44. MRO’s Dedication to Interoperability Meets CareFirst for Healthcare Interoperability

Today Sandy talks with Mo Weitnauer, the chief product officer for MRO Corporation. 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. MRO uses their proprietary CDXP to serve as a conduit for structured and unstructured data, so providers and payer networks can share information in a meaningful, automated, and authorized way. The CDXP injects value across multiple workstreams to support interoperability and clinical data sharing. They are focused on what they can do to help efficiently get clinical information where it needs to be in a healthcare system that is focused mostly on outcomes. In this episode, they talk about: MRO’s history, mission, and products Clinical data exchange platform, which powers all of MRO’s products “Pure fraud, waste, and abuse,” and clinical and administrative complexity Taking out admin waste  CareFirst case study Quality measure improvements since 2021 CMS interoperability rules and regulation changes  Working with pair organizations and health plans A Little About Mo Weitnauer: As Chief Product Officer, Mo Weitnauer drives the product strategy and roadmap for MRO. Before coming to MRO, Mo was the SVP of Corporate and Product Strategy at Cotiviti, a healthcare company helping healthcare payers manage medical costs and advance care quality. Prior to Cotiviti, Mo was at FinThrive (f.k.a. MedAssets), a provider-focused company, where she led product management for its portfolio of billing and denials management technology solutions. Mo spent the earlier part of her career as a management consultant at McKinsey & Company and The Bridgespan Group. She graduated with a bachelor’s degree in Biochemistry and Economics from Smith College and got her master’s degree in Health Policy and Management from Harvard T.H. Chan School of Public Health.