It is generally best to keep an entirely separate account for professional dealings so such things are segregated, at least that’s what I do

Signal as a zoom replacement would be great but a big part of the deal would be the necessity for hipaa compliance. I would imagine a huge part of what keeps zoom alive is financial injections from telehealth provides like myself that need a platform that is hipaa compliant that patients understand. EMR software often comes with a telehealth platform built in nowadays but it tends to not work as well and confuses the tech illiterate who got trained on zoom during COVID years.

I’m sure there’s a ton of stuff they have to do on their end to be hipaa compliant that I’m ignorant of but the primary thing is that they have to share a document called a business associate agreement (baa) with me that essentially says they will take meaningful steps to appropriately safeguard any protected health information and makes zoom liable if a breach of their systems exposes PHI.

This is why telehealth can’t (technically, people still do it) occur over teams, skype, discord, facetime, hangouts, etc. google, apple, microsoft, etc have no interest in taking on that liability.

The difficult piece will be challenging zooms pricing. They offer healthcare zoom for $15/mo with BAA. There are better deals though, doxy.me does it for free (they claim this is subsidized by paid account which I believe because they are substantially more than zoom starting at 35/mo).

Would be a great way to get them a revenue stream too. I don’t know anyone who practices heavily telemedicine that relies on free solutions; the only ones I know that utilize the bundled emr components or the free doxy.me service are clinicians that mostly practice in person and only do a small handful of telehealth sessions a month, like under 10% of their total billing. For people like me where it’s 50-100% of their billing it’s almost always a paid subscription. more reliable, tax deduction, and access to support