CASE STUDY HEALTHCARE

Rx Benefits Firm Migrates to Cloud for Speed & Flexibility

This healthcare technology company is developing industry-leading solutions that improve transparency and access to more affordable medications.

The organization is re-envisioning healthcare by leveraging technology to provide access to more affordable prescription medications for millions across the U.S.

The company partners with its pharmacy clients to provide the highest quality prescription healthcare services at the lowest price. Having been in the healthcare and pharmaceutical technology industry for over 20 years, this company experienced, first-hand the pain of being tied to antiquated, traditional PBM (Pharmaceutical Benefits Management) legacy systems. The result was long onboarding timelines for clients, complicated plan design changes that required extensive support from IT and development teams, and black-box pricing.

  • health and pharma tech innovation company

    NAMED ONE OF THE WORLD’S MOST INNOVATIVE COMPANIES BY FAST COMPANY

  • pbm cloud migration benefits

    $3B+ annual managed pharmacy spend program

  • FDA approved

    up to 80% on nearly all FDA-approved prescription drugs

  • covering 95% of pharmacies in usa

    Covering approximately 95% of pharmacies IN US

enterprise technology partner for the healthcare and pharmaceutical

The company wanted to change all of this and provide simplified access to lower-cost prescriptions for its pharmacy clients — all in a transparent environment. Doing this would require a secure, efficient, and scalable cloud-based modular enterprise platform based on a modern microservices architecture.

Infostretch began its strategic partnership with this company in 2017. The engagement has included application development, data engineering, cloud migration, and quality engineering services to help create a simple, efficient platform that has reduced customer onboarding time from 90 days to 3 hours. Since then, Infostretch has helped the company scale its business by 100% YoY to $3B in annual managed pharmacy program spend, without any disruption to its services.

the Customer
Journey

2017

2018

2019

2017
  • Manual Testing
  • API Testing

2018
  • Development Partner
  • Front-End Development (Admin & Member Portal)
  • Back-End Development (Member Portal)
  • Data Engineering Partner
  • Cloud Migration

2019
  • Strategic Tech Partnership for Development
  • Became sole Quality Engineering Partner
  • Digital Services into Consulting and Product Engineering

the Results

Key Outcomes

Scalable Cloud Architecture

Scalable Cloud
Architecture

To support exponential growth

Higher Service Levels

Higher Service
Levels

Reduced customer onboarding time from 90 days to 3 hours

Increased Flexibility and Ease of Use

Increased Flexibility
and Ease of Use

Reduced new implementation time from 6 months on legacy systems to only 30 days on new platform

Ease of Configuration

Ease of
Configuration

Reduced time-to-change drug formulary from 4 to 6 weeks to just 30 minutes on new platform

Higher Customer Satisfaction

Higher Customer
Satisfaction

New claim adjudication engine accelerated claim processing by 2 to 3 times the industry standard

Faster Cycle Time, Reduced Costs

Faster Cycle Time,
Reduced Costs

Increased automation, agility and scale; easy access to performance data

Our methodology

Infostretch works with companies across the digital lifecycle:

Go Digital
Go Digital

Accelerating the delivery of new digital initiatives with confidence

Be digital
Be digital

Creating the infrastructure and foundation to scale digital initiatives

Evolve Digital
Evolve Digital

Leveraging data and analytics to continuously improve digital delivery processes

The challenge

To build a MODERN digital platform

The company wanted to fundamentally change its business model. This required a new cloud-based enterprise platform solution that could make the company a one-stop, enterprise technology partner for the healthcare and pharmaceutical technology industry; one that would simplify pharmacy benefit design, management, and execution in an infinitely scalable environment.

To achieve this, the company needed a product engineering partner to collaborate with to deliver on its vision. Specific goals included:

healthcare digital transformation partner

Digital Transformation – Building a modern digital platform while easing the transition from its existing legacy-based systems

migration from legacy enterprise environment to cloud

Seamless Migration – From legacy enterprise environment to the cloud

optimize the financial performance for pbm

Value Generation – Enabling customers to optimize the financial performance of their pharmacy benefit plans and help better manage costs

built cloud-based enterprise platform solution

Ease of Implementation and Use – Building a flexible, self-service platform for its customer adding transparency for both clients and their employees

it infrastructure upgrade

IT Infrastructure Upgrade – Supporting new market demands across a range of customers (B2B and Consumer)

higher service level

Higher Service Levels – Addressing new and increasing customer requirements

streamline pbm operations

Streamlined Operations – Making the company more agile and efficient

The Solution
Working as a team

The Infostretch team has been working with the company to eliminate challenges associated with legacy PBM systems and antiquated business models.

As company’s dedicated product engineering partner, Infostretch provides a variety of services including digital product strategy for blueprinting and MVP, front-end and backend development for enterprise platform, mobile application development, cloud migration, data and cloud engineering services for core infrastructure setup, and test automation for quality engineering.

Infostretch has worked closely with company’s product and engineering teams to build, scale-up, and continuously innovate and transform the healthcare technology platform and applications. The solution is built with a modular architecture that allows this company’s customers to pick and choose the components they need. This enables faster client onboarding and simplifies configurations for business operations staff. The Infostretch team also helped the company automate many of its manual legacy business processes. In addition, to deal with growing data management needs, Infostretch recommended and implemented a cloud-based data warehouse and data analytics solution built on AWS and Snowflake.

KEY AREAS OF PROJECT SCOPE INCLUDE:
developing HIPAA compliant platform for company
Digital Strategy and
Digital Engineering

Infostretch has been involved in developing a secure, cloud-based HIPAA compliant platform for company. The engagement spanned blueprinting through implementation and included agile design and delivery to minimize risk. Infostretch also worked with the company to quickly launch new initiatives and validate them through a Minimum Viable Product (MVP) approach in advance of production implementation.

testing and quality engineering
Digital Quality
Assurance

Infostretch’s Digital Quality Assurance scope included a Quality Engineering Maturity Model assessment to help the company compare its organization against industry best practices. This enabled it to set up a robust QA process for testing platform APIs, front-end, adjudication, load UI, and performance.

legacy system migration to cloud
Cloud
Migration

Infostretch managed the migration of the company’s SQL database to AWS Aurora PostgreSQL using AWS migration tools and Cloud Factory methodology for automation. Responsibiities included project definition, tool selection, execution, mitigation strategy, execution, testing and verification. This enabled the company to lower infrastructure management costs while increasing database performance and resilience.

re-imagined cloud-based data warehouse and data analytics solution
Data
Engineering

Infostretch re-imagined the underlying data architecture of the company platform. This included a scalable, cloud-based data warehouse and data analytics solution built on AWS and Snowflake. Infostretch also designed and developed PoCs on revised workflows to assess the efficacy of the solution before expanding it across the overall back-end systems. In addition, Infostretch helped in the automation of invoicing and margin calculation using a minimalistic UI-based portal to manage rules implementing Matillion Jobs, thus eliminating expensive manual efforts and errors.