Simplifying the healthcare experience
Overview
Delivering 15% lower healthcare costs for employer groups
Reducing healthcare spend by 26% for members with chronic conditions
Building a scalable, cloud-native infrastructure to support rapid innovation
Scaling healthcare delivery with speed, security, and savings
In today’s complex healthcare landscape, organizations must balance the need for cost efficiency with delivering high-quality, transparent, and personalized care. Rising member expectations, regulatory requirements, and the urgency of real-time access to critical information mean that legacy systems can no longer keep up. Staying competitive requires secure, agile, and scalable solutions that not only improve operations but also enhance the overall member experience.
Rightway has experienced rapid growth as a next-generation pharmacy benefit manager, committed to delivering cost-effective, transparent, and high-quality care. Their mission: simplify the healthcare experience for members across the globe.
To sustain this momentum and uphold their promise to members, Rightway needed an innovative, agile solution. Partnering with Inspire11 and AWS, they reimagined their architecture as fully cloud-native—creating a health data exchange designed to deliver exceptional experiences for both clients and members. This platform enables healthcare information to be sent and received in moments, ensuring prescriptions are filled quickly and members can find the best care at the lowest cost.
Inside the build: Bringing the health data exchange to life
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.
Capabilities Applied
Modern Data Architecture Cloud
Engineering Cloud Strategy
Redshift RDS S3 Lambda Glue
Relevant Industries
Healthcare & Pharmaceuticals
Financial Services & Insurance
Supply Chain & Logistics
Retail & E-Commerce
Telecommunications & Technology
Energy & Utilities
"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 experiences. 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.
Impact & Outcomes
- PMB claims adjudication platform enablement
- Reduced data pipeline development time by 50%
- Rationalized 90+ obsolete tables/ entities
Enhanced experiences. 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.
Impact & Outcomes
- PMB claims adjudication platform enablement
- Reduced data pipeline development time by 50%
- Rationalized 90+ obsolete tables/ entities
How secure, scalable data exchange can transform industries
Financial Services & Insurance
Facilitates secure, rapid exchange of sensitive data such as claims, payments, and underwriting information to accelerate decision-making and reduce fraud.
Supply Chain & Logistics
Delivers continuous data integration for inventory tracking, shipment updates, and vendor coordination, driving efficiency and cost savings.
Retail & E-Commerce
Supports real-time inventory synchronization and personalized customer experiences at scale, improving satisfaction and sales conversion.
Telecommunications & Technology
Streamlines customer onboarding, billing, and service provisioning through rapid, secure data flows and cloud-native infrastructure.
Energy & Utilities
Integrates smart meter and operational data in real time to enable predictive maintenance, outage detection, and regulatory compliance.
