Modernized the Enterprise Application from Monolith to Microservices for a leading RCM Company
Overview.
Our Client is a US-based leading provider of revenue cycle management services and solutions to healthcare providers. Its EHR-agnostic patient access and care coordination solutions support thousands of providers and sites of care across the US. Fragmentation across various systems and resources, compounded using on-premises servers, collectively led to delay in the patient journey for accessing payer services.
The RCM Customer faced a challenge with their monolithic digital solutions, necessitating large FTEs for deployment and support, hindering scalability and economic efficiency. Modernization for automation and streamlined processing was imperative.
Solution
Refactored monoliths to microservices to enable a new business model with greater automation and STP reducing the FTEs needed to deploy a solution.
API Enablement strategy to connect to hospital and healthcare providers.
Created a universal service that exchanges data with payers to enhance and innovate products and services.
FHIR implementation for enabling data exchange across different health systems.
The Impact
Modern architecture enabled seamless onboarding of new healthcare providers.
Saved over $25 million in FTE and technology costs over 3 years.
Increased FTE savings through enhanced automation.
Optimized payer connection costs and contract negotiations with new Payer Service migration.
Scaled transaction volumes exceeding 125 million using centralized technology.
Achieved significant cost savings in infrastructure and licenses with new technology architecture.
