A leading healthcare software company focused on urgent care and outpatient services needed to consolidate two existing products into a single, unified platform while migrating to cloud-native architecture. Operating in a regulated environment where Protected Health Information demands strict security and HIPAA compliance, the organization also faced rapidly changing requirements driven by the pandemic. They engaged Coforge to re-architect the platform on AWS, meeting compliance mandates while delivering the scalability and performance the business required.
The Challenge
Healthcare software at this scale handles Protected Health Information across thousands of patient interactions. Consolidating two separate products into a unified platform while migrating to a cloud-native architecture introduced complexity across security, compliance, and data management.
The existing monolithic application lacked the scalability and availability needed to support evolving urgent care operations, particularly as pandemic-driven demand placed new and unpredictable pressure on the platform. The transition to cloud-native technologies had to be executed without compromising the security and compliance standards required for PHI handling.
HIPAA compliance requirements governed every architectural decision. The platform needed continuous compliance monitoring, encrypted data storage and transit, rigorous access controls, and automated audit reporting. Meeting these requirements while re-architecting a production healthcare system within an accelerated timeline was the central challenge.
Our Approach
Coforge re-architected the monolithic application into a serverless microservices platform on AWS, embedding HIPAA compliance controls, automated threat detection, and identity management across the entire stack.
Serverless Microservices Architecture
Coforge broke down the monolithic application into microservices on a serverless AWS architecture. Amazon S3 handled file storage and event triggers, AWS Lambda managed business logic and parallel processing, Amazon API Gateway exposed Lambda functions with request validation and rate limiting, Amazon DynamoDB served as the primary database for healthcare data, and Amazon MSK provided event streaming and processing across the platform.
Thread Detection and Automated Remediation
Coforge broke down the monolithic application into microservices on a serverless AWS architecture. Amazon S3 handled file storage and event triggers, AWS Lambda managed business logic and parallel processing, Amazon API Gateway exposed Lambda functions with request validation and rate limiting, Amazon DynamoDB served as the primary database for healthcare data, and Amazon MSK provided event streaming and processing across the platform.
Identity, Access Management, and Data Security
Coforge enforced least-privilege access across the application stack using AWS IAM roles and policies, integrated AWS IAM Identity Center for secure SSO and user federation, and deployed AWS Secrets Manager for secure credential storage and rotation. Adaptive authentication policies were configured to restrict access based on user roles, IP whitelisting, and time-based controls.
HIPAA Compliance Automation
Coforge used AWS Config rules to continuously monitor compliance with HIPAA controls, covering encrypted storage, secure access policies, and configuration drift. AWS KMS handled data encryption at rest, with SSL/TLS protecting all data in transit. AWS Artifact and AWS Audit Manager provided access to compliance documentation and automated evidence collection.

Impact to Date
10x
30%
99.9%
50%
Business Impact
- Migrating to AWS serverless services improved application performance by 10x while enabling auto-scaling to handle peak loads without manual intervention.
- Serverless architecture reduced infrastructure costs by an estimated 30% compared to the previous setup.
- Serverless architecture and automated failover mechanisms improved platform uptime to 99.9%, eliminating manual maintenance windows.
- Automated compliance monitoring through AWS Config and Security Hub ensures continuous HIPAA compliance, cutting audit preparation time by an estimated 50%.
- Custom Lambda-based remediation workflows reduced mean time to detect and respond to security incidents, with real-time alerting through EventBridge.
- All PHI data is encrypted at rest via AWS KMS and in transit via SSL/TLS, with S3 bucket policies enforcing access controls aligned to HIPAA requirements.
The organization now operates a HIPAA-compliant, serverless platform that scales to meet the demands of urgent care operations. From product consolidation to compliance automation to threat detection, Coforge delivered a complete re-architecture of the healthcare platform on AWS, meeting both the regulatory standards and the performance requirements the business demanded.
