregate EHR data from across a myriad of sources.
Clinical data aggregation and use of clinical data to reduce provider abrasion as records can be leveraged for multiple use cases.
Interoperability
Convert structured and unstructured data, such as clinical notes, into a uniform and useable format.
An ever-growing network of providers, and connectivity with over 250 EHRs, practice management and laboratory information systems
Reliability, Security and Trust
One of the first vendors to become NCQA Data Aggregator Validated, eliminating the need for primary source verification by CMS for HEDIS supplemental data.
Over 20 years of experience managing clinical data for providers as a disclosure management organization.
Partnerships are important. Join MRO.
MRO is accelerating clinical data exchange, by ensuring the right information gets to the right place in the right format, on time, every time, enabling health plans to drive better financial outcomes.