For telehealth apps

Telehealth app development, built compliant and built to scale

A telehealth app is more than video. It's scheduling, intake, messaging, payments, and clinical data — all handling PHI in real time. We've shipped telehealth platforms that real families use, and we build them HIPAA-compliant from the first commit.

What makes telehealth hard to build

The demo is a video call. The product is a regulated, real-time, multi-surface system — and that's where timelines slip.

Real-time video and messaging are unforgiving

Live video and chat mean WebRTC, connection reliability across networks, and graceful failure when a patient's connection drops mid-session. Getting a call to connect once is easy; making it reliable for every patient on every device is the real work.

It's a whole stack, not one feature

Scheduling, eligibility, intake forms, secure messaging, e-prescribing or EHR sync, payments, and notifications all have to work together. Each integration is its own project, and they have to share one coherent, compliant data model.

Live PHI raises the compliance bar

Video sessions, recordings, and chat are all protected health information. HIPAA-compliant video means the right infrastructure, signed BAAs with your communications vendors, and careful handling of anything that's stored or transmitted.

Patients are on every device

Your users are on old phones, slow connections, and assistive technology. Telehealth has to work cross-platform — web, iOS, Android — and be accessible, or you exclude the patients who often need care the most.

How Alternova builds telehealth

We've done this — for a pediatric mental-health platform families rely on.

Reliable real-time architecture

We design the video and messaging layer for reliability, not just a working demo — reconnection handling, quality adaptation, and clean failure modes so a dropped connection doesn't lose a session or a record.

The full telehealth stack

Scheduling, intake and assessments, secure messaging, payments, and notifications, integrated into one product with a shared, compliant data model — plus EHR integration when you need to read or write clinical data.

HIPAA-compliant by design

Encryption, audit logging, access controls, and BAAs across your video, storage, and messaging vendors — the compliance is designed in, so live PHI is handled correctly from day one.

Cross-platform and accessible

We ship to web, iOS, and Android, and we build for real-world devices and accessibility, so the patients who need care can actually use the product.

Telehealth we've shipped

100+ apps, including telehealth platforms in active use.

Backpack

We built the pediatric mental-health platform Backpack — bilingual individual and group therapy, family counseling, and psychiatry delivered via telehealth, with digital bibliotherapy for kids and families.

Care across conditions

From dementia caregiver support (Caressa) to menopause care (Issviva), we've built patient- and caregiver-facing health products on compliant, scalable foundations.

Telehealth questions

How do you make telehealth HIPAA compliant?

By handling all PHI — including video, recordings, and chat — with encryption, access controls, and audit logging, and by signing Business Associate Agreements with every communications and storage vendor in the path. Compliance is designed into the architecture, not added later.

What video technology do you use?

We choose the real-time stack based on your needs and compliance requirements — typically WebRTC-based, with a HIPAA-eligible provider under a BAA. The priority is reliability across real-world devices and networks.

Can you integrate scheduling, payments, and EHRs?

Yes. Telehealth is a stack — scheduling, intake, messaging, payments, notifications, and EHR sync via FHIR/HL7. We build them into one coherent product rather than bolting on disconnected tools.

How long does a telehealth MVP take?

It depends on scope, but our senior team ships fast and we scope to the shortest path to a real, compliant product. We've built production telehealth platforms before, so we're not learning on your timeline.

Web app or native mobile?

Often both. We build cross-platform — web, iOS, and Android — so patients can reach care on whatever device they have, and we build for accessibility so the product works for everyone.

Related

Build telehealth patients can rely on

Tell us about your telehealth product. We'll bring the team that's already shipped one, and build it compliant and reliable from the start.

Build with us