Health Tech Leader Saves $1M+ Annually with a Smarter Azure Cloud
Allyship Snapshot
Use Cases
Azure cost optimization, infrastructure transformation, and CSP onboarding for a scalable, compliant cloud environment.
Solutions
- Infrastructure-as-Code
- Azure Cloud Managed Services
Outcomes Achieved
The Challenge
A New Approach for a More Agile Future
The client is a health technology company based in New York that provides cloud-based treatment tools and clinical support for individuals with developmental disabilities. Their services are used by thousands of clients globally, including nearly one-third of the Fortune 100 and many of the largest public school systems and health plans in the U.S.
The client’s Azure spend had ballooned to approximately $350,000–$380,000 per month. With pressure from private equity backers to reduce costs, and a growing need for scalable infrastructure, the client was ready to try a different approach. Ensono presented a compelling, self-funded consulting model that aligned with the client’s goals and earned their trust.
The Journey
From Cost Savings to Codified Infrastructure
Following a competitive RFP process, the organization selected Ensono for its deep mainframe expertise, flexible pricing, and strong culture of transparency, reliability, and collaboration.
Together, we designed a phased transition that aligned with the client’s data center lease expiration and enterprise license agreement timeline. This approach gave the organization confidence that it could modernize without disruption — and without compromising service to its members.
Ensono delivered:
- Infrastructure as Code (IaC): Rebuilt the environment using IaC to ensure consistency, repeatability, and modernization readiness.
- Cost optimization: Completed a two‑month engagement that reduced Azure spend by more than $100,000 per month.
- Tenant consolidation: Unified the client’s Azure environment from two tenants into a single, streamlined architecture.
- CI/CD implementation: Established CI/CD pipelines through Azure DevOps to support consistent deployment across environments.
- Compliance support: Modernized the environment in alignment with HIPAA and HITRUST requirements.
- Network performance improvement: Resolved performance issues tied to legacy networking configurations.
- Validated architecture: Delivered a high‑level design praised by Microsoft as one of the best they had reviewed.
The Outcomes
A Foundation for Reliability and Growth
This transformation delivered measurable business results and long‑term value:
- A secure, scalable Azure environment with consistent infrastructure across all development stages
- Reduced deployment errors and improved reliability through codified, automated deployments with built‑in guardrails and governance
- Improved stability across environments, positioning the client to reduce outages and strengthen disaster‑recovery capabilities
- Ongoing opportunities for additional cost optimization as the client continues modernizing
- A future‑ready environment that supports upcoming application migrations and drives long‑term innovation
- Continued performance, cost control, and operational excellence through Ensono’s managed services and consulting‑led optimization model
Frequently Asked Questions:
How did Ensono help the health tech leader optimize its Azure environment?
Ensono reduced Azure spend by more than $100,000 per month, consolidated two tenants into one, rebuilt the architecture using Infrastructure as Code, and implemented CI/CD pipelines to support HIPAA and HITRUST compliance.
What were the key outcomes of Ensono’s Azure transformation?
The client achieved over $1 million in annual savings, gained a secure and scalable Azure environment, reduced deployment errors through codified guardrails, improved reliability, and established a foundation for future innovation.
Why did the health tech company choose to partner with Ensono?
Rising Azure costs, performance issues linked to legacy networking, and pressure from private‑equity stakeholders drove the need for a new strategy—Ensono’s self‑funded model and technical rigor earned the client’s trust.
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