Healthcare organizations have long struggled to achieve seamless data exchange between providers and health plans, hindering progress in delivering higher quality care. However, innovative partnerships and the adoption of HL7 FHIR (Fast Healthcare Interoperability Resources) are proving that significant advancements in interoperability are achievable today—without the need for massive infrastructure overhauls or waiting for regulatory deadlines.

Good news for anyone who has health insurance with a Blue Cross Blue Shield Association (BCBSA or “Blue”) health plan through their employer! In 2024, the BCBSA introduced the Clinical Data Exchange Hub to enhance data sharing among Blue plans, particularly for out-of-area members.  Opala customer in the Pacific Northwest is leading the way as one of the first to connect. 

Portions of this content first appeared in Healthcare Business Today. Read the full, unabridged article by clicking the link.

We all know how important it is to have the right tool for the job you’re doing. Every homeowner has been frustrated by the second (and even third) trip to Home Depot .

If you’re looking to reduce administrative costs, you’re not alone. Inflation, rising staffing expenses, and an aging American population are all contributing to difficult economic conditions.  

It’s the time of year when a lot of us make resolutions. Maybe you want to lose weight, read more, or travel to new places. For us, the new year is a great time to double down on our commitment to improving healthcare by implementing interoperability.

Wow, what a year! So much happened in the span of 12 months. We’re proud to pause and celebrate a few key milestones: new customers, new partnerships, and new hires. All told, it’s an annum that’s poised to position us for growth in the new year! 

Washington D.C. and Seattle, WA – November 28, 2023 – Banjo Health, a leader in generative AI-powered prior authorization software, and Opala, an interoperability platform for seamless real-time data integration in healthcare, are excited to announce their strategic partnership. This collaboration transforms the prior authorization process, making it more efficient and effective for both providers and payers.

We are thrilled to share some exciting news! We are proud to announce a new collaboration with The Sequoia Project's 'Data Usability Taking Root' Initiative. This cross-industry community of practice aims to revolutionize health data usability, bringing us one step closer to achieving seamless and impactful healthcare interoperability. 

Opala is excited to announce the launch of its new PDex Formulary API, designed to provide formulary data in real-time, delivering essential information such as drug information, coverage tiers, and utilization management requirements for use by providers at the point of care and patients as they’re selecting coverage or working to understand their benefits. Opala's Formulary API is a non-authenticated API that ensures seamless data exchange between pharmacy benefit management (PBM) companies, their partner health plans, and healthcare providers.