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For privacy, compliance, and BISO leaders in healthcare.

Every visible 2026 OCR action
cited the same root cause.

Failure to conduct an accurate and thorough risk analysis. Average outcome: $291,000 fine plus a 2-year OCR Monitoring obligation. VeriSwarm produces the audit evidence OCR is actually asking for — in the format auditors recognize, generated automatically as your AI agents work.

Start Free — generate your first audit chainRead the OCR-Priority Map
$291K
Average 2026 OCR fine
2 yr
Mandatory OCR Monitoring
16:8
Risk Analysis vs all other 2025 actions combined
5.5M+
Individuals impacted YTD 2026

OCR's 2026 priorities, mapped to capability

Datavant's May 2026 Privacy Incident Landscape webinar named five security priorities for healthcare in 2026. We mapped each one to the VeriSwarm capability that produces the audit evidence OCR asks for — and the API endpoint that emits it.

PRIORITY 01 · OCR / DATAVANT

Strengthen Data Resilience

“Protect data from evolving ransomware and AI threats.”

VERISWARM CAPABILITY

Vault — immutable hash-chained audit ledger

Every event chained with SHA-256 to its predecessor. Chain-aware retention archives older segments to JSONL with a recorded segment_hash, then bridges across the boundary so the verifier still works after retention.

Audit evidence: Cryptographic verification you can hand an auditor — chain link mismatch errors point to the exact tampered row.

GET /v1/suite/vault/verify
PRIORITY 02 · OCR / DATAVANT

Enable Scalable Compliance

“Manage diverging regulations across geographies.”

VERISWARM CAPABILITY

Compliance frameworks — per-tenant attestation

Three counsel-reviewed frameworks (EU AI Act, NIST AI RMF, ISO 42001), five in technical preview (Colorado AI Act, US state chatbot laws, NY RAISE, California SB 53, and as of today, 42 CFR Part 2 for SUD records).

Audit evidence: API-driven evidence packages your auditor can read without your engineering team rebuilding spreadsheets.

GET /v1/compliance/{framework}
PRIORITY 03 · OCR / DATAVANT

Reduce Vendor Sprawl

“Optimize converging security tool portfolio.”

VERISWARM CAPABILITY

Cortex Workflows + Guard Proxy on one platform

14 step types across LLM routing, integration calls, human review, Vault writes. Guard Proxy sits transparently between agents and their tools, intercepting every call. One audit pane, not seven dashboards.

Audit evidence: Every workflow step, every tool call, every Cedar policy decision in a single chain — not seven separate exports stitched together.

POST /v1/workflows/execute
PRIORITY 04 · OCR / DATAVANT

Minimize Implicit Trust

“Anchor zero-trust architecture to identities. Continuously monitor machine identities.”

VERISWARM CAPABILITY

Gate + Passport — machine-identity scoring + portable credentials

22 standardized event types feeding deterministic trust scoring across identity, risk, reliability, autonomy. ES256 portable credentials with 1-hour TTL and JWKS endpoint for downstream verification. Five preset profiles, custom weights per tenant.

Audit evidence: Per-agent trust score timeline, signed credentials with audience binding, cryptographic non-repudiation on every decision.

POST /v1/decisions/check
PRIORITY 05 · OCR / DATAVANT

Drive Secure Innovation

“Agentic AI introduces risks traditional practices aren't designed to handle. Balance automation with strategic human oversight.”

VERISWARM CAPABILITY

Guard + Cortex Workflows — runtime enforcement + human review

Real-time kill-switch, declarative Cedar policies per tenant, recursive PII tokenization across nested payloads, prompt-injection detection (DeBERTa ML classifier), human_review workflow step, cross-model verification on critical decisions.

Audit evidence: Block-by-policy or block-by-kill-switch with reason codes recorded. Human approvals captured as Vault events tied to specific agent actions.

POST /v1/suite/guard/scan

What OCR actually fines for

2025 enforcement scoreboard. Risk Analysis dominates by a 3:1 margin over every other category combined.

