How to Make a HIPAA-Compliant Healthcare App in 2025

John Deutsch

John Deutsch

Posted on April 05, 2023

Last updated: June 26, 2025

In 2025, building a HIPAA-compliant app is more than a regulatory checkbox; it’s a foundational step in safeguarding patient trust and protecting your organization from financial and legal risks. With security threats on the rise and HHS enforcement intensifying, HIPAA-compliant app development is essential for any healthcare provider or company creating a healthcare mobile app, patient portal, or medical device companion app.

At Medical Web Experts, we specialize in HIPAA-compliant mobile app development tailored to the healthcare sector. This guide outlines what your organization needs to know to build a HIPAA-compliant app that safeguards patient data and protects your organization. 


Key Takeaways

  • HIPAA-compliant mobile app development is no longer optional. With rising cybersecurity threats and stricter enforcement, compliance must be embedded from day one, not retrofitted later.
  • ePHI protection is key. Many apps handle protected health information. Read our need-to-know tips on how to secure it.
  • The right development partner matters. Medical Web Experts ensures HIPAA compliance through purpose-built architecture, secure cloud hosting, and design that minimizes user error.

Table of Contents

  1. What is HIPAA?
  2. What Counts as ePHI?
  3. Why HIPAA Compliance Matters More Than Ever in 2025
  4. Top Guidelines to Build a HIPAA-Compliant App
  5. HIPAA Do’s and Don’ts
  6. Work with a HIPAA-Specialized Development Partner
  7. Secure Messaging with BridgeInteract
  8. Additional Regulatory Considerations
  9. Conclusion

What is HIPAA?

The Health Insurance Portability and Accountability Act (HIPAA) is a US federal law designed to protect the privacy and security of individuals’ health information. HIPAA’s Security Rule sets national standards to protect ePHI, and failure to comply can result in fines reaching millions of dollars (1).

HIPAA is especially critical for healthcare mobile apps, which often handle sensitive patient data such as appointment details, lab results, and secure messages. Any app that stores or transmits ePHI must be built with HIPAA compliance from the ground up to avoid legal risk and protect patient trust. 

What Counts as ePHI?

A strong understanding of ePHI is crucial for any organization that aims to build a HIPAA-compliant app. The Department of Health and Human Services (HHS) lists the 18 ePHI identifiers as follows:

18 Identifiers of ePHI

Under the HIPAA Safe Harbor Method, these identifiers must be removed to de-identify data.

Names

Geographical data smaller than a state (address, city, zip)

All elements of dates (except year), e.g., birth, admission

Phone numbers

Fax numbers

Email (electronic mail) addresses

Social Security numbers

Medical record numbers

Health plan beneficiary numbers

Account numbers

Certificate/license numbers

Vehicle identifiers and serial numbers (including license plates)

Device identifiers and serial numbers

Web Universal Resource Locators (URLs)

Internet Protocol (IP) address numbers

Biometric identifiers (fingerprints, voice prints)

Full-face photographic images

Any other unique identifying number or code

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Why HIPAA Compliance Matters More Than Ever in 2025

According to recent cybersecurity research, healthcare data is now a top target for cybercriminals, with over 95% of hospitals reporting at least one attempted cyberattack in 2024 (2). Data shows that a worrying number of attacks are succeeding. The 2024 HIMSS Cybersecurity Survey found that 25% of healthcare organizations experienced a significant security incident, such as financial loss or operational disruption, linked to a vendor, supplier, or service provider (3). Many healthcare apps, including patient portals, scheduling apps, remote monitoring apps, and medical device companion apps, store and transmit sensitive patient data, representing key points of vulnerability.

In response to the increased threat environment, the Office for Civil Rights (OCR) introduced a proposed update to the HIPAA Security Rule in January (4). This proposal reflects the healthcare sector’s shift toward cloud-based and mobile technologies and growing demand for stronger privacy protections.

While the final adoption of the rule remains pending, the key points are as follows:

Highlights of the Proposed 2025 HIPAA Security Rule Changes:

  • Stronger Encryption Requirements: Mandatory end-to-end encryption for ePHI in transit and at rest.
  • Expanded Risk Assessments: Organizations are to conduct more comprehensive and frequent evaluations of their digital environments.
  • Third-Party and Cloud Oversight: Increased responsibility to assess and monitor the security practices of vendors and cloud providers.
  • Stricter Authentication Controls: Multi-factor or biometric authentication, especially for access to sensitive systems.
  • Formalized Incident Response Plans: Required breach response strategies, regular simulations, and staff training.

Whether or not these specific rules become law, the message to healthcare organizations is clear: it’s time to tighten up security and compliance. We can expect increased scrutiny of mobile health applications, especially those transmitting or storing PHI. That means your app’s compliance must be baked in from the start, not retrofitted later.

Top Guidelines to Build a HIPAA-Compliant App

Here are the most critical components for HIPAA-compliant mobile app development:

1. Never Store PHI on the User’s Device

Storing PHI directly on a mobile device creates avoidable risk. Instead, implement cloud-based, HIPAA-compliant data access, ensuring all PHI is pulled securely from your EMR or backend system and can be recalled if necessary. ePHI stored on a user’s phone can’t be recalled and poses an unacceptable danger.

Pro tip: Design your app to cache temporary tokens or session data—never identifiable health data.

2. Never Include PHI in Notifications

Push notifications, SMS, or email alerts must be generic. Even saying, “Your dermatology appointment is tomorrow,” can violate HIPAA if seen by someone else.

It’s important not to get lost in code and also think about what could happen in the real, physical world. When it comes to notifications, use neutral phrases like: “You have a new message in your secure portal.”

