Build Healthcare Software on a HIPAA-Native Platform.
Most healthcare startups end up gluing Epic + Doximity + Twilio + a custom EHR overlay + a vendor for PHI storage + a separate BAA review for every tool. Six vendors, six audits, six places PHI lives. Aeion's HIPAA-native stack — Health + Auth + Files + Aegis + Helpdesk + Forms — ships EHR, telehealth, AI triage, BLE device integration, immutable audit, and a BAA framework as native platform modules. One BAA, one audit log, one tenant database.
What Ships Native for Healthcare
Aeion Health — Clinical OS
Full EHR with versioned encounters, allergies, conditions, medications, immunizations, labs. AI triage with deterministic ESI safety scoring. NEWS2 deterioration detection. BLE medical device integration (GLP / BPM / HTS / WSP / PLX profiles). The clinical depth without the Epic implementation timeline. Read more →
Aeion Auth — HIPAA-Aware Access Control
Role-based access with break-glass policies, mandatory MFA for clinical roles, session timeouts tuned to HIPAA Security Rule. Audit trail of every access decision satisfies §164.312(c)(2). Read more →
Aeion Files — PHI-Protected Storage
Encrypted-at-rest with customer-managed keys (CMK) by default, S3 object-lock for tamper-evidence, automatic redaction of PHI from non-authorized roles, virus scanning, signed-URL ephemeral access. PHI never lives in plaintext on shared infrastructure. Read more →
Aeion Aegis — Backup + Time Travel
Continuous PITR (~30s RPO), customer-controlled S3 bucket, immutable object-lock against ransomware. Per-document version history undoes any miskey on patient records. Compliance reports auto-generated monthly mapping to SOC2 / ISO27001 / HIPAA. Read more →
Aeion Helpdesk — Patient Support
Patient inquiry triage with PHI-aware sentiment routing — angry patients with sensitive cases route to senior staff. AI suggestions reference your KB without exposing PHI in the prompt. SLA tracking for response-time compliance. Read more →
Aeion Forms — Patient Intake
Structured intake forms with PHI-handling field types, signature capture, consent tracking, automatic conversion to Health module patient records. Drops admission triage workload before any AI runs. Read more →
AeionClaw — Healthcare AI Assistant
The `aeion-health` skill auto-triages, drafts replies, surfaces similar past cases — all with PHI-aware role-based prompt filtering. No PHI ever sent to the LLM the user couldn't already see. Read more →
Telehealth via Connect + Realtime
Far more than HD video — Realtime hosts AI agents that join clinical calls live, transcribes for SOAP note generation, gates audio capture behind explicit patient consent (with mid-recording revoke), enforces per-recording retention policy, runs a GDPR-cascade right-to-erasure across recordings + transcripts + participant records, and signs every audit event with HMAC-SHA256 + daily key rotation for the full HIPAA + GDPR compliance posture. HIPAA-compliant recording storage with per-patient consent tracking. No separate Zoom-for-Healthcare or Doximity license. Read Realtime →
Compliance Posture — Native, Not Layered
Healthcare software vendors typically frame compliance as a layer they bolt on. Aeion frames it as a constraint the kernel enforces. Every module below ships HIPAA-Ready features as part of its core, not as an upcharge.
Day-in-the-Life — Clinic Operations Director
Dr. Anjali oversees a 32-clinician multi-specialty group with 18,000 patients. Here's how the Aeion stack changes her week.
What You Avoid Going HIPAA-Native
No BAA Per Vendor
One Aeion BAA covers every module, so there's no 6-month vendor-vetting cycle every time you add a feature.
No PHI in Third-Party SaaS
Aeion runs in your tenant, on your bucket — PHI never leaves the data boundary you control.
No "Compliance Afterthought" Features
Audit log, encryption, version history, backup, and RBAC are all native and on by default, not an upsell.
No Per-Claim Revenue Tax
Aeion is tenant-priced, not per-claim or per-patient, so adding patients doesn't grow your bill.
No EHR-Vendor Lock-In
All Health data exports in standard formats (HL7 FHIR, CCDA), so you can migrate in or out without engaging Epic's professional services.
No 18-Month Implementation
Aegis backups, Auth policies, and Health collections come pre-tuned for typical workflows, so you configure the stack in days, not quarters.
How It Compares
The honest landscape of "build/run healthcare software" in 2026.
Healthcare-buyer questions
Yes — Aeion ships a standard Business Associate Agreement at signup. One BAA covers every module you adopt. No per-vendor BAA negotiation cycle as you add features.
In your tenant database, your S3 bucket, your VPS — under your control. Aeion is the processor; you remain the data controller. Customer-managed keys (CMK) mean even Aeion staff can't decrypt your files without your authorization.
SOC 2 Type II is ready with the audit motion in flight, and the platform is ISO 27001 Aligned today. HITRUST CSF certification is on the 2026 H2 roadmap; some healthcare enterprises require it. Talk to us if HITRUST is a procurement blocker.
Three guardrails. First, role-scoped prompts: AeionClaw only sees what the calling user can see — same RBAC as the admin UI. Second, redaction filters: AI-bound prompts route through a PHI scrubber if the calling role lacks PHI access. Third, audit: every AI call with PHI in the context is logged, reviewable, and rate-capped per role.
Yes — Aeion Singularity ships connectors for FHIR API export from Epic, Athena's API, and CDA documents from Cerner. Most migrations import patients, encounters, allergies, medications, and labs. Custom imports for unusual extensions are professional-services scoped.
Aeion Health is built with MIPS quality-measure reporting in mind. The AI module auto-generates measure-submission reports + identifies care-gap patients. CMS/CEHRT certification varies by use case — early-stage practices, telehealth-only, and specialty groups often don't need certified EHR status; full hospitals do (we're not there yet).
Yes. Aeion Connect + Realtime ship with HIPAA-compliant video, HIPAA-compliant recording storage (in your bucket), per-patient consent tracking, and BAA coverage. No separate Doxy.me or Zoom-for-Healthcare license needed.
No. AI provides triage suggestions (ESI scoring, NEWS2 deterioration alerts, similar-case retrieval, draft notes) but every clinical decision routes through a clinician sign-off step. Safety fences refuse to draft prescriptions, dosages, or diagnoses without explicit clinician review. Full audit of every AI suggestion + clinician response.