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HIPAA ComplianceNext.js + SupabasePatient PortalsEHR IntegrationTelehealth

Your Patient Portal is Hemorrhaging Sign-Ups. We Build HIPAA-Ready Code That Converts.

If you're a healthcare founder watching 60% cart abandonment because your forms feel like an audit trail, you've found the rebuild team.

90+
Lighthouse score
Mobile, production builds
4-10 weeks
Typical timeline
Scope-dependent
$40K-$200K
Project range
Portal to full platform
5,000+
Sites shipped
Since 2012
What Healthcare Software Development Fixes -- And What It Won't

Your patient portal goes live and a nurse in Tulsa tries to log in on her iPhone between rounds. The form stalls. She closes the tab. You just lost a booked appointment. Healthcare software development means building web apps that handle protected health information under HIPAA and HITECH rules while actually loading fast enough for clinicians on hospital WiFi. We build your stack on Next.js for server-rendered React with edge caching, Supabase for Postgres-backed auth and row-level security, and Vercel for zero-downtime deploys. That lets your team ship patient portals, provider dashboards, telehealth interfaces, and intake workflows in 4–10 weeks instead of nine-month Waterfall projects. Every project gets a signed BAA, AES-256 encryption at rest, TLS 1.3 in transit, audit logging baked into the database layer, and role-based access that maps to your org chart. We've wired into Epic FHIR, Athenahealth, DrChrono, and a dozen HL7v2 feeds. The result: apps that score 90+ on Lighthouse, survive SOC 2 audits, and don't make your providers want to throw their laptops. If your current portal scores under 50 on mobile, you're burning appointments every day it stays live.

Your Current Site May Be a Liability

Common gaps we find in nearly every audit.

Your current patient portal scores under 50 on Lighthouse and patients abandon intake forms on mobile.
Risk: Every percentage point of abandonment costs you booked appointments and downstream revenue.
Your dev team built auth but hasn't implemented audit logging, BAAs, or encryption at the field level.
Risk: A single PHI breach averages $4.45M in penalties and legal fees according to IBM's 2023 report.
EHR vendors charge $80K+ for integration and lock you into 3-year contracts.
Risk: You lose the ability to switch systems or add new data sources without starting over.
Your offshore team delivered a monolith that takes 12 seconds to load and can't pass a pen test.
Risk: You'll spend more rewriting it than you saved, plus you've burned 6 months of runway.
Providers refuse to use internal tools because the UX feels like software from 2008.
Risk: Low adoption means staff workarounds, duplicate data entry, and clinical errors.
You need SOC 2 Type II and HIPAA compliance but don't have a security engineer on staff.
Risk: Auditors will flag gaps that delay your next funding round or enterprise contract.

What Your Website Could Look Like

Custom-designed for your industry. No templates. No stock photos.

HIPAA-compliant healthcare platform dashboard on laptop and mobile
Patient portal with EMR integration, telemedicine, and HIPAA-ready audit logs

What We Build

Purpose-built features for your industry.

Rebuild patient auth with Supabase RLS and MFA so PHI never touches unencrypted storage

Your patient portal loads in under 2 seconds on rural clinic WiFi and stops abandoning intake forms

Replace monolithic intake forms with server-rendered Next.js flows that validate in real time

Your security posture passes pen tests with signed BAAs, field-level encryption, and session management

Wire Epic, Cerner, or Athenahealth FHIR endpoints through a typed retry layer with audit trails

Your EHR integration costs $12K instead of $80K and you own the API layer to add new data sources

Deploy telehealth video on WebRTC or Daily.co with encrypted recording inside your compliance boundary

Your telehealth app ships in 6 weeks with waiting rooms, screen share, and encrypted recording

Instrument every PHI access event into an append-only audit table ready for SOC 2 reviewers

Your audit dashboard shows every PHI access event in real time so compliance reviews take hours not weeks

Migrate off slow legacy portals that score under 50 on Lighthouse and bleed mobile abandonment

Your providers actually use internal tools because the UX feels like consumer software not 2008 enterprise

Our Development Process

From discovery to launch. Quality at every step.

