Imagine a place where healthcare data isn't just numbers—it's a powerful tool that improves how doctors care for patients. That's the mission of Opala, headquartered in Seattle. Founded by health plan experts and healthcare providers, Opala is dedicated to making healthcare smarter and more efficient.

Opala brings together years of experience to build relationships between health plans and providers. They collect and organize healthcare data, creating a complete picture of each patient's health. Their goal is clear: to be the most trusted source of insights that help doctors make better decisions and improve healthcare for everyone.

Opala Health Data Management Platform

In today’s evolving healthcare landscape, effective data management is crucial for both health plans and provider organizations to deliver optimal patient care. Enter Opala, a pioneering force headquartered in Seattle, designed specifically to revolutionize healthcare data management. With a firm commitment to scalability and efficiency, Opala’s Health Data Management Platform is tailored to handle large volumes of clinical and claims data securely in the cloud. This platform serves as the cornerstone for leveraging AI, machine learning, and analytics to drive informed decision-making and operational excellence across various healthcare scenarios.

Complete: At the heart of Opala’s offering is its ability to consolidate and normalize vast amounts of clinical and claims data into unified patient records. This comprehensive approach ensures that healthcare providers and payers have a holistic view of patient health, facilitating more accurate diagnoses, treatment plans, and care coordination.

Reliable: Opala takes pride in its meticulous approach to data quality. By cleaning, enriching, and mastering data, the platform transforms raw information into meaningful insights that healthcare professionals can trust and act upon. This reliability is crucial for driving improved patient outcomes and operational efficiencies.

Timely: In healthcare, timing can significantly impact patient care. Opala reduces lag time by ensuring that healthcare data is readily available when needed. This timeliness empowers healthcare organizations to make informed decisions swiftly, enhancing overall efficiency and responsiveness.

Flexible: Understanding the diverse nature of data formats and requirements in healthcare, Opala offers flexibility in data ingestion and delivery. Whether data needs to be received in one format and delivered in another, Opala adapts seamlessly to meet the specific needs of its users, fostering enhanced interoperability and usability.

Efficient: Opala is committed to delivering rapid results. By streamlining data management processes, the platform enables faster time-to-value compared to traditional methods. This efficiency empowers healthcare organizations to realize benefits sooner, ultimately improving their competitive edge and operational outcomes.

Trusted: With deep-rooted expertise in technology, healthcare, and data management, Opala is a trusted partner in developing customized solutions that address complex healthcare challenges. By leveraging their experience, Opala helps healthcare stakeholders navigate regulatory compliance, optimize network utilization, and enhance operational workflows, all while ensuring data security and integrity.

Driving Compliance and Efficiency for Payers & Health Plans

Opala empowers health plans to achieve and maintain CMS compliance while optimizing the use of high-value provider networks. By reducing administrative waste associated with manual processes and improving workflow automation, Opala enables payers to administer value-based contracts effectively. Additionally, enhancements in HEDIS scores and Star ratings underscore Opala’s commitment to improving overall plan performance and member outcomes.

For provider organizations, Opala facilitates streamlined referral management and operational efficiencies. By automating workflows between providers and payers, Opala helps reduce administrative burdens and improve the delivery of value-based care. This integrated approach not only enhances the quality of care and patient experience but also supports initiatives to close care gaps and improve overall patient outcomes.

Innovative Solutions for Tomorrow’s Healthcare Challenges

Looking ahead, Opala remains at the forefront of innovation in healthcare data management. By continuously refining its platform and adopting cutting-edge technologies, Opala anticipates and addresses emerging industry trends and regulatory requirements. This forward-thinking approach ensures that healthcare organizations can confidently navigate complexities and achieve sustainable growth in a dynamic healthcare environment.

By combining advanced technology with deep industry expertise, Opala empowers healthcare organizations to harness the full potential of their data for improved patient care and operational excellence. As healthcare continues to evolve, Opala remains dedicated to supporting its partners with scalable, efficient, and trusted solutions that drive meaningful outcomes and pave the way for a healthier future.

Ken Chandler | CEO

Ken Chandler is a strategic healthcare leader with over 20 years of experience in health care operations. Prior to Opala, Ken was with Premera Blue Cross, most recently serving as senior vice president of National Accounts. In that role, he was responsible for an $8.9 billion business portfolio representing Premera’s largest, high profile, complex, and sophisticated employer clients. During this time, Chandler also served as Chairman of the Consortium of Health Plans Board of Directors and drove product solutions aimed at improving access to care and health innovations. He also served in a secondary role as CEO of Vivacity, a Premera-owned wellness company. Earlier in his career at Premera, Chandler served as vice president of National Account Operations and vice president of Operations for LifeWise Health Plan of Oregon, a Premera-owned company.

“Opala’s Health Data Management Platform not only meets the immediate needs of healthcare stakeholders but also positions them for long-term success in an increasingly data-driven healthcare landscape.”