What Deloitte gets wrong in Healthcare
Digital health product development requires speed. Deloitte's engagement model does not. A digital health company that contracts Deloitte for platform architecture gets a discovery phase, a technology strategy document, an architecture review board, and a delivery team that starts work six months after the engagement kicks off. The market has moved by then. The regulatory environment may have changed. The opportunity the product was designed to capture may no longer exist.
Deloitte's compliance model in digital health is particularly damaging for Series A and B companies that cannot afford a multi-year compliance program. HIPAA compliance for a telehealth platform or remote patient monitoring system is not a consulting engagement — it is the foundational architecture decision that determines whether the product can legally scale. Deloitte produces a compliance roadmap. The company needs a compliant product.
The Medicaid IT failure record is directly relevant to digital health companies targeting Medicaid populations. Digital health platforms that integrate with state Medicaid systems inherit the complexity of those systems — and the compliance requirements of federal and state healthcare programs. Deloitte's track record in that environment is a decade of documented failures.
What we deploy instead
We build digital health products with HIPAA compliance as the architecture, not the compliance layer. Telehealth video infrastructure, remote monitoring data pipelines, patient engagement applications — all designed with PHI handling as a first-order architectural concern.
Speed is non-negotiable in digital health. Our teams ship production code in two-week sprints. The first sprint ends with a working HIPAA-compliant data pipeline, not a discovery document.
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 Type II, state telehealth regulations. Digital health compliance is not a consulting engagement — it is the product architecture. We build it that way.
What switching from Deloitte looks like
Digital health engagement: 10-16 weeks to a HIPAA-compliant production launch. Team: 6-12 engineers. Fixed price. Full IP transfer at close.
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 Deloitte engagement — from emergency stabilisation through full re-platforming. 4-phase playbook covering stabilise, assess, transition, and normalise.