Case Study

Simplifying the healthcare experience for Rightway 

Rightway and Inspire11 partner with AWS to launch a member-centric health data exchange. This partnership builds on each business’s innovative and collaborative nature to leverage modern AWS technology to solve complex problems while delivering value to consumers. 



Modern Data Architecture
Cloud Engineering
Cloud Strategy



Rightway has experienced high growth as a next-generation pharmacy benefit manager. Committed to cost-effective, transparent, and quality care, they are simplifying the healthcare experience for members around the world. 

Rightway knew that to sustain their growth while delivering on their members’ promise, they needed an innovative and agile solution. Together with Inspire11 and AWS, Rightway redesigned their architecture to be Cloud native. The health data exchange was built as a way to deliver exceptional experiences to both clients and members. It allows healthcare information to be sent and received on a moment’s notice so that prescriptions can be filled quickly and members can find the best service at the lowest cost. 

How we built the health data exchange

Rightway and Inspire11 built and deployed the health data exchange by connecting core AWS technologies such as Redshift, RDS, Lambda, Glue, S3, among others. By integrating into the Healthcare Data Exchange, clients and TPAs (Third Party Administrators) can now securely send and receive, in near-real-time, member eligibility information and other data file transfers needed for claims processing and adjudication.   

The health data exchange is built to be scalable and secure, HIPPA compliant, and can incrementally pull in claims every 10 minutes for operational processing at speeds far above healthcare industry standards.

With the help of Inspire11 and AWS cloud technologies, Rightway was able to streamline its operational pharmacy benefit processes and automate IT builds and deployments with cloud-forward infrastructure as code, resulting in an 88% reduction in API response times.   

Inspire11 was an amazing partner in our journey to find a PBM infrastructure partner, architect our solution, and build a next generation PBM platform. Collaborating with Inspire11 made our team stronger and gave us a technical foundation we can build on for many years to come.

– Ion Feldman,
Chief Technology Officer, Rightway

Enhanced Experience, Lower Costs

For years, Rightway has been leading the healthcare industry in terms of member experience and cost savings. Rightway’s partnership with Inspire11 and AWS gives them the agility they need to continue leading the way with a scalable, cloud-native infrastructure that benefits members and employer groups alike. 

The numbers speak for themselves: in an independent study by Aon, it was found that employers who use Rightway’s care navigation have 15% lower healthcare costs compared to the market average for employer groups. Even more compelling was the healthcare spend decreases for Rightway members managing a chronic condition. Those members saw a 26% lower healthcare spending than the market average. 

Rightway’s engaging, easy-to-use services now have a super-charged cloud infrastructure that set them apart on their mission to simplify the healthcare experience. 

PMB claims adjudication platform enablement

Reduced data pipeline development time by 50%

Rationalized 90+ obsolete tables/ entities

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