Healthcare Dive

NOVEMBER 8, 2023

Many payers beat Wall Street expectations in the quarter, despite ongoing utilization concerns. Medicare Advantage stars, Medicaid redeterminations, individual exchange growth and GLP-1s. Other hot topics?

Health Insurance 273

Health Insurance Medicaid Medicaid Medicare 273

MRO Compliance

NOVEMBER 15, 2023

Managing laborious payer processes is one of the most cumbersome operational challenges for hospitals and health systems. We discussed the tumultuous payer-provider relationship and how MRO uses automation to bridge the gap between these two parties. Here are the takeaways from our conversation.

Hospitals 169

Hospitals 169

MRO Compliance

APRIL 23, 2024

MRO), the leading clinical data exchange company in healthcare, announces an extension of automated retrieval services by leveraging technology to improve patient care across the healthcare continuum. MRO is now automating data exchange between providers for continuity of care (COC) purposes. Norristown, Pa. April 23, 2024 – MRO Corp.

Hospitals 117

Hospitals 117

MRO Compliance

NOVEMBER 29, 2023

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. View Full Article 

169

169

Healthcare Dive

OCTOBER 28, 2022

The payer has been steadily ratcheting up its presence on the Affordable Care Act exchanges after dramatically reducing its footprint in 2017.

ACA 340

ACA 340

Healthcare Dive

SEPTEMBER 10, 2022

The insurer has been bullish on expanding its ACA footprint since 2021, when its payer business Aetna said it would return to the exchanges after exiting them in 2017.

ACA 303

ACA 303

MRO Compliance

FEBRUARY 8, 2024

MRO), the leading clinical data exchange company in healthcare, has been named 2024 Best in KLAS for the release of information (ROI) services market segment as part of the 2024 Best in KLAS: Software and Services report. It is based entirely on provider and payer feedback. “At Norristown, Pa. February 8, 2024 – MRO Corp.

Electronic Medical Records 189

Electronic Medical Records Hospitals Compliance 189

MRO Compliance

JUNE 29, 2023

As we announced at the beginning of the conference, our new Payer Exchange solution can address some of these challenges. Payer Exchange supports both providers and payers as they navigate the rising volume of medical records and clinical data needed to meet risk adjustment and other mandatory reviews and reporting.

Hospitals 130

Hospitals 130

MRO Compliance

MARCH 7, 2024

MRO), the leading clinical data exchange company in healthcare, announced that Frank Jackson has joined the company as its new Senior Vice President of Clinical Quality and Payer Solutions. In this new role, Jackson will function as the General Manager (GM) of MRO’s growing clinical quality and payer solutions business.

Hospitals 130

Hospitals 130

MRO Compliance

SEPTEMBER 21, 2023

Mo and I discussed the world of clinical data exchange and its crucial role within the healthcare industry. We then chatted about the need for payers and providers to work together in order to improve patient experience, and more broadly, requester experience. That’s the clinical data exchange. Mo: Sure, happy to.

Medicare 169

Medicare Medicare 169

Healthcare IT Today

FEBRUARY 21, 2024

While the vision of seamless data exchange promises improved patient care and streamlined operations, the journey is not without its hurdles. Additionally, the absence of universally accepted standards impedes the seamless flow of information between healthcare providers, payers, and other stakeholders. Interested in learning more?

Compliance 105

Compliance HIPAA Hospitals 105

MRO Compliance

JULY 26, 2023

Because data allows for better decision-making, patient records are being requested by payers, communities of care, and patients themselves. However, this can sometimes be overwhelming for healthcare provider organizations that are now getting larger and larger volumes of requests from payers which inundate their systems.

130

130

MRO Compliance

OCTOBER 23, 2023

This transformation is driven by the surge in payer requests and the rapid advancements in electronic clinical data exchange. Internal data from MRO, reveals a staggering 36% increase in payer requests for information between 2021 and 2022. Manual handling of payer and other medical record (or data) requests is unsustainable.

