Skip to content
Ayliea — AI Security Assessment & Compliance Consulting

AI SECURITY FOR HEALTHCARE

AI Security Assessment for Healthcare

Protect patient data and clinical workflows as AI transforms healthcare delivery.

AISS · HEALTHCARE BUNDLE

Vertical-specific AISS application

View the bundle →

AISS, applied to clinical AI — threat profile, cyber-insurance underwriting crosswalk, and the eight priority sub-controls that matter most for HIPAA-regulated AI surface.

  • Healthcare AI Threat Profile (10 MITRE ATLAS techniques)
  • Healthcare Cyber-Insurance Underwriting Crosswalk (CC-BY-4.0)
  • AISS Spec + 8 healthcare-priority sub-controls

AI Is Reshaping Healthcare — But Who Is Securing It?

Clinicians paste patient notes into AI tools for faster documentation. Diagnostic algorithms influence treatment decisions with minimal oversight. Telehealth platforms integrate AI chatbots that handle sensitive intake data. In each case, protected health information (PHI) flows into systems that most security teams have never evaluated — creating compliance gaps that traditional assessments miss entirely.

HIPAA Business Associate Agreements (BAAs) were written for SaaS vendors processing PHI, not for AI providers training on prompts. Most off-the-shelf AI services either decline to sign healthcare-grade BAAs entirely or sign them with narrow scope that excludes the actual risk surface. When that happens, every AI prompt containing PHI becomes a potential reportable breach. The FDA's evolving Software-as-a-Medical-Device (SaMD) framework adds another layer: AI systems that influence diagnosis or treatment decisions may fall under medical-device regulation regardless of how the vendor labels them.

Shadow AI is already the norm in healthcare. Staff adopt consumer AI tools for scheduling, summarization, and even preliminary diagnosis without IT approval. The IBM 2025 Cost of a Data Breach Report found that one in five organizations experienced breaches linked to shadow AI, costing $670,000 more per incident than standard breaches. In a sector where the average breach already costs $7.42 million, that exposure is untenable.

The Health Sector Coordinating Council (HSCC) recognized this urgency by establishing an AI Cybersecurity Task Force in October 2024, with guidance publications rolling out through Q1 2026 covering governance, secure-by-design principles, and third-party AI supply chain transparency. Organizations that wait for final mandates to act will find themselves remediating rather than preventing.

Regulatory & Compliance Landscape

HIPAA

The Health Insurance Portability and Accountability Act sets baseline safeguards for PHI — but its rules predate AI. Assessments must evaluate how AI tools handle, store, and transmit protected health information beyond what traditional HIPAA audits cover.

NIST AI RMF

The NIST AI Risk Management Framework provides a structured approach to identifying, measuring, and mitigating risks specific to AI systems — from data bias in clinical algorithms to transparency in automated decision-making.

HSCC AI Cybersecurity Guidelines

The Health Sector Coordinating Council's 2026 AI cybersecurity guidance addresses governance maturity, secure-by-design principles, incident response playbooks, and third-party AI supply chain transparency tailored to healthcare organizations.

HITRUST CSF

HITRUST integrates HIPAA, NIST, and ISO requirements into a certifiable framework. Its AI-related control objectives help healthcare organizations demonstrate due diligence to regulators and business associates.

What We Assess in Healthcare

PHI Exposure in AI Tools

Identify where protected health information enters AI systems — from clinical documentation assistants to AI-powered search — and evaluate data handling, retention, and access controls.

Clinical Workflow AI

Assess AI tools embedded in clinical workflows for documentation, triage, and care coordination, including validation processes and clinician override safeguards.

Medical Device AI Vendors

Evaluate third-party AI components in connected medical devices and diagnostic equipment, covering supply chain transparency, update mechanisms, and vulnerability disclosure.

AI-Driven Diagnostics Oversight

Review governance over AI systems that inform diagnostic or treatment decisions, including bias testing, explainability requirements, and human-in-the-loop controls.

Telehealth AI Security

Assess AI integrations in telehealth platforms — chatbots, symptom checkers, and intake automation — for data encryption, consent management, and PHI boundary controls.

AI Training Data Governance

Evaluate how AI models used in your environment were trained, whether patient data contributed to training sets, and what de-identification and consent controls are in place.

HOW IT WORKS

From Sign-Up to Secure in Three Steps

01

Connect Your Network

Upload firewall or DNS logs, or deploy our lightweight Docker collector. No agents on endpoints. We read metadata only — never your data.

02

See Every AI Tool

Within minutes, see a complete inventory of AI tools in use across your organization. Set policies: approved, monitored, or restricted.

03

Prove Compliance

Run assessments against 11 compliance frameworks. Get AI-powered remediation playbooks, track progress over time, and download audit-ready reports.

Transparent Pricing. Start Free.

Free for your first AISS assessment. Pro $1,200/yr for a paid framework. Business $3,600/yr for the full compliance suite. Enterprise from $15,000/yr — published floor, never hidden.

Glass-Box scoring

Every category score is fully derivable from your answers and the published AISS methodology. Your auditor can reproduce the math from the public spec alone.

Open standard

AISS is published under CC-BY-4.0 at github.com/Ayliea/aiss. Fork it, audit it, or propose changes via the public RFC process — the standard belongs to the practitioner community.

Self-serve, no demo gate

Sign up, take your first AISS assessment, see your score. No credit card, no sales call. Upgrade to Pro or Business via Stripe Checkout from inside the app.

Encrypted in transit and at rest. Annual billing. No surprise overages.

Let's Assess Your Healthcare AI Security Posture

Start free with an AISS assessment — no credit card required — or book a free 30-minute scoping call for a guided engagement.