We're building Miso with health systems that are trying to move faster on AI.

Health systems already have privacy policies, security requirements, and contractual controls for AI. Those rules mostly live outside the software that is actually calling the models. Miso is the piece that connects the two.

Who we are.

Health systems

Years inside and alongside health system leadership: product, operations, and the procurement and security reviews that decide what gets deployed.

Applied AI

Shipping model-backed products in clinical settings: routing, evaluation, identifier handling, and provider terms that change under you.

Health law and agreements

HIPAA, business associate agreements, state AI and privacy overlays, and what "minimum necessary" means when software has to apply it to a request.

How we build.

A control runs on every request or it isn't one

A rule in a policy document is a promise. A rule Miso applies to each request is a fact. We only claim the second kind.

Refusals go in the record too

A record without the requests that were refused is incomplete. Each call gets a row.

The agreement in force today

Provider terms change faster than annual reviews. The registry holds what is in force now, checked against the provider's published terms.

Show the gaps

When an obligation has no owner, the ledger says so.

Designed for operational independence

Policy, credentials, and audit history stay in your environment. Owning the data that runs the gateway never depends on access to a Miso-hosted service.

Figures on this site are synthetic

And labeled as such. Real numbers come from real traffic.

Where we are.

Miso is in development with a small number of health systems through 2027. If you run AI inside a health system, or sell it to one, get in touch.

Contact us  ·  For AI vendors