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How Apex Built an Enterprise Ready Healthcare SAAS
How Apex Built an Enterprise Ready Healthcare SAAS
A secure, compliant, and scalable healthcare SaaS foundation engineered to handle sensitive patient data, complex reporting, and strict regulatory requirements from day one.
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Type
Healthcare SaaS Platform
Type
Healthcare SaaS Platform
Type
Healthcare SaaS Platform
Platform
Web
Platform
Web
Platform
Web
Industry
Healthcare Technology
Industry
Healthcare Technology
Industry
Healthcare Technology

Apex
Apex is a healthcare SaaS platform built to manage sensitive patient information, complex reporting workflows, and strict regulatory obligations. From HIPAA compliance to enterprise-grade integrations, Apex needed a platform that was secure, reliable, and built to scale without the expensive retrofits most healthcare startups face months after launch.
Key Results
Beyond the immediate metrics, this foundation strengthened Apex’s enterprise readiness and enabled long-term, unhindered growth.
Beyond the immediate metrics, this foundation secured Kizuna's market position
and unlocked long-term, unhindered growth.
$300K+
in avoided compliance retrofit costs
$300K+
in avoided compliance retrofit costs
$300K+
in avoided compliance retrofit costs
5×
team growth supported without productivity decline
5×
team growth supported without productivity decline
5×
team growth supported without productivity decline
40%
faster delivery of healthcare-specific features
40%
faster delivery of healthcare-specific features
40%
faster delivery of healthcare-specific features
10×
user growth ready infrastructure, without needing to re-architect
10×
user growth ready infrastructure, without needing to re-architect
10×
user growth ready infrastructure, without needing to re-architect



The Challenge
When Apex’s founders started building their platform, they faced a common healthcare startup challenge: speed vs. compliance.
Many startups rush to launch with shortcuts, basic permission setups, simple queues, or minimal automated testing, but the costs surface quickly
HIPAA retrofits that become expensive and slow
HIPAA retrofits that become expensive and slow
HIPAA retrofits that become expensive and slow
The platform struggling as data volumes increase
The platform struggling as data volumes increase
The platform struggling as data volumes increase
Enterprise deals delayed by compliance blockers
Enterprise deals delayed by compliance blockers
Enterprise deals delayed by compliance blockers
Apex wanted to avoid these traps by building a healthcare platform with strong, compliance-ready foundations from day one.
The Solution
Better Software partnered with Apex through a Team Augmentation model to deliver a product development approach that balanced rapid delivery with compliant, scalable architecture designed to support growth without constant firefighting.
Our Approach
Structured authorization
to meet HIPAA access requirements and prevent data exposure
Structured authorization
to meet HIPAA access requirements and prevent data exposure
Structured authorization
to meet HIPAA access requirements and prevent data exposure
Performance-oriented processing
to keep the platform responsive under heavy data loads
Performance-oriented processing
to keep the platform responsive under heavy data loads
Performance-oriented processing
to keep the platform responsive under heavy data loads
Enterprise-ready database architecture
with audit trails and reporting-friendly schemas
Enterprise-ready database architecture
with audit trails and reporting-friendly schemas
Enterprise-ready database architecture
with audit trails and reporting-friendly schemas
Testing-driven development
to ensure reliability and simplify future feature delivery
Testing-driven development
to ensure reliability and simplify future feature delivery
Testing-driven development
to ensure reliability and simplify future feature delivery
Technology Used
The Impact
This strategic investment in product development directly addressed Kizuna's core challenges, delivering impact across every key metric
Challenges
Risk of costly HIPAA retrofits
Performance ceilings at higher data loads
Enterprise deals stalled by security gaps
Slow team onboarding and bottlenecks
Compliance built-in from day one
Responsive platform during peak operations
Enterprise-ready within months
Smooth ramp-up with scalable engineering patterns
Before
Challenges
Challenges
Risk of costly HIPAA retrofits
Risk of costly HIPAA retrofits
Performance ceilings at higher data loads
Performance ceilings at higher data loads
Enterprise deals stalled by security gaps
Enterprise deals stalled by security gaps
Slow team onboarding and bottlenecks
Slow team onboarding and bottlenecks
After
Software
Software
Compliance built-in from day one
Compliance built-in from day one
Compliance built-in from day one
Responsive platform during peak operations
Responsive platform during peak operations
Responsive platform during peak operations
Enterprise-ready within months
Enterprise-ready within months
Enterprise-ready within months
Smooth ramp-up with scalable engineering patterns
Smooth ramp-up with scalable engineering patterns
Smooth ramp-up with scalable engineering patterns
Lessons For Others Founders
Lessons For Others Founders
Strong foundations are not over-engineering; in healthcare they are compliance insurance.
Strong foundations are not over-engineering; in healthcare they are compliance insurance.
Strong foundations are not over-engineering; in healthcare they are compliance insurance.
Focus on authorization, processing, testing, and database design early to avoid technical debt that slows enterprise adoption.
Focus on authorization, processing, testing, and database design early to avoid technical debt that slows enterprise adoption.
Focus on authorization, processing, testing, and database design early to avoid technical debt that slows enterprise adoption.
Expect foundational investment to pay back within 12–24 months through faster sales, fewer outages, and avoided rebuilds.
Expect foundational investment to pay back within 12–24 months through faster sales, fewer outages, and avoided rebuilds.
Expect foundational investment to pay back within 12–24 months through faster sales, fewer outages, and avoided rebuilds.

Ready To Build Your Foundation?
Let's Discuss Your Roadmap
Better Software helped the client build an automation-ready data platform that transformed how energy companies access and interact with their most valuable resource, their data. With the right engineering foundations, organizations don’t have to choose between speed and sophistication.
Better Software helped the client build a personal finance platform that was secure, intelligent, and ready for growth—proving that with the right product development approach, fintech startups don’t have to choose between moving fast and building strong.
Better Software helped the client build a personal finance platform that was secure, intelligent, and ready for growth—proving that with the right product development approach, fintech startups don’t have to choose between moving fast and building strong.




