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Generic tools weren't built for covered entities
Asana, Monday.com, and Trello are useful products — for software teams and marketing departments. When a medical clinic uses them for tasks involving patient information, critical HIPAA requirements go unmet. Here is a direct comparison.
| Requirement | PHIGuard | Asana | Monday.com | Trello |
|---|---|---|---|---|
| BAA included | Every tier | Enterprise only | Enterprise only | Not available |
| HIPAA-native design | Yes — built for covered entities | No — generic tool | No — generic tool | No — generic tool |
| Immutable audit trail | Yes — append-only, §164.312(b) | Activity log only (mutable) | Activity log only | No |
| Per-clinic flat pricing | Yes — $99/$249/$499/mo | Per user/mo | Per user/mo | Per user/mo |
| PHI-safe notifications | Enforced — no PHI in emails | No guardrail | No guardrail | No guardrail |
| Compliance task templates | Yes — HIPAA training, risk assessments, etc. | Generic templates only | Generic templates only | No |
| Incident tracking | Yes — breach assessment workflow | No | No | No |
| No enterprise contract required | Month-to-month available | Annual for Enterprise/BAA | Annual for Enterprise/BAA | N/A (no BAA available) |
| Role-based access controls | Yes — scoped to clinic roles | Limited | Limited | Basic |
Competitor information is based on publicly available documentation as of early 2025. Pricing and feature availability may change. Verify with each vendor before making a purchasing decision.
The enterprise pricing trap
The most common HIPAA risk in small clinic task management is not negligence — it is the pricing structure of the available tools. A BAA is a legal requirement before you can use a task management tool for PHI-related work. But the only tools that offer BAAs without enterprise contracts were built for covered entities. Generic tools lock the BAA behind their highest pricing tier.
For a 15-person clinic on Asana Enterprise or Monday.com Enterprise, you might pay $600–$1,500 per month before you have the legal protection HIPAA requires. That is before considering the additional configuration work required to make a generic tool behave compliantly.
PHIGuard's Clinic tier covers up to 25 staff at $249/month — BAA included, audit trail included, compliance templates included.
Detailed comparisons
Operational assurance
Ready to put compliance on a proper foundation?
PHIGuard gives your clinic an audit trail, a signed BAA, and a task management system built for covered entities rather than adapted from generic software collaboration tools.
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