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Modernizing Analytics for a National Health Plan

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Industry

Healthcare Payer

Challenge

Legacy data systems were slow, siloed, and unable to meet evolving analytics demands.

Results

Launched a modern Lakehouse on Azure Databricks to support scalable, governed analytics.

Key Service

Cloud Modernization & Data Engineering

80%
Workloads Prioritized for Migration
5
Departments Onboarded to Governed Views
30%
Reduction in Report Turnaround

This payer is now positioned to scale faster, deliver insights more quickly, and support AI initiatives, with governance and compliance built in from the start.

Wyatt Kapastin

Chief Executive Officer @ Productive Edge

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About the Client

This national health insurance provider offers Medicaid, Medicare Advantage, and commercial plans nationwide. Recognized for its population health focus and innovation in care management, the organization is investing heavily in modernizing its digital and data infrastructure. Its analytics, data science, and business teams were increasingly constrained by legacy systems that couldn’t keep pace with rising demand for speed, flexibility, and advanced insight.

The Challenge

As business leaders across the organization demanded faster, more flexible access to data, the existing infrastructure couldn't keep up. Analytics teams were stuck maintaining brittle ETL pipelines and working around compliance limitations in older environments. Data silos hindered reporting, making it challenging to enforce consistent access policies across the organization. Business-critical workflows such as enrollment analysis, cost trend modeling, and care program tracking relied on manual data stitching. The client knew it couldn’t unlock value from advanced analytics or AI until the foundation was rebuilt.

The Solution

Productive Edge worked with internal teams to design a secure, scalable Lakehouse using Azure Databricks. The engagement started with a comprehensive workload inventory and prioritization exercise, identifying which processes could be modernized immediately and which would need redesign. A modular data architecture was implemented to support streaming and batch use cases. Role-based access controls, audit logging, and protection of PHI were built into the core framework to ensure HIPAA compliance. We also worked alongside the governance team to define ownership and policies for cross-departmental data usage.

The Results

The health plan now has a HIPAA-compliant cloud data platform ready to support enterprise analytics and AI adoption. With 80% of key analytics workloads mapped for migration and five departments already using governed data access, the organization has significantly improved agility. Teams are spending less time on data wrangling and more time delivering insights. The new architecture not only meets today’s operational needs, but it also sets the stage for predictive models, natural language interfaces, and AI-driven automation across the payer business.

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