recoupr is a HIPAA-regulated claims platform for out-of-network mental health care, and I built and launched it on Aptible as a solo founder. Aptible gave me what would otherwise have taken a compliance consultant and a DevOps hire: a dedicated stack under a signed BAA for production, a shared stack for staging, managed Postgres with encryption at rest and independently retained backups, and git-push deploys with health checks, a config CLI and database tunnels that behaved the same way every time. We shipped dozens of production releases through it, schema migrations running on boot, and the platform stayed out of the way. We were also part of the early beta for Aptible's LLM Gateway, and the idea behind it, model access to Anthropic, OpenAI and Bedrock under the same BAA and controls as the infrastructure, is exactly what a regulated AI product needs. Review collected by and hosted on G2.com.

Small things. The CLI login token I used had a short lifetime, so a long-running job on my build machine needed a manual re-login every few days, and one-off commands run through aptible ssh have a short command-length limit, so anything bigger has to ship inside the image. Neither cost me more than an afternoon, and nothing about the platform itself ever got in the way of a release. Review collected by and hosted on G2.com.