How Medgate put AI into production

OWT embedded Claude Code across Medgate’s entire delivery chain, cutting bug resolution by 90% and getting features to patients up to three times faster.

Overcoming the challenge

Supporting 2.5 million patients and handling up to 3,000 consultations daily at peak demand, Medgate, Switzerland’s leading telemedicine provider, needed a software delivery approach that could perform at scale. Alpha Factory effectively tackled this challenge.

Medgate delivery overview dashboard
“Our development cycles were becoming bottlenecks to healthcare innovation”
Stefan Vogel Head of Product Development, Medgate

Our Approach

Alpha Factory® was seamlessly integrated into each pull request, removing manual bottlenecks. The AI effectively handled coordination and conducted basic testing. Over 12 weeks, we refactored the core delivery pipeline. With Claude Code integrated, engineers could concentrate on healthcare logic instead of DevOps tasks.

Alpha Factory integrated into Medgate's delivery pipeline

PR-integrated automation

Alpha Factory® embedded into every pull request, removing manual coordination bottlenecks.

AI-driven test coverage

Automated writing, refactoring, and execution of unit, API, and UI tests.

Automated root cause analysis

AI-led diagnostics that turned multi-day refactoring and incident cycles into hours.

AI-enhanced code review

Additional review layer catching issues before production, improving reliability under real operating conditions.

Before Alpha Factory®

  • Manual test case generation
  • 4-day review cycles
  • Limited AI exposure
  • Fragmented documentation

After deployment

  • Automated testing (Claude)
  • Same-hour PR reviews
  • Company-wide AI fluency
  • Auto-synced tech specs

Fast delivery with healthcare reliability

The three month pilot ran across analytics platforms handling patient interactions, backend systems and complex integrations with external healthcare providers, and the results held across all of them.

Shipping in weeks, not quarters

For some features, delivery time dropped by 50 to 99%, with Medgate shipping features three times faster since the first week of deployment.

3x Faster sprint feature delivery

Accelerating testing with precision

Writing test cases sped up by 80%, API testing by 50%, UI testing by 30% and test refactoring by 70%, holding test coverage to medical device standards while cutting the manual effort behind it.

80% Faster test development

Finding bugs before they reach users

Automated root cause analysis got critical systems back online faster, turning refactoring cycles that used to take days into hours.

90% Faster bug resolution

Boosting team efficiency with AI

AI enhanced reviews caught more issues before they reached production, and the systems that went through refactoring performed more reliably under real operating conditions.

50% Code quality improvement
“We’re developing at startup speed with enterprise reliability”
Paul de La Rochefoucauld CTO, Medgate

Get in touch to know more about Alpha Factory®

Stephan Kraus
Stephan Kraus Partner, Head of Finance
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