AsyncForge for Healthtech
Healthtech ships under constraints most startups never see. AsyncForge has engineers who understand HIPAA, PHI handling, and audit trails — and ship features at startup pace.
Healthtech Development Has Real Constraints
Healthtech is harder to build than most categories. Patient health information (PHI) cannot be logged in plaintext. Storage requires encryption at rest and in transit. Access requires logging and review. Vendors require Business Associate Agreements (BAAs). Engineers without healthtech experience either ignore these constraints (creating compliance liabilities) or treat every line of code as bureaucratic, killing velocity.
The compliance overhead grows with the stack. Every third-party integration is a BAA question: does Sentry sign one (yes, for HIPAA tier), does Mixpanel (no), does the SMS provider (varies). The cloud platform matters too — AWS, GCP, and Azure all have HIPAA-eligible service lists, and using a non-eligible service for PHI is an immediate violation. We have audited healthtech codebases that used Postgres on Heroku without realising Heroku Postgres is not BAA-covered.
Most consulting firms charge enterprise rates for healthtech work because they price the compliance risk into every hour. A typical healthtech consulting engagement runs $250-400/hour, with multi-month minimums. For an early-stage healthtech startup with limited runway, this kills the project before it ships.
AsyncForge has engineers with healthtech background, including HIPAA awareness, BAA-aware vendor selection, and PHI handling patterns. We work on the same productized subscription model as other AsyncForge customers — fixed monthly fee, Kanban submission, no hourly billing. The compliance constraints come included.
For an early-stage healthtech startup, this means you can ship at startup pace without ignoring compliance. The Light tier at €2,000/month is less than 10 hours of typical healthtech consulting — and delivers a month of work.
What this means for you
HIPAA-aware engineering
PHI handled correctly: encryption, access logging, redacted error reports, audit trails.
BAA-eligible vendor selection
We pick tools where a BAA is available. No accidental compliance breaches via vendor choice.
Audit trail design
Comprehensive logging of who accessed what PHI when. Immutable, queryable, exportable.
Cloud platform alignment
AWS, GCP, or Azure HIPAA-eligible services — used correctly.
Patient-facing UX
Accessibility (WCAG 2.1 AA), readability for older patient populations, sensible defaults.
EHR integrations
FHIR, HL7, Epic, Cerner — when your product needs to talk to an EHR.
Common tasks we handle
PHI-handling backend
APIs that touch PHI with proper encryption, access controls, and logging.
Patient portals
Patient-facing apps with accessibility-first design and HIPAA-compliant data flow.
Provider dashboards
Clinician-facing tools with appropriate audit logging and access control.
FHIR/HL7 integrations
EHR data ingestion and write-back via standard healthtech protocols.