For vibe-coded health apps

Make your vibe-coded health app production-ready and HIPAA-compliant

You shipped a working prototype on Lovable, Cursor, Replit, or v0 — fast. Now it has to handle real patient data, pass an App Store review, and survive a HIPAA audit. That gap is exactly what we close. We start with a $500 audit and a concrete plan, not a rewrite-everything pitch.

Why vibe-coded health apps stall before launch

The demo works. Then the first compliance question lands, and the prototype that took a weekend needs months it doesn't have.

HIPAA is a wall, not a checkbox

AI code generators rarely emit encryption at rest, immutable audit logs, or per-record access controls unless you prompt for them precisely — and they never sign Business Associate Agreements for you. The result passes a demo and fails an audit in minutes. PHI sitting in plaintext or a vendor with no BAA is the kind of gap that ends a deal.

The App Store keeps rejecting you

In March 2026 Apple began blocking updates from popular AI app builders under Guideline 2.5.2 — apps can't download or execute code that changes their own functionality. Health apps draw extra scrutiny on data handling and account deletion. A prototype that runs in a web preview can hit a wall the moment you try to ship it natively.

It breaks the moment real users arrive

Vibe-coded apps optimize for a working screen, not concurrency, error handling, or data integrity. The first real cohort surfaces race conditions, lost writes, and a database schema that wasn't designed to scale. In healthcare, a lost or corrupted record isn't a bug ticket — it's a safety and trust problem.

EHR and integrations turn into a maze

The moment you need to read or write clinical data, FHIR, HL7, OAuth scopes, and vendor sandboxes become a project of their own. Generated code tends to hand-wave the hard parts — auth, retries, data mapping — that determine whether an integration actually holds up in production.

How Alternova gets you to production

Two clear steps, fixed pricing, no open-ended billing. We work with your existing codebase — we don't make you start over.

The $500 audit

A senior healthcare engineer reviews your app end to end — PHI handling, encryption, auth, audit logging, infrastructure, dependencies, and App Store readiness — and hands you a prioritized, concrete action plan. You leave knowing exactly what stands between you and a compliant launch, whether you build it with us or not.

Production-grade PHI handling

We rebuild the parts that matter: encryption in transit and at rest, immutable audit trails of every PHI access, least-privilege access controls, and secrets handled properly instead of hard-coded. This is the difference between code that looks done and code an auditor signs off on.

Compliant infrastructure and BAAs

We host on HIPAA-eligible infrastructure with the right configuration, sign and chase the Business Associate Agreements across your stack, and set up CI/CD so every change ships the same safe way. If you'd rather not run it yourself, our EHR and app hosting covers it with a flat fee.

App Store and launch readiness

We get the build self-contained and compliant with current review guidelines, fix the account-deletion and data-handling items reviewers flag for health apps, and take the prototype the last mile to a native, shippable release.

We've shipped real, compliant health apps

100+ apps shipped, HIPAA-compliant infrastructure, and a portfolio you can check.

Backpack

We built the MVP and first production version of Backpack's pediatric mental-health platform on a scalable, compliant architecture — telehealth, assessments, and an interactive bibliotherapy app for kids and families.

Healthcare specialists, not generalists

HIPAA, SOC 2, and FHIR/HL7 are our default, not an add-on. We've done compliance reviews and production hardening for founders, clinical researchers, and academic institutions.

Questions founders ask

Can a vibe-coded app actually be HIPAA compliant?

Yes — but treat the generated code as a first draft. HIPAA compliance comes from encryption, audit logging, access controls, signed BAAs across your vendors, and proper infrastructure, none of which AI tools reliably produce on their own. We add those layers to your existing app rather than rebuilding from scratch.

Why did Apple reject my AI-built app?

In March 2026 Apple started enforcing Guideline 2.5.2 against AI app builders — apps must be self-contained and can't download or execute code that changes their functionality. Health apps also face extra scrutiny on data handling and account deletion. We fix the specific items reviewers flag and get the build compliant.

Do I have to rebuild everything?

No. We start with the $500 audit, keep what's working, and replace only the parts that block a compliant, scalable launch — typically PHI handling, infrastructure, and integrations.

How long does it take?

The audit is days, not weeks. The build timeline depends on what the audit finds, but the goal is the shortest path to a shippable, compliant product — not an open-ended engagement. Pricing is fixed: a $500 audit and a $2,400/month build retainer.

Do I keep my code and data?

Always. It's your product. If we host it, you can take your full database and codebase with you at any time — no lock-in, no fine print.

Related

Start with the audit

Send us your app. A senior healthcare engineer will tell you exactly what it takes to make it production-ready and compliant — and you'll leave with a concrete plan either way.

Get the $500 audit