High Stakes Data Delivery: How Leap Metrics Modernizes Healthcare With Astro

At A Glance

• Industry: Healthcare Tech
• Use Case: Leap Metrics' Sevida Platform provides real-time analytics, care management, and data operations across value-based care workflows
• Region: North America
• Problem: Leap Metrics needed to deliver critical, real-time healthcare data without delay or infrastructure overhead. Their lean team couldn’t afford to manage orchestration manually while scaling data solutions, and most healthcare orgs lacked the infrastructure to aggregate diverse data sources into a unified patient view.
• Solution: Adopted Astro pre-launch to skip setup and gain a production-ready Airflow environment. Astro enabled efficient pipeline development, secure and scalable deployments, and hands-off infrastructure management—plus real-time visibility through built-in observability tools.
• Results: Leap Metrics removed the operational burden of managing Airflow, accelerated development and onboarding, and now delivers real-time data-driven insights across a growing number of workflows—all while enabling engineers to focus fully on improving patient care.

Powering the Full Care Journey: Transforming Medicaid Care Delivery

Leap Metrics is a healthcare technology company built to solve one of the most critical challenges in value-based care: getting the right data to the right person at the right time. Its real-time data platform helps care teams coordinate more effectively, intervene earlier, and make informed decisions that lead to better outcomes-and lower total cost of care.

The stakes are high. Leap Metrics has been responsible for processing healthcare data for over 70% of North Carolina's Medicaid Tailored Care Management population. A delayed pipeline or missed feed doesn't just affect reporting—it can impact whether a patient gets the follow-up they need. Leap Metrics needed to deliver real-time data—like admits, discharges, transfers, referrals, and care updates—to the right teams without delay or inaccuracy. Missed insights could mean missed interventions that directly impact patient care.

If that feed goes away... if a care manager misses some sort of catastrophic event that happened... there's interventions that might not happen.

Andrew Greenburg
Enterprise Architect
Leap Metrics

After building custom data connectors in-house and navigating the complexity of healthcare data ingestion on their own, the team recognized the need for a more reliable, scalable orchestration layer. For Srini Gorty, Leap Metric's Founder and CEO, it was clear how high the stakes were.

"As a technical founder, I know that there are certain technology decisions that make or break your company. This was one of those decisions."

- Srini Gorty, CEO & Founder, Leap Metrics

That solution was Apache Airflow, managed through Astro. By choosing Astro, Leap Metrics gained the ability to orchestrate every workflow with confidence—without managing infrastructure or sacrificing control. And in a care environment where timing can shape outcomes, that choice made all the difference.

Built for Real-World Care

Leap Metrics may work in infrastructure, but their mission drives moments of care.

The people they serve—many of them Medicaid members in North Carolina—are often navigating complex health needs in communities where systems are already under pressure. They might be older adults discharged from the hospital, waiting for a care manager to follow up. Or parents coordinating pediatric appointments while balancing work obligations. Or individuals managing chronic conditions who need consistent, coordinated support.

They're part of a critical system and for them, timely, trusted data isn't just a backend concern. It means someone shows up. It means their provider has the full story. It means better care, earlier.

"My ethos is, we cannot miss a single data development because it is someone's life."
- Srini Gorty, Founder and CEO, Leap Metrics

That's why Leap Metrics designed its platform for real-time orchestration from the beginning—because in healthcare, reliability isn't optional.

Setting the Foundation with Astro

Leap Metrics made a deliberate choice early on: instead of building and managing Airflow infrastructure in-house, the team adopted Astro before going live in production.

With years of experience operating complex systems, they understood how much time would be spent on configuration, scaling, monitoring, and ongoing maintenance—and how that would pull valuable engineering effort away from product development and patient-impacting work. With a lean engineering team, they couldn’t afford to spend time configuring, scaling, or maintaining orchestration infrastructure while scaling out an increasing number of healthcare data solutions.

We decided we don't want to manage our own clusters... To go through all of that configuration and management and monitoring.

Jason Chesko
VP of Engineering
Leap Metrics

By choosing a managed orchestration platform from the beginning, Leap saved months of setup time and avoided the long-term overhead of running Airflow themselves. Instead, they focused their energy on building the workflows, products, and data streams that support care coordination.

We wanted to partner with the thought leaders... Astronomer with Airflow, Confluent with Kafka.

