Mobile · HIPAA-aware development
HIPAA-aware mobile app development. Built to support your compliance program.
Time is money. CAM Software builds mobile apps designed to plug into your HIPAA program: encryption at rest and in transit, BAAs with us and our key SDKs, audit logs, role-based access, and secure data handling. Five years of HIPAA experience across ABA therapy, e-prescribing, and EHR engagements.
Audit-first · BAA on every healthcare engagement · 30-day stability window
Healthcare rescue outcome
0.7★ → 4.4★ on a HIPAA-handling React Native app
We took over a failing React Native ABA therapy app that was handling clinical data in a HIPAA-regulated environment. Rebuilt the data flow, the audit logging, and the role-based access controls. Cleared dual-store approval in 4 weeks. The 0.7-to-4.4 star rating turnaround is what HIPAA-aware mobile development looks like when the underlying architecture finally fits the compliance program.
Read the full case →Common HIPAA-aware mobile development signals
These are the patterns we see most often when teams come in with a mobile app that handles PHI.
Your app handles PHI but the audit log is incomplete or missing
HIPAA's audit-control rule requires recording every PHI access. Many mobile apps log to a generic analytics SDK that isn't HIPAA-aware or hasn't signed a BAA. The audit trail your compliance officer needs doesn't exist.
Login and access controls don't match your HIPAA role model
Different clinical roles (therapist, supervisor, billing admin, parent, patient) should see different PHI surfaces. Role-based access is often half-implemented at the UI layer but enforced loosely or not at all at the API layer.
Third-party SDKs you depend on don't sign BAAs
Crashlytics, analytics tools, push notification providers, payment SDKs. Many popular mobile SDKs do not sign BAAs by default. If your app sends PHI through them, you have a compliance gap.
Encryption at rest, in transit, or both is incomplete
HIPAA's safeguard rule applies to PHI at rest (on device) and in transit (over network). Mobile apps often handle TLS for transit but skip on-device encryption for cached PHI. Or they encrypt at rest but use a static key. Either gap is a finding.
PHI moves through insecure side channels
Screenshots, screen recording, clipboard, email exports, support ticket attachments. Mobile apps frequently leak PHI through OS-level features the developer never thought about. iOS and Android both have controls; many apps don't enable them.
No data retention or deletion policy implementation
HIPAA does not specify retention timelines, but covered entities have retention policies that the app must honor. Many apps store PHI indefinitely with no deletion flow. State law and the covered entity's policy both bite eventually.
How a HIPAA-aware engagement runs
Audit-first methodology. Each step has a concrete deliverable.
Paid Technical Audit
Mandatory first step. Read-only repo access. Standalone product. You walk away with a written report whether or not you move forward.
Every healthcare engagement starts with a Technical Audit: read-only repo access, real-device testing, and a severity-ranked findings report with explicit HIPAA-relevant findings called out (encryption gaps, audit log gaps, role-based access gaps, third-party SDK BAA gaps, PHI side-channel risks). We do not certify HIPAA compliance — that's the covered entity's responsibility — but we surface the technical risks your compliance officer will need to address.
Build, Rescue, or Migration plan
We turn the audit's findings into a flat-fee engagement scope. You see the plan and the dollar number before any work starts.
Some engagements are net-new Builds for healthcare startups; some are Rescues on existing apps that have HIPAA gaps; some are Migrations off aging stacks where compliance has degraded. The audit tells you which engagement shape fits and what the technical work looks like. We sign a Business Associate Agreement as part of every healthcare engagement, before any PHI access.
Executed engagement with HIPAA-aware controls
Hands-on build or rescue. Daily builds to your team. Weekly sync with stakeholders. We work in the order the audit and plan prioritized.
Stop the bleeding first on rescues: highest-risk PHI exposure, broken audit logs, role-based access gaps. On builds: design HIPAA-aware controls into the architecture from day one rather than bolting them on later. We use SDKs and third-party services that will sign BAAs when PHI flows through them. We document every architectural decision so your compliance team has a paper trail.
Handoff with HIPAA documentation and stability window
Handoff includes architectural decision records, BAA-ready third-party SDK list, and operational runbooks. Plus a 30-day stability window.
Your team takes the wheel with documentation built for your compliance program: architectural decision records, the list of every third-party SDK in the build and its BAA status, audit log schema documentation, role-based access policy mapping. A 30-day stability window follows handoff: we respond to anything the engagement surfaced in production. After that you pick: maintain in-house, contract someone, or graduate to a Partner retainer for ongoing healthcare-engineering ownership.
What healthcare engagements look like with us
Per-engagement numbers from a React Native ABA therapy app rescue with HIPAA-aware infrastructure.
0.7★ → 4.4★
App Store rating turnaround
4 weeks
Dual-store approval after submission
1,000 → 50
Crashes per release on top offenders
How much does HIPAA-aware mobile development cost?
Audit-first, quoted fast. Flat-fee engagement scope from the audit's findings. No estimates, no stretched engagements.
HIPAA-Aware Mobile Engagement
Audit first, then quoted
Audit-first ($2,500 Quick Scan or $5,000 Full Audit). Build engagements start at $25,000; Rescue engagements start at $8,000 after the required audit. Deposit + milestones. 30-day stability window after handoff.
Scope is locked after the audit. If the findings show the right path is a full rebuild rather than a stabilization, we re-scope as a Build, not a stretched rescue. We sign a Business Associate Agreement as part of every healthcare engagement.