Cloud DevOps-Driven, High-Availability Health Insurance Platform

Insurance

Overview.

Building an Intelligent, Scalable Insurance Platform

Pegasus One partnered with a leading U.S. insurance provider to create a high-availability, scalable health insurance platform. This platform needed to centralize provider information from multiple sources (e.g., Healthcare.gov, Covered California) while enabling sales agents to access real-time, actionable insights to better serve prospects and existing clients.

Key Objectives Included:

  • Seamless integration with healthcare insurance partners such as BlueShield and Anthem.
  • AI-driven insights for recommending tailored pitches and identifying up-sell opportunities.
  • Scalable infrastructure to support millions of daily transactions while ensuring data security under HIPAA regulations.

Cloud DevOps | Microservices Architecture | CI/CD | Automated Testing | HIPAA Compliance

Challenges.

Complex Requirements and Tight Deadlines

  1. Ensuring Uptime in a High-Traffic Environment
    • The platform had to handle millions of daily transactions without downtime, with dependencies on legacy systems requiring a robust review.
  1. Rapid Development and Testing
    • The platform needed to launch during the short open enrollment period, requiring faster-than-normal development cycles and automated testing to ensure reliability.
  1. Data Security and Compliance
    • Protected Healthcare Information (PHI) required advanced encryption and adherence to compliance standards such as HIPAA, necessitating additional security layers.
  1. Two-Way Data Analysis
    • A mechanism was required to share sales agent performance metrics with insurance providers while also analyzing policy data received from partners.
  1. Transition to Microservices
    • Legacy systems had to be replaced with a microservices architecture to ensure scalability, fault tolerance, and seamless feature rollouts without downtime.

Solution.

Cloud DevOps for Scalability and Efficiency

Pegasus One employed Cloud DevOps methodologies to design and deliver a robust, HIPAA-compliant health insurance platform tailored to the client’s requirements.

  1. Microservices-Based Architecture
    • Transitioned from monolithic legacy systems to a microservices architecture, enabling high scalability and availability.
  1. CI/CD Pipelines for Faster Development
    • Implemented Continuous Integration/Continuous Delivery pipelines to allow developers to commit and deploy changes without breaking the application.
    • Automated version control and database code deployment for seamless updates.
  1. Automated Testing for Reliability
    • Integrated automated functional, smoke, and regression testing into the CI/CD pipeline to ensure rapid yet reliable feature rollouts.
  1. Enhanced Data Security
    • All data flows, including during feature commits, were encrypted. Automated security controls ensured compliance with HIPAA standards.
  1. Agile Practices for Delivery Optimization
    • Adopted Scrum and Kanban agile methodologies for streamlined development and deployment.
  1. Real-Time Insights and Integration
    • Integrated with major healthcare insurance providers and implemented AI-powered insights for personalized recommendations.
    • Enabled two-way data sharing with insurance company databases to track agent performance and policy sales.

Results.

Transforming Insurance Operations

  1. Scalable, Fault-Tolerant Platform
    • A containerized app architecture provided the scalability to handle variable traffic loads while ensuring fault tolerance.
  1. Faster Time-to-Market
    • DevOps practices like CI/CD allowed for faster delivery of a functional product, with incremental feature additions over time.
  1. Improved Business Agility
    • Automated testing environments on the cloud accelerated development cycles, enabling quick responses to changing requirements.
  1. Compliance and Security
    • Automated, encrypted security controls ensured full compliance with HIPAA and other regulations, safeguarding sensitive PHI.
  1. Streamlined Operations
    • Automated integration and deployment processes eliminated manual errors, enabling faster releases and enhanced reliability.

Conclusion.

Driving Business Agility and Scalability with DevOps

Pegasus One delivered a cutting-edge health insurance platform that met the client’s need for scalability, speed, and compliance. By combining microservices architecture with robust DevOps practices, we created a platform capable of handling millions of transactions while enabling sales agents to deliver tailored, data-driven insights to prospects.

This solution not only ensured regulatory compliance and security but also positioned the client for long-term success with an agile, future-proof system.

High availability, scalable Health Insurance platform with Cloud DevOps

Insurance

ABOUT CASE.

Insurance delivery, from the provider to the end-user is often a very complex process, with a lot of fast-changing variables involved – changing prices, end-user profile analysis and much more. Our client, an Insurance sales major, needed a platform with a centralized view of available providers, including from Healthcare.gov and Covered California. Also, it was required to suggest marketing and sales pitches automatically based on the prospect’s profile/history, recommending the “most likely to up-sell” offerings. Integration with all major healthcare insurance partners such as BlueShield, Anthem and many more was required as well.