01

Compliance & architecture audit

Week 1

We map your PHI flows, identify HIPAA gaps, sign a BAA, and define the database schema with row-level security policies.

02

Design sprint & component system

Week 2-3

We build a Figma prototype tested with actual clinicians, then convert it to a Tailwind + Radix component library.

03

Core build & EHR wiring

Week 4-7

Next.js app routes, Supabase tables, auth flows, and EHR integration endpoints ship in parallel across a 3-4 person squad.

04

Pen test & compliance review

Week 8-9

Third-party penetration test, OWASP Top 10 remediation, and a compliance checklist walkthrough with your legal or security team.

05

Launch & monitoring handoff

Week 10

We deploy to Vercel production, configure uptime alerts, error tracking via Sentry, and hand off runbooks to your team or stay on retainer.

Social Animal

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Related Resources

Frequently Asked Questions

A patient portal or intake app starts around $40K-$60K. A full platform with telehealth, EHR integrations, and a provider dashboard runs $100K-$200K. The biggest cost driver is integration scope — connecting to one EHR via FHIR is straightforward, but wiring into three systems with HL7v2 feeds adds 3-4 weeks of engineering. We'll give you a fixed-price estimate after the Week 1 architecture audit so there aren't surprises.
We sign a BAA before any PHI touches our infrastructure. Supabase Postgres encrypts data at rest with AES-256 and in transit with TLS 1.3. Row-level security policies restrict data access at the database layer — not just the UI. Every PHI read/write gets logged to an append-only audit table. We run a third-party pen test before launch and provide a compliance checklist your legal team can hand directly to auditors. We've done this across 40+ healthcare projects.
Healthcare SaaS platforms lock you in. You can't customize the UX, you pay per-seat fees that scale painfully, and you're stuck when they deprecate features. With Next.js + Supabase you own the code, control the data, and can deploy anywhere. The stack gives you server rendering for speed, Postgres for relational integrity, and real-time subscriptions for live dashboards — all without vendor lock-in. You'll also pass Lighthouse audits that most SaaS tools fail.
A typical squad is 3-4 people: a senior full-stack engineer who owns the Next.js/Supabase architecture, a frontend engineer for component work, a part-time DevOps engineer handling Vercel config and security hardening, and a project lead who runs standups and stakeholder updates. For projects with EHR integrations, we add a dedicated integration engineer. You'll have direct Slack access to everyone — no account managers relaying messages.
Yes. We've built against Epic FHIR R4, Athenahealth, DrChrono, and raw HL7v2 interfaces. We create a typed middleware layer that normalizes data from any EHR into a consistent schema your app consumes. That way, if you switch EHR vendors later, only the adapter changes — not your entire frontend. We'll need API credentials and a sandbox environment from your EHR vendor, which we can help you request.
We target sub-2-second Time to First Byte and a Lighthouse performance score above 90 on mobile. Next.js server components mean we ship less JavaScript to the browser. Vercel's edge network caches static assets globally, so your app loads fast even on rural clinic Wi-Fi. We test against throttled 3G connections during QA — not just our fiber office network.
We offer monthly retainers starting at $3K/month for ongoing maintenance, security patches, dependency updates, and feature work. You also get Sentry error monitoring, uptime checks, and a runbook so your internal team can handle day-to-day changes. If you don't want a retainer, we do a full knowledge transfer with documentation and recorded walkthroughs. Either way, you own all the code — it's in your GitHub org from day one.
We do this a lot. About 30% of our healthcare work is rescuing projects that stalled or failed compliance review. We'll audit the existing codebase in Week 1, identify what's salvageable, and give you an honest assessment. Sometimes we can refactor the auth and security layers without rebuilding everything. Other times a rebuild is genuinely faster and cheaper. You'll get a written recommendation with cost estimates for both paths so you can make an informed call.
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