Opala

ICYMI: Opala x Firely Webinar on Prior Auth #FHIR #Interoperability If you missed it, the recording is now available—and the takeaway was clear: 2026 is closer than it looks. Provider Access and ePA require architecture, data normalization, and coordination. Waiting until next year puts plans at risk. Choosing the right interoperability partner matters. Firely brings deep FHIR expertise; Opala delivers unified, workflow-ready longitudinal data. Together, we offer a confident, compliant path forward. 👉 Watch the replay: https://lnkd.in/e73F-WYx If you’re building your CMS-0057-F roadmap now, let’s talk.

Last chance to register! Opala and Firely fireside chat TOMORROW on CMS-0057 Provider Access and Prior Authorization. Join us! Register here: https://lnkd.in/ge8pTPJA

Join Opala and Firely on Wednesday Nov 12 for a fireside chat on transforming CMS-0057 Provider Access and Prior Authorization from a regulatory hurdle into a growth opportunity. Register here: https://lnkd.in/ge8pTPJA

5 Takeaways from HLTH 2025 Here are the themes from this year’s HLTH conference: 1️⃣ AI is moving from hype to execution. The conversation has shifted from “what’s possible” to “what’s working.” 2️⃣ ROI and evidence matter. Health systems are demanding measurable impact—beyond buzzwords. 3️⃣ Data and interoperability are the real enablers. Without shared, clean data, even the best models fall short. 4️⃣ Digital health consolidation is accelerating. “Merge or die” is becoming a reality. 5️⃣ Tech meets humanity. Equity, women’s health, and new care models took center stage. It’s exciting to see healthcare innovation mature—less noise, more nuance. #HLTH2025 #HealthTech #Interoperability #DigitalHealth #AIinHealthcare

Transparency in Coverage, Simplified. Meeting evolving CMS requirements doesn’t have to be complex. Our new Transparency in Coverage (TiC) Compliance Solution ensures #payers confidently meet CMS-9915-F mandates. Built in close collaboration with our customers, this solution is fully automated from secure data transfer and validation to monthly file generation and publication. The result? Scalable, audit-ready compliance that works behind the scenes so that you can stay focused on your members. As regulations evolve, our approach evolves with them. This is compliance designed for clarity, reliability, and what’s next. Learn more at https://lnkd.in/gMVS8amx

CDex vs CCDs: Modernizing Clinical Data Exchange Many organizations still rely on bulky CCDs that slow workflows and overwhelm users. #FHIR-based Clinical Data Exchange (CDex) changes that by enabling targeted, real-time, secure #data exchange between #payers and #providers. With Opala, #healthcare organizations move beyond CCDs to operationalize CDex for quality, risk, and care coordination - turning mandated capabilities into a strategic advantage. Read more: https://lnkd.in/gCdfBxda

Shaping Smarter #Healthcare Insights: Turning #Data into Action Healthcare leaders are under constant pressure to find solutions to rising costs. But when reporting lags behind reality, emerging patterns can go unnoticed until it’s too late to act. At Opala, we set out to change that. Opala's Trend Report transforms retrospective reporting into real-time insight. Built on the Opala HealthSynq™ Data Platform, the Trend Report flags early indicators of rising cost and utilization months ahead of traditional reports. The result? - Earlier visibility into shifts in hospitalizations, utilization, and cost. - Tighter alignment between #payer analytics and care delivery. - Faster, proactive interventions that improve outcomes and affordability. Read more here: https://lnkd.in/g9We-Cs3 #Innovation #Interoperability #FHIR #ValueBasedCare

We transform fragmented healthcare data into real-time action, and we’re actively recruiting. Open roles include: - QA Engineer - Senior Data Engineer - Senior Platform Security Engineer - Security and Compliance Manager If you value inclusivity, innovation, integrity and excellence, please consider applying at https://opala.com/careers/.

Opala is heading to #HLTH2025 this October! #Healthcare leaders are under more pressure than ever to lower costs and deliver better quality care. That's exactly what Opala solves. We will be at HLTH 2025, ready to share how we: 🔹 Streamline data exchange between #payers and #providers 🔹 Power prior authorization automation 🔹 Enhance provider data management 🔹 Deliver population health insights that reduce cost and improve outcomes Schedule time to meet with us. Let’s connect, collaborate, and shape the future of healthcare data together. #Innovation #HealthTech #Interoperability #ValueBasedCare #PopulationHealth #HealthcareTransformation

We’re thrilled about our partnership with Firely, our strategic FHIR partner helping power CMS-0057 prior authorization compliance and #interoperability at scale. Opala's mission has always been to make healthcare data flow in ways that create lasting value for #payers, #providers, and patients. With Firely, we are: ✅ Scaling interoperability securely and sustainably ✅ Streamlining payer–provider data exchange ✅ Unlocking value beyond compliance, driving better healthcare and lower costs Read more here: https://lnkd.in/exn-uC8J