What Infosys / HCL / Wipro gets wrong in Healthcare
Digital health product development requires onshore, senior engineers making architectural decisions at startup velocity. Infosys, HCL, and Wipro offer offshore staff augmentation at cost-competitive rates — which is a model built for cost efficiency in IT operations, not for product development velocity in a regulated health technology environment.
HIPAA compliance architecture decisions in digital health happen at the product design layer. How does the data model classify PHI? Which APIs need minimum necessary access controls? How does the audit logging work in a serverless event-driven architecture? These questions require engineers with compliance expertise making architectural decisions in real time — not specification writers producing requirements for offshore development teams to execute.
Digital health startups that engage offshore IT services firms for product development frequently discover the model mismatch at their first HIPAA compliance review: the system was built to the specification, but the specification did not address all of the architectural compliance requirements. The remediation is expensive and the timeline is a problem for a company with investor milestones.
What we deploy instead
We build digital health products with HIPAA-compliant architecture from day one, at the velocity that startup product development requires. Senior engineers making architectural decisions — not offshore developers executing specifications.
Two-week sprints, production code at each milestone. The compliance architecture is validated at every commit. Full IP transfer at close.
HIPAA and SOC 2 built into the architecture from day one — enforced automatically by ALICE at every commit.
Fixed-price engagements. Production system in 8-20 weeks. No discovery phase. No change orders.
Domain-qualified engineers with healthcare experience. The senior engineer who scopes the engagement is the senior engineer who delivers it.
Full source code and documentation transferred at close. No licensing. No managed services dependency.
The compliance difference
HIPAA, HITRUST, SOC 2. Digital health compliance is the product architecture — not a compliance review layer applied after the product is built.
What switching from Infosys / HCL / Wipro looks like
Digital health product engagement: 10-16 weeks to a HIPAA-compliant production launch. Team: 6-12 engineers. Fixed price. Full IP transfer.
Architecture review and scope definition. We review existing deliverables and identify gaps.
Scope locked, team assembled, first sprint underway. Working code from week two.
First production milestone — a working integration or system component, not a document.
Full IP transfer. Source code, documentation, operational runbooks. Your team runs the system.
Failed Vendor Recovery Playbook
Step-by-step framework for recovering from a failed Infosys / HCL / Wipro engagement — from emergency stabilisation through full re-platforming. 4-phase playbook covering stabilise, assess, transition, and normalise.