Healthcare is where the hand-wave answers stop working. An agent that touches protected health information has to be built for the audit from the first line of code — BAAs in place, every action logged, PHI handled under access controls that a regulator would recognize. Compliance is not a layer you add at the end. It is the architecture.
We design these systems with a human in the loop by default, then earn autonomy gate by gate as the evals prove it out. Intake, clinical documentation, and the front desk are the workflows where this pays off first — high volume, high friction, and well-bounded enough to scope tightly.
The guardrails are not a tax on the build. They are what makes the build deployable at all. An agent nobody can audit is an agent nobody in healthcare can run, no matter how good the demo looked.
