Explore the complex healthcare ecosystem and security's crucial role in HealthTech innovation through this insightful 17-minute conference talk from USENIX Enigma 2022. Gain valuable insights from Joy Forsythe of Alto Pharmacy as she shares her experiences transitioning from enterprise security to HealthTech startups. Discover the challenges and opportunities in modernizing healthcare technology, including the reasons behind difficult security choices and the potential for innovation. Learn about the various entities within the healthcare system, regulatory forces, third-party risks, and strategies for HealthTech startups to navigate this unique landscape. Understand the importance of consumer health, certifications, and finding niche markets while exploring security opportunities in risk identification and avoiding legacy risks. Delve into the delicate balance between convenience, HIPAA compliance, and innovative approaches to healthcare technology.