Healthcare insurance guidance & medical app solutions

Project overview

Healthcare is a brand dedicated to helping people navigate the often confusing world of health insurance. They approached us with the challenge of building a secure, intuitive, and scalable Web & Mobile platform that would allow users to choose the best insurance plans, connect with doctors, manage their medical data, and communicate safely with healthcare professionals, all while ensuring full HIPAA compliance.

We transformed this vision into a comprehensive digital solution that simplifies healthcare management and saves users time and money.

Healthcare is a technology-enabled healthcare services company that helps employers deliver simpler, more cost-effective healthcare and pharmacy benefits to their employees. Founded in 2017, it combines clinical professionals, such as nurses and pharmacists, with a modern digital platform to guide members through the healthcare system, including selecting providers, estimating costs, managing billing issues, and navigating coverage. Rightway also operates a transparent, pass-through pharmacy benefits manager (PBM) that avoids traditional rebate-driven incentives and instead focuses on prescribing high-value, clinically appropriate medications. Their model integrates care navigation and pharmacy management into one experience, aiming to improve outcomes, boost member satisfaction, and reduce employer healthcare spending. Recent growth, strong retention, and a 2025 rebrand reflect their ambition to position themselves as a leading, incentive-aligned alternative to traditional PBMs.

Challenges we solved

Building a reliable healthcare platform required addressing multiple critical challenges at once.

• We needed to ensure the application was fully HIPAA-compliant and secure.
• While also implementing seamless patient–doctor communication tools and robust encryption to protect sensitive personal medical data.
• At the same time, the platform had to feature a unique, user-friendly design that stands out in a crowded market.
• With role-based access for Family Groups, Medical Teams, and Care Teams, we ensure smooth, organized interactions among users.

Our solution

We built a powerful yet easy‑to‑use application that brings together all the essential healthcare management tools into a single, cohesive platform. At its core, our solution is designed to give patients, doctors, and care teams a seamless, secure, and efficient experience. Everything works together intuitively, but each function is tailored for its specific use case.

Our developed pharmacy-benefits engine works by stripping out the conflicts of interest that dominate traditional PBMs and replacing them with a transparent, clinically driven model that optimizes both cost and care. Instead of relying on opaque rebates, spread pricing, or ownership of mail-order and specialty pharmacies, Healthcare uses a flat per-member fee and passes through 100% of rebates and negotiated discounts, aligning its incentives with employers who want to reduce total drug spend.

Their formulary is built around clinical efficacy and value rather than manufacturer rebates, and members get direct guidance from licensed pharmacists who intervene at key moments, switching to generics or biosimilars, navigating prior authorizations, comparing dispensing options, and activating savings programs.

A digital interface layers on real-time cost transparency, claims analytics, and personalized medication navigation.

Cross-examining this with how the engine actually works, you can see that the optimization loop relies on three reinforcing components:

• Economic alignment that removes profit-from-spend incentives;
• Clinical intelligence + human pharmacists who steer members toward better and cheaper options;
• Data and workflow integration that surfaces savings opportunities (biosimilar switches, adherence gaps, cost-effective dispensing routes) at scale. This architecture enables Rightway to consistently lower PMPM pharmacy costs while improving member satisfaction, demonstrating how a PBM can function effectively when its financial model, clinical guidance, and data systems are structurally aligned with employer and patient outcomes rather than legacy industry incentives.

Impact & results

The app quickly established itself as a stable, scalable, and HIPAA-compliant healthcare platform, actively used across multiple medical institutions. By combining secure data management, real-time communication, and intuitive search functionality, it delivered measurable benefits for both patients and healthcare providers.

Key achievements include:

These results demonstrate not only the platform’s technical success but also its real-world impact: it improves communication, streamlines healthcare management, and empowers patients to take control of their health.

To sum up

Delivering a secure, user-friendly, and scalable healthcare solution helped the brand to transform patient engagement, optimize healthcare workflows, and expand rapidly in the market, creating lasting value for users, medical professionals, and institutions alike.

Healthcare is not a value-based care organization in the formal payer–provider sense, but It is one of the best examples of value-based care principles applied to pharmacy benefits, employer benefits, and care navigation.

In the ecosystem of employer health benefits and PBMs, an area notoriously misaligned with value. Healthcare’s model is unusually value-oriented and incentive-aligned. In that specific domain, they are a shining example.

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