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Best Boilerplates for Healthcare & Telehealth Apps 2026

·StarterPick Team
healthcarehipaatelehealthboilerplate2026

Healthcare Apps: Compliance Is Not Optional

Healthcare software in the US handling Protected Health Information (PHI) must comply with HIPAA. This affects every technical decision: where data is stored, who can access it, how it's transmitted, and how breaches are reported.

The good news: HIPAA compliance is achievable with the right infrastructure choices. The bad news: most popular cloud services are not HIPAA-eligible out of the box.

HIPAA-Eligible Services (2026)

Before choosing a boilerplate, choose a HIPAA-compliant infrastructure stack:

CategoryHIPAA-Eligible OptionsNot HIPAA-Eligible
DatabaseAWS RDS (with BAA), Google Cloud SQL, Azure SQLSupabase Free/Pro, PlanetScale Free
AuthAWS Cognito, Auth0 (with BAA)Most free tiers
File storageAWS S3 (with BAA), Google Cloud StorageCloudinary, Uploadthing (check BAA)
EmailAWS SES, SendGrid (with BAA)Resend (check BAA status)
VideoDaily.co, Twilio Video (with BAA)Zoom (check BAA), standard WebRTC
HostingAWS, GCP, Azure (with BAA)Vercel (check BAA), Netlify

A Business Associate Agreement (BAA) is the legal contract with each vendor confirming they'll handle PHI appropriately. Sign BAAs with every vendor touching PHI.

Healthcare Boilerplate Options

No boilerplate ships pre-configured for HIPAA out of the box. You'll configure compliance on top of a standard foundation.

Best Stack for HIPAA SaaS

Supastarter (foundation) →
  Replace Supabase DB with AWS RDS (PostgreSQL)
  Replace Vercel with AWS or self-hosted
  Add encryption at rest for PHI fields
  Add audit logging for all PHI access
  Add BAAs with all vendors

Healthcare-Specific Libraries

// Encrypt PHI before storing
import { createCipheriv, createDecipheriv, randomBytes } from 'crypto';

const ENCRYPTION_KEY = Buffer.from(process.env.PHI_ENCRYPTION_KEY!, 'hex');
const ALGORITHM = 'aes-256-gcm';

function encryptPHI(data: string): string {
  const iv = randomBytes(12);
  const cipher = createCipheriv(ALGORITHM, ENCRYPTION_KEY, iv);
  const encrypted = Buffer.concat([cipher.update(data, 'utf8'), cipher.final()]);
  const tag = cipher.getAuthTag();

  return JSON.stringify({
    iv: iv.toString('hex'),
    tag: tag.toString('hex'),
    data: encrypted.toString('hex'),
  });
}

// Always audit PHI access
async function getPatientRecord(patientId: string, requestorId: string) {
  await auditLog({
    action: 'PHI_ACCESS',
    resourceType: 'patient_record',
    resourceId: patientId,
    actorId: requestorId,
    timestamp: new Date(),
    ipAddress: getClientIP(),
  });

  return db.patient.findUnique({ where: { id: patientId } });
}

Telehealth Video

HIPAA-eligible video for telehealth:

// Daily.co — HIPAA-eligible WebRTC
import Daily from '@daily-co/daily-js';

const callFrame = DailyIframe.createFrame({
  showLeaveButton: true,
  iframeStyle: {
    position: 'fixed',
    border: '0',
    width: '100%',
    height: '100%',
  },
});

await callFrame.join({ url: roomUrl, token: meetingToken });

Daily.co provides BAA-eligible video infrastructure designed for telehealth. It handles end-to-end encryption, recording with HIPAA-compliant storage, and waiting rooms.

When to Use an Existing EMR

Building an EHR/EMR from scratch is one of the highest-complexity software projects. Consider:

  • Epic MyChart API (SMART on FHIR) — Integrate with 350+ hospital systems
  • Healthie — White-label EHR for telehealth companies
  • Canvas Medical — API-first clinical platform

For most health tech startups: integrate with existing clinical systems rather than replacing them.

Compare healthcare and SaaS boilerplates on StarterPick.

Check out this boilerplate

View Supastarter + HIPAA stack on StarterPick →

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