Guide · Regulated industries

Selling into government and healthcare

Selling into government and healthcare

Selling into government and healthcare

Selling into government and healthcare

ITAR, CMMC, FedRAMP, HIPAA, HITRUST. The compliance frameworks your buyer's compliance team uses to qualify or disqualify you before you've shown a demo.

ITAR, CMMC, FedRAMP, HIPAA, HITRUST. The compliance frameworks your buyer's compliance team uses to qualify or disqualify you before you've shown a demo.

Key takeaways

01

Each framework answers a different buyer asking a different question.

02

Pick the framework your buyer asks for. Stacking every one is a slow path to irrelevance.

03

YSecurity runs ITAR, CMMC, FedRAMP, HIPAA, and HITRUST end-to-end.

Under 6 mo

Under 6 mo

ITAR-ready for defense buyers, end-to-end.

Months

Months

FedRAMP Moderate or LI SaaS, not the multi-year High path.

40%

40%

HITRUST timeline reduction when SOC 2 and ISO controls map cleanly.

The frameworks, in plain terms

Each of these answers a different buyer asking a different question. They're not interchangeable, and stacking them is non-trivial.

Defense and government

ITAR. U.S. International Traffic in Arms Regulations. Required if your product touches defense-controlled technical data. The bar is access controls, data flows, and audit trails that survive government review.

CMMC Level 2. Cybersecurity Maturity Model Certification, the Department of Defense's contractor security framework. Maps closely to NIST 800-171. Required for most DoD subcontracts touching controlled unclassified information.

FedRAMP. Federal Risk and Authorization Management Program. The certification federal agencies

require before buying SaaS. FedRAMP Moderate and LI-SaaS are the realistic targets for startups; full High is a multi-year process.

Healthcare

HIPAA. The Health Insurance Portability and Accountability Act. Covers patient data, encryption, business associate agreements, and risk assessments. Required for anything touching protected health information.

HITRUST. A certification that maps SOC 2, ISO, and HIPAA controls into a single framework. Many large healthcare buyers ask for HITRUST CSF specifically because it's stricter than HIPAA alone.

Why startups underestimate this

Founders selling into B2B SaaS usually know SOC 2 is coming. They don't always know that defense and healthcare buyers move first through compliance, second through legal, and only then through product evaluation.

If your prospect is a hospital system, a defense contractor, or any arm of the federal government, your sales motion is not your sales motion. It's their procurement team's.

The mistakes founders make

Four patterns that cost months and close doors when startups first chase regulated buyers.

01

Picking the wrong framework first

ITAR makes no sense for civilian agencies.

HITRUST is overkill if your buyer only needs HIPAA.

02

FedRAMP High at seed stage

Wrong price tag, wrong timeline. Moderate or LI-SaaS get the same doors open.

03

CMMC and NIST 800-171 as separate

CMMC Level 2 essentially is NIST 800-171. Mapping them right saves months of rework.

04

Defense-only consultant for

healthcare

The frameworks overlap. The auditors don't. You need a partner who knows both worlds.

Realistic timelines

The numbers below assume an architecture that already supports basic access controls and encryption. Greenfield is longer.

01

ITAR: under 6 months

Policies and controls that hold up under

government review of defense-controlled data.

02

CMMC Level 2: 4 to 9 months

Depending on starting maturity; assessor preparation is the long tail.

03

FedRAMP Moderate / LI-SaaS

Months instead of years with focused 3PAO coordination and ATO preparation.

04

HIPAA: 8 to 12 weeks

Achievable when your architecture already supports encryption and access controls.

The right framework opens the right doors. Stacking every certification a buyer might ask for is a slow path to irrelevance.

On picking the right compliance path

Under 6 months

Under 6 months

YSecurity gets defense-ready clients ITAR-compliant in under six months. FedRAMP in months instead of years. HITRUST in up to 40% less time.

YSecurity gets defense-ready clients ITAR-compliant in under six months. FedRAMP in months instead of years. HITRUST in up to 40% less time.

What good looks like

A partner who's done the specific framework before, with named auditors and 3PAOs they've already worked with. Not a generalist consultant with a template that worked for SOC 2 and may or may not work for FedRAMP.

Skip

Generalist compliance consultant

Pattern-matches from SOC 2. Has never sat with a 3PAO or a HITRUST assessor. Learns on your timeline.

Look for

Framework-specific specialist

Has named auditors and 3PAOs already engaged for ITAR, CMMC, FedRAMP, HIPAA, and HITRUST.

The right team also tells you which framework to skip. The right one or two unlock the right deals. Everything else is overhead.

From the team behind this podcast

Selling to government or healthcare? Get the right framework.

YSecurity runs ITAR, CMMC Level 2, FedRAMP, HIPAA, and HITRUST certifications end-to-end. We tell you which one matters for your buyer and run it.

Need security help?

The Security Podcast of Silicon Valley

jon@thesecuritypodcastofsiliconvalley.com

The Security Podcast of Silicon Valley

jon@thesecuritypodcastofsiliconvalley.com