Beakpointâs piece argues that healthcareâs cloud spend is uniquely opaqueâand fixableâonce you look through a clinical and compliance lens, not just an infrastructure one. The central idea: HIPAA-driven design choices, 24/7 availability, multi-cloud sprawl, and weak cost allocation combine to hide tens of millions in waste each year.
đWhat stands out in Beakpointâs perspective

Rather than blaming âbad ops,â the article shows how structural factors inflate costs. The so-called HIPAA tax forces encryption everywhere, which adds compute overhead and, more importantly, breaks optimizations that keep storage/query costs lowâpushing storage 30â40% higher in real environments. That penalty is real even when teams do everything âright.â
Second, healthcareâs uptime requirements drive deliberate over-provisioning: hot standbys, cross-region replication, and triple redundancy for patient-critical systems. In other sectors, that would look wasteful; in healthcare, itâs non-negotiableâand it distorts typical utilization targets.
Third, the multi-cloud maze is often unavoidable (Epic on Azure, imaging on GCP, ML on AWS), so getting a unified, HIPAA-aware cost view is inherently hard. Beakpointâs examples make the pain tangible: telehealth visits briefly costing $312 each post-scale, and a PACS migration that landed at $180k/month before storage tiering and lifecycle policies brought it down 77%.

âď¸The most valuable takeaway
Beakpoint reframes cloud FinOps for healthcare: measure costs the way clinicians and CFOs think. That means activity-based costing (per telehealth visit, imaging study, inpatient day) and a tagging strategy that encodes compliance level, clinical service, and workflow stageâso dashboards can show a cardiology lead their costs without breaching anyone elseâs data.
Paired with a pragmatic 16-week roadmap (visibility â tagging & department dashboards â safe optimizations â predictive budgeting), this turns vague âcloud wasteâ into concrete, board-friendly metrics like cost per encounter, per bed, per study, and per EHR API transactionâexactly the language needed to win funding and prioritize the right fixes.
đ§How this connects to broader trends
This aligns with the industryâs shift from raw cloud telemetry to business-aware FinOpsâand with AI/analytics efforts that need clean tagging and trustworthy cost baselines before they can drive forecasting and scenario planning. The articleâs HIPAA-first lens is a welcome counterpoint to one-size-fits-all cloud playbooks.
đ¤Our perspective at YOUR R&D
At YOUR R&D, we value the kind of deep industry insight our partners at Beakpoint provide. Itâs this level of clarityâtying cloud decisions to clinical workflows and audited complianceâthat underpins the solutions we build for HealthTech clients.
đRead the source and go deeper: https://beakpointinsights.com/blog/why-healthcare-cloud-bills-hide-usd73-million-in-annual-waste-and-how-hipaa-makes-it-worse
đ¤About the Author of the Original Article
Alan Cox, CEO and founder of Beakpoint, has 25+ years in technology leadership, including VP of Software Engineering at Geoforce and CTO at SignalPath (acquired by Verily). Heâs known for scaling teams while driving six-figure cloud savings, which informs the pieceâs practical take on HIPAA-aware FinOps. The original article is credited to Alan Cox.
#HealthcareCloud #FinOps #HIPAA #HealthIT #CloudOptimization #DataGovernance #AI #Beakpoint #YOURRND