The Challenge

Rising Medical Solutions, a national medical-financial solutions company, provides cost containment, claims management, and benchmarking services to the healthcare, workers’ compensation, and insurance sectors.

As Rising’s customer base expanded, the company’s on-premises data center in Chicago—hosting over 25 TB of SQL Server and .NET applications—was reaching its limits. Hardware refreshes and software licensing costs were mounting, and the infrastructure could no longer keep up with Rising’s data growth and performance demands.

Key challenges included:

• Scalability: Each new client added up to 10% more data, straining systems and storage.
• Performance: The need to process medical claims faster, reduce errors, and increase visibility into issues.
• Deployment Speed: Software releases required manual configurations across environments, slowing innovation.
• Security & Compliance: HIPAA requirements demanded centralized visibility into permissions and roles.
• Centralized Management: Disparate configurations made environment management complex and inefficient.

It was time to decide: continue investing in costly on-premise infrastructure, or take the leap to a modern, cloud-native AWS architecture that could deliver scalability, reliability, and cost efficiency.

The Solution

Rising turned to UTurn Data Solutions, a trusted partner with deep AWS expertise and a proven record of successful healthcare migrations. Working closely with Rising’s IT leadership, UTurn developed a Total Cost of Ownership (TCO) analysis to compare on-premises investments against a full AWS migration.
The decision was clear—AWS would not only improve performance but also dramatically reduce operational costs and enable Rising’s IT team to innovate faster.

“We wanted to use UTurn Data for their greatest strengths: architecture and design in the AWS cloud.”

– Dan Trahan, CIO, Rising Medical Solutions

Modern Architecture and Migration

UTurn re-architected Rising’s environment for cloud scalability and performance rather than performing a simple lift-and-shift.

• Terraform Infrastructure-as-Code (IaC) to deliver repeatable, secure, and automated infrastructure deployments.
• Database Modernization: Migrated SQL Server 2008/2012 to SQL Server 2016/2017 with AlwaysOn Availability Groups for high availability. AWS DMS and Amazon Aurora replaced read replicas for improved performance and scalability.
• Application Modernization: Leveraged TeamCity for CI/CD automation to build, test, and deploy .NET web services and batch applications.
• Zero-Downtime Deployments: Implemented AWS CodeDeploy and Auto Scaling Groups for seamless updates.
• Centralized Batch Orchestration: Consolidated multiple batch applications into a unified, automated scheduler to streamline processes.

UTurn built templated staging environments to ensure a fast, smooth cutover during migration weekend. The migration was completed successfully—on time, error-free, and without disruption to production operations.

“UTurn Data’s expertise and guidance was a huge factor in the success of this project. I am thoroughly impressed with how well the migration was executed.”

– Dan Trahan, CIO, Rising Medical Solutions

Tech Stack:

AWS EC2 · Amazon Aurora · AWS DMS · AWS CodeDeploy · TeamCity · Auto Scaling Groups · Terraform · AWS CloudWatch · AWS IAM · Rocketry Rapid Launch Framework

Measurable Results

Rising’s migration was completed six months ahead of schedule and delivered measurable business impact across performance, efficiency, and cost savings.

• 35% faster workflow processing, enabling quicker medical bill turnaround and zero backlog.
• Reduced weekly timeouts from 200+ to nearly zero during production.
• Eliminated data load errors, improving accuracy and reliability.
• Automatic scaling ensures consistent performance, even with 10% data increases per client.
• Deployments reduced from 1–3 days to hours using automated CI/CD pipelines.
• Centralized visibility and monitoring improved root cause detection and resolution speed.
• Internal IT team now independently manages templates, environments, and configurations.
• $250,000 in software savings from migrating SQL Server Enterprise to Standard licensing.
• 17% overall cost savings compared to remaining on-premises.
• Additional $25,000 annual savings from AWS Compute Savings Plans and other AWS cost optimization programs.

“We’re a service company, and we don’t need to be in the business of running our own data center. This migration allows us to focus on what we do best—serving our customers.”

– Dan Trahan, CIO, Rising Medical Solutions

Why UTurn

Rising chose UTurn for its AWS expertise, healthcare industry understanding, and results-driven approach. UTurn’s collaborative process and architectural rigor turned a high-stakes migration into a strategic success. Beyond the technical transformation, UTurn empowered Rising’s IT team with training, templates, and tools to confidently manage and evolve their AWS environment.

Through UTurn’s Rocketry Rapid Launch framework, Rising gained a scalable, secure, and automated cloud foundation designed for continuous improvement.

Ready to unlock measurable value in your cloud journey? Partner with UTurn to migrate, modernize, and realize the full potential of AWS—turning transformation into lasting business impact.