COVID-19 130

COVID-19 Hospitals 130

MRO Compliance

OCTOBER 18, 2023

This transformation is driven by the surge in payer requests and the rapid advancements in electronic clinical data exchange. Internal data from MRO, reveals a staggering 36% increase in payer requests for information between 2021 and 2022. Manual handling of payer and other medical record (or data) requests is unsustainable.

COVID-19 130

COVID-19 Hospitals 130

MRO Compliance

APRIL 9, 2024

For many health plans , navigating the complexities of interoperability and seamless data exchange remains a challenge. The goal is clear: enable disparate healthcare information systems to communicate and exchange data seamlessly. Standardize Data Exchange: Plans should strive to standardize their data.

Regulatory Compliance 130

Regulatory Compliance Compliance Health Outcomes HIPAA 130

Healthcare Dive

JUNE 21, 2022

The Federal Trade Commission has voted unanimously to adopt a policy statement to more closely examine fees and rebates paid to PBMs in exchange for preferred coverage for their drugs from payers.

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243

Healthcare IT Today

MARCH 21, 2024

According to their chief interoperability officer, Anthony Murray, the company has spent 22 years building tools to “exchange data seamlessly” in healthcare. This includes an important focus area of MRO to be able to share data between providers and payers. Murray says, standardization is improving.

Hospitals 96

Hospitals 96

MRO Compliance

FEBRUARY 20, 2024

MRO’s partnership with CareFirst BlueCross BlueShield unlocks the potential of payer-provider data exchange for organizations to improve financial performance and healthcare delivery. Cutting-edge automation techniques and standardized APIs are being used to enhance accuracy and optimize performance for both payers and providers.

100

100

MRO Compliance

JANUARY 24, 2024

the leading clinical data exchange company in healthcare, announced today that it has earned the Validated Data Stream designation in the National Committee for Quality Assurance (NCQA) Data Aggregator Validation program. Norristown, Pa. January 24, 2024 – MRO Corp., It is part of the latest NCQA cohort to earn the NCQA validation.

Hospitals 130

Hospitals 130

MRO Compliance

MARCH 26, 2024

MRO’s Innovation Story Central to our efforts is our clinical data exchange platform designed to seamlessly integrate all relevant data points crucial for quality reporting. This comprehensive approach not only meets regulatory requirements but also fosters a more efficient exchange of health information among stakeholders.

Electronic Medical Records 177

Electronic Medical Records Compliance Hospitals 177

Healthcare IT Today

NOVEMBER 29, 2023

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. Nothing more.

Compliance 87

Compliance Hospitals 87

MRO Compliance

MAY 12, 2023

Interoperability Moves to Practical Use For MRO, the positive proof of interoperability’s advancement is reflected in our successful electronic clinical data exchange between providers and payers. Providers receive repeated requests for the same information from payers and health plans, causing duplicative work.

Compliance 130

Compliance 130

HIT Consultant

MARCH 1, 2024

. – The $25M investment from Trinity Capital will empower Moxe to expand its reach and further establish itself as a leader in healthcare interoperability, invest in ongoing development and improvement of its data exchange solutions, and offer new services. ” . ”

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96

Healthcare It News

APRIL 5, 2024

Northwestern Medicine, the Nevada Health Link, Cohere Health and Kyruus Health are partnering withDell Technologies, Google Cloud Marketplace and others to offer providers and payers ways to tackle the daily challenges that delay care approvals and prevent patients from seeking care and enrolling in health plans.

US Department of Health and Human Services 231

US Department of Health and Human Services Medicaid Medicaid Hospitals 231

MRO Compliance

NOVEMBER 13, 2023

the leading clinical data exchange company in healthcare, announced that Adrienne Morrell has joined the company as its new Vice President of Government Affairs. The critical work that MRO does is directly tied to important public policy matters like patient privacy and high-quality clinical data exchange. Norristown, Pa.

