Opala
Opala, headquartered in Seattle, WA, specializes in collecting, standardizing, and consolidating healthcare data to improve patient health outcomes. Their platform serves both payers and providers with solutions for risk adjustment, clinical data integration, quality reporting, and compliance with interoperability mandates.
Opala Overview
Opala, headquartered in Seattle, WA, is focused on the collection, standardization, and consolidation of healthcare data to build a comprehensive picture of patient health. The company's mission is to be the most trusted source of patient insights, aiming to radically improve healthcare outcomes. Opala’s platform caters to both payers and providers in the healthcare industry.
Opala Services
Opala’s solutions include risk adjustment, clinical data integration, HEDIS & Quality reporting, and interoperability mandates compliance. The company's PDex Formulary API provides real-time formulary data, including drug information, coverage tiers, and utilization management requirements. Their Attribution API supports streamlined value-based contracting by delivering complete patient information in real-time. Additionally, Opala offers a Developer Toolkit that supports third-party application developers using Opala APIs.
Opala Platform Features
Opala’s platform is designed to manage large volumes of claims data in the cloud, with a focus on improving patient outcomes by delivering accurate and complete patient data to healthcare providers. The platform features a robust Master Patient Index, OAuth 2.0 security, and access to FHIR-based resources. It helps identify care gaps, streamline workflows, and supports compliance with federal and state mandates such as Prior Authorization Burden Reduction and the Patient Access API.
Opala Solutions for Healthcare
Opala’s solutions assist healthcare providers and payers in identifying care gaps, improving referral management, and reducing administrative waste. The platform is geared towards unlocking new revenue streams, ensuring regulatory compliance, and enhancing overall administrative efficiency. The Formulary API and Attribution API use HL7 FHIR standards to facilitate seamless data exchange and automate information sharing between payers and providers.
Opala’s Reach and Reliability
Opala's platform currently includes over 7.8 million patients and 111,136 providers and pharmacies in its directories. The solutions are designed with a strong emphasis on safety, security, and reliability. By supporting compliance with various federal and state mandates, Opala ensures seamless and secure data exchange, thereby reducing waste generated by traditional methods like phone calls and faxes.