Question 1

How much does this actually cost?

Accepted Answer

It depends on complexity. The build covers architecture, automation, documentation, and knowledge transfer. We scope it precisely after the assessment.

The real question is the cost of not doing it. A delayed enterprise deal because the audit failed. A funding round on hold pending security review. An incident that costs more than the engagement would have.

Question 2

What happens after you build our infrastructure?

Accepted Answer

We hand off the running environment with documentation and runbooks. You own day-to-day. We stay on call for compliance edges and the things that need someone who has been through this before.

Question 3

Will compliance slow down our product development?

Accepted Answer

No. Done right, it speeds teams up. The audit work happens once at deploy and gets captured automatically. You spend zero time gathering evidence later, which is the part that actually slows people down.

Question 4

How do we know if we are ready for HIPAA-grade infrastructure?

Accepted Answer

You probably need this if any of the following are true: you handle PHI in production, your customers require a BAA, or your enterprise pipeline depends on passing a security review.

You probably do not need this yet if you are pre-product, only handling wellness data without PHI, or running an internal-only app with no customer compliance constraints.

If you are not sure, the assessment will tell you where you stand.

Question 5

We already have an AWS environment. Can you adopt it, or is this greenfield only?

Accepted Answer

Both work. We can deploy a fresh HIPAA-eligible foundation, or onboard an existing AWS organization and bring it up to baseline.

The starting point changes the timeline, not the destination.

Question 6

How long until we can present this to an auditor?

Accepted Answer

Weeks, not months. The HIPAA-aligned baseline (controls, logging, evidence collection) is configured at deploy time. The first weeks after go-live are spent tuning it to your specific workloads, not building it from scratch.

If you have an audit window booked, tell us during the assessment and we will scope to it.

Question 7

What if something breaks, or we need engineering work beyond the foundation?

Accepted Answer

We run the HIPAA-eligible foundation. Application work, feature engineering, and incident response are scoped separately, as a retainer or a scoped project.

Most health-tech clients pair the foundation with a retainer. See [collaboration models](/collaboration) for how that fits together.

Question 8

What happens to our HIPAA-compliant infrastructure if we cancel?

Accepted Answer

You keep the OpenTofu code for your accounts, workloads, and HIPAA-aligned controls. We hand it over and walk your team, or whoever comes next, through it. Your environment stays compliant during the transition.

The pipeline and framework that operates the foundation day-to-day stays with us. The handoff itself is scoped separately through one of our [collaboration models](/collaboration).

HIPAA-ready AWS architecture, built for health-techs on AWS

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