Governance 124

Governance Health Insurance Medicaid Medicaid 124

HIT Consultant

JANUARY 17, 2024

What You Should Know: The Biden-Harris Administration has finalized a new rule that streamlines the prior authorization process and improves health data exchange across the healthcare system. – Clearer communication: All payers must provide specific reasons for denial, allowing for easier resubmissions or appeals.

Compliance 89

Compliance Health Outcomes Nurses Doctors 89

MRO Compliance

MAY 25, 2023

Follow the (Medical) Record: Information Exchange with Sanket Baralay On this episode, host Don Hardwick interviews chief innovation officer for MRO, Sanket Baralay. They discuss how to improve the exchange of information between payers and providers, and ensure collaboration between these two parties.

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130

MRO Compliance

FEBRUARY 21, 2023

MRO Achieves Clinical Data Milestone for CareFirst BlueCross BlueShield, Successfully Acquiring Over One Million Longitudinal Patient Records MRO’s clinical data exchange solutions navigate the complexity of building a patient record across care settings, by connecting the various data sources across a large payer network.

Health Insurance 130

Health Insurance Hospitals 130

Healthcare It News

APRIL 29, 2024

With the Einstein service edition platform, email exchanges between a caseworker and a client would be automatically extracted and saved in Salesforce, the company said in a statement.

Public Health 261

Public Health Governance Medicaid Medicaid 261

Healthcare IT Today

MARCH 22, 2024

(Trinity) , a leading provider of diversified financial solutions to growth-stage companies, today announced the commitment of $25 million in growth capital to Moxe Health (Moxe) , a leader in healthcare interoperability and clinical data exchange. ” This growth capital will enable the team at Moxe to continue to scale operations.

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104

MRO Compliance

OCTOBER 10, 2023

the leading clinical data exchange company in healthcare, announced today that it has been recognized as the top-performing company for Release of Information (ROI) digital technology and vendor efficiency in the KLAS Release of Information Performance Report for 2023. Norristown, Pa. October 10 , 2023 – MRO Corp., billion clinical records.

Hospitals 109

Hospitals 109

HIT Consultant

NOVEMBER 14, 2023

– This product facilitates the exchange of clinical data between providers and payers, aiming to standardize clinical data across the system. Barriers to Data Exchange Traditionally, one of the most significant barriers to seamless clinical data exchange has been the lack of standardization and automation.

96

96

MRO Compliance

APRIL 17, 2023

a clinical data exchange company, is honored to announce a new success story released today by KLAS Research’s K2 Collaborative , formerly the KLAS Research Payer/Provider Initiative. April 17 , 2023 – MRO Corp., Create governance groups and conduct regular meetings to steer efforts and ensure program advancement. Dr. Daniel J.

Hospitals 130

Hospitals Health Insurance Health Outcomes Governance 130

HIT Consultant

NOVEMBER 7, 2023

HPS, which supports 27,000 providers across 96 hospitals, selected Madaket’s Provider Data Exchange thanks to its innovative approach to data verification, ease of use and automated update model. As a consequence, a significant 81% of the information entries in the five largest payer directories have proven to be inaccurate.

Payment Systems 97

Payment Systems Compliance Hospitals 97

Healthcare IT Today

MARCH 5, 2024

In a fast-paced exchanged with John Lynn of Healthcare IT Today, Rucker covers regulations and evolving data exchange standards that foster interoperability and data analytics. He points out that not just payers, but some employers, are demanding access to claims information in order to run analytics.

Medicare 105

Medicare Medicare Hospitals 105

MRO Compliance

JANUARY 23, 2023

MRO), the leading clinical data exchange platform in healthcare, announced today two key additions to the executive leadership team. MRO’s enhanced leadership team brings deep expertise in clinical data circulation and a shared passion to transform the clinical data exchange for providers, payers, and users of clinical data.

Hospitals 130

Hospitals 130

Healthcare IT Today

JULY 26, 2023

Because data allows for better decision-making, patient records are being requested by payers, communities of care, and patients themselves. However, this can sometimes be overwhelming for healthcare provider organizations that are now getting larger and larger volumes of requests from payers which inundate their systems.

Hospitals 71

Hospitals 71