10decodersHealthTech Platform Scales 5x with Modern Architecture
A cloud-native migration story — from a legacy monolithic RPM platform to a fully containerized, multi-tenant SaaS — scaling 5x user capacity while cutting infrastructure costs by 30% and achieving 99.98% uptime.
From legacy monolith to a cloud-native platform scaling 5x
A rapidly growing HealthTech RPM provider connecting patients with healthcare teams through remote monitoring across the US, Southeast Asia, and India — serving 20+ global clients with 150+ engineers. The platform had outgrown its legacy monolithic architecture: scalability bottlenecks and recurring downtime were limiting patient capacity, high maintenance overhead was slowing engineering, and the absence of a multi-tenant model was blocking partner onboarding and commercial expansion.
10decoders designed and executed a full cloud-native migration — containerizing services on AWS, implementing CI/CD pipelines with DevSecOps, integrating FHIR-based real-time event streaming, and building a multi-tenant SaaS model. The result: 5x user capacity, 30% lower infrastructure costs, 2x faster releases, and 99.98% uptime.
What the modernized platform delivers
5x User Capacity
Containerized microservices on AWS eliminated the scalability ceiling of the legacy monolith — enabling the platform to handle 5x the user load without proportional infrastructure cost increases.
30% Lower Infrastructure Costs
Cloud-native architecture enabled right-sized infrastructure provisioning and auto-scaling — eliminating over-provisioned servers and reducing total infrastructure spend by 30% post-migration.
99.98% Uptime
Distributed architecture with automated failover, health monitoring, and containerized workloads achieved 99.98% platform uptime — eliminating the recurring downtime that had limited patient care continuity.
2x Faster Releases
CI/CD pipelines with integrated DevSecOps practices automated build, test, and deployment workflows — cutting release cycle time in half while embedding security into every stage of delivery.
FHIR Real-Time Event Streaming
FHIR-based real-time event streaming replaced batch data transfers — enabling live health data synchronization across the care ecosystem and supporting compliance-ready data exchange at scale.
Multi-Tenant SaaS Model
A fully isolated multi-tenant SaaS architecture unlocked partner onboarding at scale — enabling the platform to onboard healthcare partners independently without custom infrastructure per client.
The Problem, and How We Solved It
A platform built for a different scale — now capped by its own legacy architecture while the business demanded exponential growth.
The Challenge
- Scalability bottlenecks and recurring platform downtime were limiting patient capacity — preventing the platform from growing to meet rising demand from patients, clinicians, and healthcare partners
- High infrastructure maintenance overhead and slow, error-prone deployments were blocking engineering velocity — pulling teams away from product development and toward firefighting legacy infrastructure
- The absence of a multi-tenant model required custom infrastructure for every new partner — making partner onboarding slow, expensive, and operationally unsustainable at commercial scale
Our Approach
- Migrated to containerized microservices on AWS — enabling auto-scaling, distributed load handling, and automated failover that delivered 5x user capacity and 99.98% platform uptime
- Implemented CI/CD pipelines with integrated DevSecOps and FHIR-based real-time event streaming — cutting release cycles in half and enabling live health data synchronization across the care ecosystem
- Built a fully isolated multi-tenant SaaS model — enabling scalable, self-service partner onboarding without custom infrastructure per client, reducing infrastructure costs by 30%
The Solution
10decoders executed a full cloud-native modernization across four workstreams — containerization, CI/CD and DevSecOps, FHIR-based real-time data, and multi-tenant SaaS — replacing every layer of the legacy monolith.
Containerized Microservices on AWS
Decomposed the legacy monolith into containerized microservices on AWS — enabling independent scaling, automated failover, and 5x user capacity without proportional infrastructure growth.
CI/CD with DevSecOps
Automated build, test, and deployment pipelines with security embedded throughout — cutting release cycles from weeks to days while maintaining compliance and reducing deployment risk.
FHIR-Based Real-Time Event Streaming
Replaced batch health data transfers with FHIR-based real-time event streaming — enabling live data synchronization across the care ecosystem and compliance-ready data exchange at scale.
Multi-Tenant SaaS Architecture
Fully isolated multi-tenant SaaS model enabling scalable, self-service partner onboarding — eliminating the need for custom infrastructure per client and unlocking commercial expansion.
From monolithic limitations to a cloud-native platform scaling 5x.
Containerization, CI/CD, FHIR streaming, and multi-tenant SaaS — all converging into one scalable, compliant, always-on HealthTech platform.
Legacy Monolithic RPM Platform
Scalability bottlenecks, recurring downtime, slow deployments, high maintenance costs — and no multi-tenant model to support partner growth at scale.
10decoders Cloud-Native Modernization
AWS containerization, CI/CD pipelines, DevSecOps, FHIR real-time event streaming, and fully isolated multi-tenant SaaS — all deployed as one coordinated modernization program.
Scalable HealthTech SaaS Platform
5x user capacity, 99.98% uptime, 30% lower infrastructure costs, 2x faster releases — and a multi-tenant model enabling commercial expansion at scale.
What We Built
Containerized AWS Microservices
Decomposed legacy monolith into independently scalable containerized services on AWS — enabling 5x user capacity and 99.98% uptime through distributed architecture and automated failover.
CI/CD Pipelines & DevSecOps
Automated build, test, and deployment with embedded security — cutting release cycles in half while maintaining compliance and reducing deployment risk across every engineering team.
FHIR Real-Time Event Streaming
Live health data synchronization across the care ecosystem — replacing batch data transfers with compliant real-time event streaming that scales with patient volume and partner integrations.
Multi-Tenant SaaS Architecture
Fully isolated multi-tenant SaaS model — enabling scalable self-service partner onboarding, eliminating custom infrastructure per client, and reducing total infrastructure costs by 30%.
Impact Across the Organization
5x Capacity, 99.98% Uptime
Cloud-native architecture eliminated the scalability ceiling — enabling 5x the patient volume on the same cost footprint while delivering 99.98% platform uptime and eliminating recurring downtime.
2x Faster Releases, 30% Lower Costs
CI/CD automation and right-sized cloud infrastructure doubled release velocity while cutting infrastructure spend by 30% — freeing engineering teams from maintenance overhead to focus on product.
Multi-Tenant SaaS at Scale
A fully isolated multi-tenant architecture enabled scalable, self-service partner onboarding without custom infrastructure — unlocking commercial expansion and accelerating healthcare partner growth.