Risk Analysis
16
Vault chain + Cedar policy decisions
Breach notifications
5
Workflow trigger + Vault notifications
Impermissible disclosure of ePHI
4
Guard PII tokenization (recursive)
Recording / monitoring activity in info systems
3
Vault is literally this
Right of Access (54 cumulative since 2019)
3
Workflow + Vault evidence
Risk Management
3
Cedar policy + kill-switch + reason codes

Source: HIPAA Journal 2025 Healthcare Data Breach Report.

Why traditional controls miss the new threat

A risk analysis built around human users misses every vector below. The threat actor isn't always a human breaking in. Sometimes it's the agent itself, acting on flawed instructions.

STRYKER

One credential. 200,000 devices. 79 countries.

A single compromised admin credential gave attackers enough access to remotely wipe 200,000 devices across 79 countries in a matter of hours.

Datavant Privacy Incident Landscape webinar, May 2026

META

An agent acting without guardrails was the attacker.

An internal AI agent gave a Meta engineer flawed guidance that exposed proprietary code and sensitive user data to unauthorized employees for two hours. No external attacker required.

Datavant Privacy Incident Landscape webinar, May 2026

INDEPENDENT RESEARCH

87% of agentic-coding pull requests had security vulnerabilities.

Independent researchers found Claude Code, Copilot, and Gemini introduced security vulnerabilities in 87% of pull requests — broken access controls, failed authentication logic, unauthenticated destructive endpoints — with no security guidance needed to trigger them.

Cited in Datavant, May 2026

What audit evidence actually looks like

One API call. One verifiable response. Hand the JSON to an auditor.

Vault chain verification

Walk every audit event in your tenant's ledger and verify the hash chain. A break tells you exactly where to look.

GET /v1/suite/vault/verify

→ {
  "ok": true,
  "events_verified": 184_213,
  "first_event_id": "evt_evd_abc...",
  "last_event_id":  "evt_evd_xyz...",
  "errors": []
}

Decision evidence with reason code

Every Cedar policy evaluation logs the decision, the reason, and the inputs that led to it. Replay, don't reconstruct.

POST /v1/decisions/check

→ {
  "decision": "review",
  "reason_code": "high_risk_override",
  "policy_tier": "tier_3",
  "trust_score": 64,
  "logged_event_id": "evt_evd_..."
}

The healthcare-priority backlog

We publish the roadmap because pretending otherwise is a tell. As of 2026-05-08, all three items shipped today.

42 CFR Part 2 framework — shipped 2026-05-08
SUD records compliance regime, separate from HIPAA. On OCR's 2026 watch list. 7 controls covering §2.13 (general confidentiality), §2.16 (security), §2.24 (patient access), §2.25 (accounting of disclosures), §2.31 (consent capture), §2.32 (re-disclosure notice), and §2.51 (medical-emergency override). Available now in technical preview at GET /v1/compliance/42-cfr-part-2; counsel review pending.
Right-of-Access fulfillment evidence — shipped 2026-05-08
Packaged Vault export proving a tenant honored a subject access request, what was disclosed, and when. Available now at GET /v1/suite/vault/right-of-access/export — filters Vault events by correlation_id, computes turnaround per request, flags requests outside OCR's 30-day window, and ships the full-chain verifier output inline as integrity proof. 54 OCR enforcement actions in this category since 2019; few competitors build this.
PHI inventory + classification packaging — shipped 2026-05-08
Available now at GET /v1/suite/guard/phi-inventory. Aggregates Guard PII tokenization signals into a tenant-scoped report: by pii_type, by agent, by HIPAA-style sensitivity tier (HIGH for SSN/ID/financial; MODERATE for Safe Harbor identifiers like name/email/phone/address; LOW for quasi-identifiers). Filters by date range, agent_id, and active-vs-expired. Answers the Datavant slide-22 question — 'could you locate all PHI?' — in one API call.

A 30-minute walkthrough beats a five-page brief

Pick the OCR priority you've been asked about most recently. We'll show you the audit-evidence artifact for that priority, generated against live agent traffic in 30 minutes. No demo data — you bring the question.

Start Free AccountSee all 7 frameworks

Sources: HHS OCR breach portal (accessed 2026-05-04); HIPAA Journal 2025 & 2026 Healthcare Data Breach Reports; Datavant Privacy Incident Landscape webinar, May 2026.