Improving Data Exchange Between Providers and Payers

A Conversation with Anthony Murray, Chief Interoperability Officer at MRO

LinkedIn: Anthony Murray
Twitter: @MROCorp

In his role as Chief Interoperability Officer, Murray oversees MRO’s strategic initiatives related to accelerating clinical data exchange. In addition to overseeing the clinical data exchange team, Anthony also is responsible for the interoperability, systems integrations, and security teams, to utilize advanced technologies to deliver secure, meaningful information exchange. Anthony, as a Certified Information Systems Security Professional (CISSP), serves as the company’s Information Systems Security Officer (ISSO) and is positioned to provide common oversight of the security of MRO’s clinical data exchange. He partners closely with MRO’s privacy, compliance and innovation thought leaders, to assess all areas of the clinical data exchange and to provide value through modern, secure technologies. Anthony has over 20 years of experience in technology and security supporting the healthcare industry vertical, including release of information, clinical manufacturing and pharmaceuticals.

5 Key Takeaways

1. Some of the ongoing friction between payers and providers in healthcare is caused by ineffective and incomplete clinical data exchange.
2. Both sides of the equation (payers and providers) have a lot to gain through better interoperability and clinical data exchange.
3. Unstructured data and aggregating EMR information from smaller physician practices are two of the biggest challenges for more effective payer-provider clinical data exchange.
4. Once collected, data must be validated and quality checked to verify that data streams from the provider EMRs match the standardized sent to payers. Clean, correct data is the foundation for the advancement of interoperability, better quality scores and value-based performance.
5. KLAS’s K2 Collaborative and 1000 Points of Light program is an important effort to reducing friction between providers, payers and vendors through technological innovation.