Patient and caregiver apps
iOS, Android and web apps with logins, messaging and device data.
- App store releases and OS updates
- Push, SMS and email delivery
- Crash and error triage
Healthcare / Managed Services
Healthcare managed services for health apps
Health apps, patient portals and EHR integrations keep needing work after launch: alerts at night, dependency updates, release testing and user questions. Agnotic Technologies runs application managed services for healthcare software so your product stays available, patched and supported under agreed SLAs.
SLA
Response and resolution targets per severity
Runbooks
A written response for every alert
BAA
Signed before our team sees PHI
Trusted by global innovators
Industry Overview
What are managed services for healthcare software?
Managed services for healthcare software are the ongoing support, monitoring, maintenance and release management of a live health app, portal or integration after launch, delivered under agreed SLAs. Agnotic Technologies provides them as an engineering service: we take over your production system, write the runbooks, handle alerts and incidents, apply patches and ship releases, with HIPAA safeguards and a BAA.
What we support
Which health apps do managed services cover?
Application managed services cover the software your users already rely on, whoever built it. We support these four kinds of system most often.
Portals and web products
Patient portals, provider portals and admin consoles.
- Uptime and performance monitoring
- Dependency and framework updates
- Accessibility regressions
EHR and payer integrations
FHIR APIs, HL7 v2 feeds and X12 transactions in production.
- Interface queue monitoring
- Replays and reconciliation
- Vendor API version changes
Internal clinical and back-office tools
Scheduling, reporting and workflow tools staff use daily.
- User and role administration
- Report fixes and small changes
- Data corrections with an audit trail
Industry Challenges
Why do live health apps need a managed services team?
After launch the work changes shape, and the team that built the product usually moves on. These are the gaps we are asked to close.
Nobody is on call: alerts go to an inbox, and a portal outage is found by patients before staff.
Patches wait: frameworks, libraries and mobile OS updates pile up until a release becomes risky.
Integrations fail quietly: an EHR interface backs up for days because no one watches the queue.
Knowledge leaves: runbooks, credentials and deployment steps live in one engineer's head.
Our Approach
How we run application managed services
Support only works when the response is written down before the alert fires. Three practices carry every engagement.
Runbooks before handover
Each alert, job and integration gets a documented response, an owner and an escalation path before we go on call.
Monitoring tied to severity
Synthetic checks, error rates and interface backlogs map to the severity levels in your SLA, so paging is predictable.
Releases with evidence
Every change ships through code review, automated tests and a staged rollout, with release notes your compliance team can file.
Capabilities
What do healthcare managed services include?
The service lines in a typical application managed services contract.
L1 to L3 support
A support queue for your staff, with triage, workarounds and engineer escalation for defects.
Monitoring and alerting
Uptime, performance, error and interface monitoring with on-call paging for P1 and P2 events.
Patching and dependency updates
Scheduled updates for frameworks, libraries, mobile SDKs and base images, tested before release.
Release management
Planned releases and hotfixes through CI, staging and app store review, with rollback steps.
Integration operations
FHIR, HL7 v2 and X12 queue monitoring, message replay and reconciliation with the EHR or clearinghouse.
Security and audit operations
Access reviews, audit log checks, vulnerability fixes and evidence for your HIPAA risk analysis.
Engineering Stack
Tools we operate with
We work inside your existing tooling where it exists and add what is missing.
Monitoring
DatadogGrafanaCloudWatchAzure MonitorSentry
Delivery
GitHub ActionsGitLab CITerraformFastlane
Support
Jira Service ManagementPagerDutyOpsgenieZendesk
Standards
FHIR R4HL7 v2X12SMART on FHIR
SLA model
How are severities and SLAs defined?
Targets are agreed per client on the scoping call; this is the structure we start from. The hours for each target are set in your contract, not on this page.
| Severity | Example | Who responds | What the SLA sets |
|---|---|---|---|
| P1 Outage | Patient portal down, or a suspected PHI exposure | On-call engineer and your named contact, immediately | Response and workaround targets, then a root cause report |
| P2 Degraded | EHR interface backlog, slow logins, failed appointment reminders | On-call engineer in support hours, extended by agreement | Response target and a fix in the next hotfix or release |
| P3 Defect | Wrong label, report mismatch, a bug with a workaround | Support queue | Acknowledgement target and a place in the release plan |
| P4 Request | New field, user question, small configuration change | Support queue | Estimate and priority agreed with you |
Measured Impact
What should a managed service report every month?
The measures we report, agreed with you before the handover.
Uptime
Availability against the SLA
Measured by synthetic checks, not by waiting for complaints.
Restore time
Time to restore service
From first alert to service restored, per incident.
Backlog
Open defects by severity
What is open, how old it is and what ships next.
Releases
Changes shipped and rolled back
Every release, hotfix and rollback with its evidence.
My Lauren Maternal Health Platform | Built by Agnotic
A HIPAA-ready maternal health platform enabling remote patient monitoring, care coordination, and personalized engagement from pre-pregnancy through postpartum.
Case Study
LERA Health: Compliant Women’s Health App Platform
A women’s health product experience focused on guided care journeys, education, and compliance-aware workflows to support long-term engagement.
Case Study
Use Cases
When do teams bring in managed services?
The situations that most often start a managed services conversation.
01
After a first release
A startup has shipped its MVP and needs on-call, patching and support without hiring an operations team.
02
When a vendor exits
The agency that built the portal has moved on and nobody owns production.