Jason Chesko
VP of Engineering
Leap Metrics

How Leap Metrics Ensures Data Gets Where It's Needed-Every Time

When data powers care coordination, there's no room for missed runs or manual workarounds. Leap Metrics built its platform to ensure that every piece of critical information—referrals, discharges, follow-ups—flows reliably from ingestion to end users. Most healthcare orgs don’t have infrastructure to aggregate clinical and social determinants of health data available in various formats, protocols, and cadences. Leap built its platform on Airflow as a service to fill this gap—giving providers a 360-degree patient view to power analytics and AI-driven care.

To support this level of reliability, Leap Metrics runs its entire data orchestration layer on Astro, The managed nature of Astro offloads the toil of maintaining Airflow in-house and keeps Leap Metrics' team focused on driving new innovation for customers—instead of just keeping the lights on. Every hour spent managing Airflow was time taken away from building workflows that directly support care teams and improve outcomes. Leap needed to focus on innovation—not infrastructure.

Everything gets orchestrated and just shows up, and we don't have to manage all of that—you know, DAGs on the file system and moving files around and doing all that stuff every time we do a deployment... It's really awesome.

Andrew Greenburg
Enterprise Architect
Leap Metrics

By using Astro, Leap's data team gained full control over their workflows-without the operational burden. Key benefits include:

• Seamless Deployment: CI/CD pipelines powered by GitHub make it easy to test and deploy new DAGs without touching infrastructure.
• Streamlined Development: Astro’s tooling made development more efficient by shrinking the time it took to build, test, and deploy pipelines—saving countless hours of engineering time.
• Elastic Scaling: Worker queues automatically scale to meet demand, ensuring that high-priority jobs don't get stuck or delayed.
• Built-in Observability: The team monitors pipeline health, task failures, and run times in one place, with no need for additional tooling.
• Access Controls and Isolation: Astro's built-in role-based access controls support HIPAA-grade requirements across teams and environments.
• Dataset-Aware Scheduling: Leap uses Airflow's dataset-aware scheduling to trigger dbt and export DAGs as soon as upstream data is ready-eliminating timing issues and ensuring faster, more reliable delivery.
• Orchestration That Just Works: With infrastructure off their plate, the team runs real-time workflows reliably without worrying about downtime, scaling, or missed runs.

After initially using a hybrid setup, Leap migrated to fully hosted Astro, further simplifying operations and improving overall reliability across environments. With these capabilities in place, Leap Metrics can stay focused on what matters most: delivering reliable, timely data to the people who need it—without downtime.

Results and Future Plans

With Astro in place, Leap Metrics orchestrates real-time workflows that support everything from care management and referral coordination to post-discharge outreach. Since adopting Astro, Leap has scaled from 45 to 217 DAGs, supporting increasingly complex workflows across referral tracking, care plan automation, and event processing.

The team meets tight SLAs with confidence and spends less time managing infrastructure—freeing engineers to focus on building solutions that directly support care teams. Before adopting Astro, Leap spent up to 10 hours a week troubleshooting OSS Airflow. Now, with no time spent on maintenance, engineers can concentrate fully on patient-impacting workflows.

With GitHub-based CI/CD and managed infrastructure, the team deploys new workflows quickly and confidently—accelerating onboarding and response times. By adopting Cosmos, Leap structured and simplified its use of dbt within Airflow, improving code quality and boosting development speed by 25%.

Thanks to dataset-aware scheduling and seamless Airflow upgrades via Astro, Leap now surfaces analytics in real time as data arrives—ensuring insights are always fresh and immediately usable.

Over the past three years, Leap Metrics has steadily grown its use of Airflow across new data domains and partner implementations, all while maintaining a lean data team and high bar for reliability. Looking ahead, the team plans to continue scaling the platform to support more workflows and partners, while reducing manual overhead through improved visibility and observability. Astro will remain the backbone of this expansion—helping Leap Metrics deliver the right data, at the right time, to the people who need it most.

Next Steps

Leap Metrics built their platform knowing that if data doesn't arrive on time, care can fall through the cracks. That's why they prioritized reliability from the start, choosing to offload orchestration to a partner they could trust.

By building on Airflow with Astro, Leap avoided costly operational overhead, gained confidence in their data delivery, and gave their engineers space to focus on what matters: powering real-world care.

If your team is building similarly critical data workflows, take a look at Getting Started with Astro or explore our free trial to see what reliable orchestration can unlock.