Not sure how to respond to this. Are you saying I should go out and hire 2-3 people to set up a ton of infrastructure and maintain it for me instead of relying on the professionals at Azure (who specialize in this) and it's done automatically at a fraction of the cost? We went through 5 years of "bitcoin for your data" fraud in exactly the situation your describing.

I don't need to hire anybody as of now. None.

> I'm going through a gap analysis for HIPAA now; would you mind sharing what impactful changing regulations you've seen in the past 5 years?

This is my point. I don't know and don't care. I don't have to worry about it at all. I don't have to worry about updating the handful of apps and servers that connect to all the different integrations we use because this field is siloed into a 1,000,000 little pieces. I don't have to worry about PHI getting leaked out of some server I forgot to update somewhere or misconfigured because I made a mistake while installing it or setting it up the first time. That stuff is all handled through Azure's existing cloud infrastructure. It's literally tailored to healthcare solutions. No single person (or 2 or 3 or even 4) full time people could come close to what they offer at the cost.