03
Before a hospital rollout
A pilot app is going to more sites and needs SLAs the IT department will sign off.
04
When integrations multiply
Several EHR and payer interfaces now need daily monitoring and reconciliation.
05
During a platform migration
The old system must stay supported while the new one is built.
06
For audit preparation
Access reviews, log checks and change records need to exist before the next risk analysis.
Integrations
Which systems do we keep running?
The connections a healthcare application depends on in production.
Clinical
EHR interfaces (FHIR, HL7 v2)
Billing
Clearinghouses (X12)
Security
Identity providers (SSO)
Mobile
App stores (iOS and Android)
Messaging
SMS, email and video services
Hosting
AWS, Azure and Google Cloud
Compliance-First Development Services Backed by Global Standards
We build secure, scalable products designed for privacy, interoperability, and regulatory readiness from day one across every sector we serve.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, and strict access controls.
Fast Healthcare Interoperability Resources
Enabling standardized health data exchange through standards-based API mappings.
Health Level Seven International
Supporting enterprise-grade interoperability for clinical messaging and record workflows.
Our Edge
Why Global Leaders Choose Us
We combine deep technical expertise with industry-specific knowledge to deliver solutions that aren't just functional, but transformational.
Enterprise-Grade Security
We implement rigorous security protocols and compliance standards (HIPAA, GDPR, SOC2) across all industrial solutions to protect sensitive data.
High-Performance Scaling
Our architectures are built to handle massive data loads and user bases, keeping performance steady whether you're serving ten or ten million.
Accelerated Time-to-Market
Using our suite of internal tools and proven frameworks, we reduce development cycles and get your product to market 40% faster.
Embedded AI Integration
Beyond simple wrappers, we build deep-learning integrations and predictive analytics directly into the core of your industry-specific workflows.
Engagement Model
How does a managed services engagement start?
Timing depends on the size of the system; we agree the handover scope on the scoping call.
01
Scoping call
We list the apps, integrations and environments, who supports them today and what the SLA must cover.
02
Audit and handover plan
Code, infrastructure, access, monitoring and documentation are reviewed and the gaps are listed.
03
Runbooks and monitoring
Alerts, dashboards and runbooks are set up and tested before we take the pager.
04
Steady state
Support queue, on-call, patch cycles and releases run under the agreed SLA.
05
Monthly review
Reports, backlog and roadmap are reviewed with you; the scope changes as the product does.
Facts and sources
Rules that shape healthcare managed services
Short facts we build the service around, each linked to its primary source.
A HIPAA covered entity may share protected health information with a business associate, such as a software vendor, only under a business associate agreement that commits the vendor to safeguard it.
Source: 45 CFR 164.502(e) and 164.504(e) (eCFR)The HIPAA Security Rule requires procedures to regularly review records of information system activity, such as audit logs, access reports and security incident tracking reports.
Source: 45 CFR 164.308(a)(1)(ii)(D) (eCFR)The HIPAA Security Rule requires policies and procedures to address security incidents, with response and reporting as a required implementation specification.
Source: 45 CFR 164.308(a)(6) (eCFR)The HIPAA Security Rule requires a periodic technical and nontechnical evaluation, repeated in response to environmental or operational changes that affect the security of ePHI.
Source: 45 CFR 164.308(a)(8) (eCFR)NIST SP 800-218, the Secure Software Development Framework, groups secure development practices into four areas: prepare the organization, protect the software, produce well-secured software and respond to vulnerabilities.
Source: NIST SP 800-218 (SSDF)
Voice of success
We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.
“I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly.”
Aaron Phelan
Founder, Benchmark
“Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective.”
John Pasmore
Founder, Latimer
“Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together.”
Kim Smith
Founder, My Lauren
Related services
What else do these teams ask us for?
Pages for the services that sit next to application managed services.
Healthcare DevOps services
Pipelines, environments and release automation for PHI workloads.
QA and testing services
Regression suites and release testing for apps we support.
Healthcare software modernization
Replacing or re-platforming systems that have become hard to support.
EHR software development
Custom EHR modules and platforms built around clinical workflows.
HIPAA requirements for software teams
The safeguards our support and release processes implement.
Custom healthcare software development
New builds that we can support from the first release.
More in Healthcare
More Healthcare Solutions
Explore other production-grade engineering platforms we deliver across healthcare.
Cross-Industry Reach
The Same Engineering Patterns, Across Other Industries
The technical patterns behind this platform translate naturally into adjacent verticals.
Frequently Asked Questions
It depends on the size of the system and the state of its documentation. We agree a handover scope on the scoping call and set a date for taking the pager before work starts.
Yes. Supporting a live health app means our engineers can see protected health information, so Agnotic signs a business associate agreement before any access is granted.
Yes. Most managed services engagements start with software built by another vendor or an in-house team. The audit step tells both of us what is documented, what is missing and what must be fixed first.
Yes. Many clients start with monitoring, patching and a support queue, then add feature work once the system is stable and the backlog is known.
The number of apps and integrations, the hours the SLA covers, the severity targets, and how much remediation the audit finds. We price it after the audit, not from a rate card.
Not by default. Application support covers the software; operating the AWS, Azure or Google Cloud environment underneath it is scoped separately so each has a clear owner. Many clients take both.
AI tools help our engineers draft fixes, tests and runbooks, but a person reviews every change and it passes the same automated tests and security checks before release.
Industries