Healthcare Cloud in 2026: AWS vs. Azure vs. GCP Across HIPAA, FedRAMP, and ONC

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AWS HIPAA-eligible services â€” the remaining services cannot process PHI under the BAA

Healthcare cloud platform selection is more complex than the provider marketing materials suggest. AWS, Azure, and GCP all offer HIPAA BAAs, but the scope of BAA coverage differs substantially across services within each platform. FedRAMP authorisation status matters for federal healthcare programs and their contractors. ONC certification under the 21st Century Cures Act creates specific technical requirements for health IT developers. And the FHIR R4 mandate for Medicare and Medicaid data access creates implementation obligations that the native healthcare APIs on each platform address differently. The provider selection decision in 2026 is not which platform supports healthcare â€” they all do â€” but which platform's specific services, coverage gaps, and regional availability best match the workload.

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