Identity Infrastructure for Health Networks, Health IT, and Health Payers

Federate hospital SSO, secure telehealth and patient apps, run HIPAA-grade key management, and process high-value claims on one self-hosted identity foundation, deployable in your infrastructure and extensible with modular add-ons.

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Challenge

Many Identity Integrations, One Team to Manage All of Them

Epic speaks SAML and the patient app OIDC. A telehealth SPA leaks tokens, an ED kiosk can't redirect, HIPAA demands HSM-protected keys, two acquisitions bring their own IdPs, and claims need FAPI. Eight integrations no team can maintain.

Impact of Doing Nothing

Integration Fatigue Erodes Confidence

Every new system lands on a team already stretched thin from the last six integrations. Engineers lose sleep over which SAML bridge drifted; security leads dread audits they're unsure they'll pass. The backlog grows, trust erodes, and onboarding becomes something to fear.

Solution

One Identity Foundation

One Audit Trail

One Vendor

One Roadmap

Duende IdentityServer sits in front of the EHR, HIE, patient portal, and every connected app federating clinician credentials across hospitals, practitioners, and labs to secure patient-facing apps with BFF protection and support a coherent audit trail under your control.

Enterprise SSO Across Hospital Systems and Mergers

Bridge legacy SAML estates (Epic, Cerner, ADFS, state HIEs) and modern OIDC apps through one identity broker. The SAML 2.0 add-on and Duende's Federation capabilities broker multiple legacy systems across OIDC and SAML during M&A and health-system consolidation.

Clinical Workflow Security on Shared Devices

Emergency Department kiosks, workstation-on-wheels carts, shared nurses' station computers. Client-Initiated Backchannel Authentication (CIBA) allows users to sign in and approve on their personal device with no redirect. Server-side sessions with inactivity timeouts meet HIPAA automatic logoff and produce queryable audit trails.

HIPAA-Grade Key Management and Audit Evidence

The Automatic Key Management add-on stores cryptographic signing keys in HSM-backed services (Azure Key Vault, AWS KMS), meeting HIPAA's encryption-at-rest requirements with minimal effort.

Identity for Health IT Platforms and Patient-Facing Apps

Health IT vendors use native multi-tenancy and dynamic providers so each tenant federates to its own IdP without redeploying. The BFF Security Framework keeps tokens server-side for telehealth SPAs and portals. Ship across hospitals via Redistribution and pass security reviews first-pass.

Benefit

Patient Data Stays Yours. Audits Stay Short.

Unify identity across hospitals, IT platforms, and payer systems on one foundation. Cover HIPAA's automatic logoff, encryption-at-rest, and audit-trail requirements without custom code.

HIPAA-Aligned Security Controls

Auto-logoff, HSM-backed key storage, queryable audit logs.

SAML and OIDC

Bridge Epic, Cerner, Active Directory Federation Services, and state HIEs without per-system code.

Shared-Workstation Authentication

CIBA for kiosks and WoW carts; no browser redirects required.

Claims & Payments at FAPI Grade

The Financial-grade Security & Conformance add-on adds PAR, DPoP, and proof-of-possession for high-value transactions.

Expand on Your Terms

Add Key Management, SAML, or Financial-grade Security & Conformance as use cases evolve - licensed by client app, not by patient.