The healthcare industry struggles with fragmented communication systems that hinder patient engagement and provider efficiency. Traditional communication methods result in poor patient experiences and outcomes because of the following:
Delayed responses to patients
Inefficient administrative processes
Limited accessibility for patients
Increased administrative burden on healthcare providers
Our client addressed these persistent challenges with a comprehensive, user-friendly communication platform that bridges the gap between healthcare providers and patients. Their platform offers multiple communication channels including web chat, mobile applications, SMS, and video conferencing that solve critical communication challenges in modern healthcare delivery.
Meeting the strategic challenges
As a forward-thinking healthcare technology company, our client sought to rebuild its technology infrastructure using the efficiency and robustness of the Elixir ecosystem and Ash Framework. Key strategic priorities included:
Building a scalable technology infrastructure
Shipping new features faster and with fewer bugs
Maintaining platform reliability and performance
Creating a flexible system that adapts to evolving healthcare communication needs
They had already attempted the replatform using AWS CDK tools, however this approach had hit significant walls. The team needed a solution that would not only address their immediate cost and performance issues but also position them for rapid growth and feature development in an increasingly competitive healthcare technology market.
The migration itself was executed flawlessly, with all 1,000 customer locations transitioned simultaneously without service disruption. The new platform's performance and reliability immediately improved customer satisfaction whilst reducing operational overhead.
Elixir and Ash Framework implementation
The new platform leveraged Elixir's fault-tolerant, concurrent architecture to dramatically improve system efficiency. Ash Framework provided the structured foundation that enabled rapid development cycles whilst maintaining code quality and system reliability.
Through software delivery services and our Ash Premium Support service, Alembic provided strategic technical leadership and deep Elixir & Ash Framework expertise:
Expert guidance on Ash resource modelling to create maintainable, scalable systems
Implementing comprehensive audit logging to track critical data changes
Engineering soft deletion mechanisms for sensitive resources for HIPAA compliance
Developing efficient data export features leveraging Ash's powerful querying capabilities
In addition, our Ash Premium Support service proved crucial in supporting the company's technological transformation. Through a dedicated asynchronous channel, the client had direct access to our team of Ash experts. This significantly reduced technical blockers and provided continuous knowledge transfer, accelerating growth of problem-solving capabilities within the client development team.
Technology stack advantages
By choosing Elixir and the Ash Framework our client gained significant benefits:
Simplified system design which reduced complexity and improved productivity
Reduced time-to-market for new features
The ability to handle growing user bases with minimal infrastructure changes
Scaled to large numbers of simultaneous connections with ease
Lower operational costs and lower total cost of ownership
Delivering business value
Our Ash Framework implementation expertise delivered significant business advantages:
Accelerated Product Development: Ash Framework's powerful capabilities dramatically reduced development time for core features, enabling the company to bring their product to market faster. Our team's deep Ash expertise ensured continuous development momentum.
Development Productivity: Ash Framework helped the team to all become 'full stack" developers, enabling new feature implementation in a fraction of the time compared to their previous development approaches.
Reduced Costs: The cloud costs have reduced from USD60,000 per month to under USD10,000 per month, an 83% saving. This has unlocked the ability to invest in an entirely new product line, with even greater potential than their core product.
Ash Premium Support: Our Ash Premium Support service provided immediate access to expert guidance, reducing technical blockers and maintaining development momentum.
"We were spending $50,000-60,000 a month on AWS spend. We just wrapped up July with $9,800 in AWS spend... It's like raising a round of funding. It's crazy."
— Client CEO
Alembic are the Elixir and Ash Framework specialists
Alembic specialise in building high-performance, scalable systems using cutting-edge technologies. Our expertise lies in transforming complex technical challenges into elegant, efficient solutions. We are recognised industry leaders in Elixir development and the Ash Framework. We love helping organisations across the healthcare, finance, retail, e-commerce, and technology sectors modernise their infrastructure and accelerate their digital transformation.
Our team combines deep technical expertise with strategic thinking to deliver solutions that not only solve immediate challenges but position our clients for long-term success. Whether it's optimising cloud infrastructure, implementing modern architectures, or providing technical leadership, we partner with forward-thinking organisations to build resilient, future-proof systems.