3. Use HIPAA-Compliant Cloud Hosting

Only host PHI in an environment that meets HIPAA infrastructure standards. At Medical Web Experts, we use HIPAA-optimized AWS environments as part of our MWE Cloud hosting solution.

4. Always Sign a Business Associate Agreement (BAA)

Whether it’s a software vendor or a third-party analytics tool, ensure every partner handling PHI signs a BAA. This is mandatory for HIPAA compliance. If your developer won’t sign one, don’t hire them.

5. Implement Required Security Safeguards

HIPAA requires:

  • User authentication (e.g., MFA, biometric login)
  • Audit logging
  • Access control (Role-Based Access Control)
  • Encryption (at rest and in transit)

This is absolutely crucial. Any HIPAA-compliant app development team should include a cybersecurity expert with a specific understanding of how cybercriminals target healthcare organizations.

HIPAA Do’s and Don’ts

HIPAA Best Practices: Do’s & Don’ts

PHI Storage

Do

Cloud-hosted, encrypted, no local device storage.

Don’t

Store PHI on user devices.

Notifications

Do

Use generic alerts only.

Don’t

Include sensitive health info in push/SMS/email alerts.

Authentication

Do

MFA, biometric login, user-level RBAC.

Don’t

Rely on single-password access or have no session timeout.

Hosting

Do

Use certified HIPAA-compliant infrastructure (e.g., AWS).

Don’t

Use general-purpose web hosting or cloud storage.

Third-Party Tools

Do

Engage vendors under a signed Business Associate Agreement (BAA).

Don’t

Use tools/services with no BAA or an unclear compliance status.

Work with a HIPAA-Specialized Development Partner

HIPAA-compliant app development requires more than great code. You need a team that understands:

  • The 18 identifiers of PHI
  • Regulatory interpretations from OCR
  • Audit requirements and breach reporting triggers
  • Cybersecurity best practices for medical technology

Medical Web Experts has delivered HIPAA-compliant apps for hospitals, labs, pharmacies, and other types of healthcare organizations for nearly 20 years. Our approach to HIPAA-compliant app development combines secure infrastructure, intelligent workflows, and compliance-first development practices to ensure your application, portal, or companion software is built with privacy by design.

Here’s how we do it:

Development Built for Compliance

HIPAA compliance starts at the architecture level. Every custom healthcare app or patient portal we build incorporates workflows and access controls that limit exposure of protected health information (PHI) based on user roles. We prioritize data minimization, secure APIs, and audit-friendly logging to align with HIPAA’s technical safeguards from day one.

Secure Hosting and Data Management

Our proprietary MWE Cloud platform is built on Amazon Web Services (AWS) and tailored to meet all HIPAA hosting requirements. It enables fast, compliant deployment while offering encryption at rest and in transit, intrusion detection, and continuous monitoring. Unlike generic hosting platforms, MWE Cloud is optimized for healthcare and supported by a dedicated compliance team.

Reducing User Error with Thoughtful Design

Even the most secure infrastructure can’t prevent every breach, especially when human error is involved. That’s why we design intuitive interfaces and backend workflows that limit risk, guide users away from non-compliant actions, and support proper PHI handling. We also provide optional consultation with our HIPAA Compliance Officer to help clients navigate their responsibilities post-launch.

A Partnership in Compliance

From signed BAAs to third-party audits and regular security updates, we back our development and hosting services with ongoing support. As your partner, we give your organization the tools, infrastructure, and guidance to maintain 100% compliance as you grow.

Explore our portfolio to learn more about our record of delivering secure, successful HIPAA-compliant healthcare mobile apps.

Secure Messaging with BridgeInteract

Need a faster route to HIPAA-compliant messaging? Our sister company BridgeInteract offers a modular patient engagement platform built with HIPAA at its core. Its patient portal features include:

  • Encrypted provider-patient messaging
  • Consent tracking
  • Audit logs and access controls
  • Mobile-friendly secure communication

BridgeInteract can be white-labeled or integrated into your existing digital ecosystem, offering a configurable off-the-shelf solution when custom software development isn’t a viable option.

Additional Regulatory Considerations

HIPAA is just one of several regulations that may apply to your healthcare software. Others include:

  • ADA – Accessibility requirements for users with disabilities
  • GDPR – If you serve EU users
  • FTC Health Breach Notification Rule – Applies to some wellness apps outside traditional care

We help you evaluate and address these needs during your app planning and discovery phase.

Conclusion

HIPAA compliance shouldn’t be a headache. You should proudly proclaim it as the foundation of your digital front door services. Patients will trust your technology if they can be sure their personal data will be protected.

If your organization is ready to build a HIPAA-compliant app, partner with a team that understands the full regulatory landscape. Contact the experts today and future-proof your next project.


Read more:


Resources:

  1. American Medical Association. (2025) HIPAA Violations and Enforcement. Available at: Link. (Accessed: 26 June 2025).
  2. Proofpoint and Ponemon Institute. (2025) Cyber insecurity in healthcare: The cost and impact on patient safety and care. Available at: Link (Accessed: 25 June 2025).
  3. Healthcare Information and Management Systems Society. (2025) 2024 HIMSS Healthcare Cybersecurity Survey. Available at: Link. (Accessed: 20 June 2025).
  4. US Department of Health and Human Services, Office for Civil Rights. (2025) HIPAA Security Rule to strengthen the cybersecurity of electronic protected health information, Federal Register, 6 January. Available at: Link. (Accessed: 20 June 2025).

John Deutsch

John Deutsch

Founder and CCO of MWE, and business owner of 19 years with extensive experience in Healthcare IT. John is a Judge for the 2020 eHealthcare Leadership Awards and has appeared on multiple podcasts, including the Outcomes Rocket Podcast and the Hospital Finance Podcast.

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