Closing the Mobile Analytics Gap in Regulated Healthcare

Freshpaint is a healthcare data platform that helps enterprise organizations run digital marketing campaigns while staying compliant with HIPAA. Over 250 healthcare organizations partner with Freshpaint to stretch fixed budgets, prove what’s working, and turn privacy into a strategic advantage that fuels performance.

The Challenge

Freshpaint operates between healthcare brands and ad platforms, collecting behavioral data and routing it to destinations like Google Ads and Meta without transmitting protected health information (PHI). As healthcare marketing expanded into mobile channels, Freshpaint needed its mobile SDKs to match the reliability and compliance of its web offering.

Freshpaint’s engineering organization was primarily focused on backend and web development. Mobile development required fluency in Swift, Kotlin, Objective-C, and React Native that the team did not have at scale.

The SDKs existed, but had fallen behind. Dependencies and operating system (OS) versions had gone years without updates. Versioning was inconsistently applied, and standard maintenance practices had been deferred long enough that the codebases had become difficult to operate. Engineers were frustrated, customers were frustrated by slow updates, and Freshpaint had no clear path to address the backlog without pulling focus from its core product priorities. When enterprise clients began requesting MMP functionality to connect mobile ad spend to app installs and attribution, the gap became urgent.

Foxbox was exactly the help we needed.

Mara Pritchard - Lead Product Manager, Freshpaint

Putting Healthcare Experience to Work

Given their pace of growth and limited internal management bandwidth, Freshpaint needed a partner to take ownership over the SDK development, from initial requirements through proactive maintenance, without managing a team.

Our healthcare compliance experience was a practical advantage. Because Freshpaint’s platform helps companies ensure product analytics are compliant with HIPAA, working with engineers who understand the regulatory context is crucial to identify risks and flag potential compliance issues proactively.

Our team operated as an extension of Freshpaint's engineering organization and we took ownership of the mobile development workstream.

Building Secure Solutions

The engagement began in March 2025 and has focused on restoring and advancing Freshpaint's mobile SDKs across three platforms: iOS, Android, and React Native.

Early work addressed foundational issues including versioning, code quality, dependency updates, and maintenance practices that had been deferred. From there, the scope expanded to feature development. The current primary initiative is implementing Mobile Measurement Partner (MMP) functionality across all three SDKs.

MMP enables healthcare marketers to connect the full attribution chain: from an ad click through to an app download and first launch. For Freshpaint's customers, this means they can demonstrate the business impact of mobile marketing campaigns without sending PHI to ad platforms.

Agentic Programming with Claude Code

Across the engagement, our team integrated Claude Code into core parts of the development workflow, using it to plan features, generate and review code against ticket requirements, and conduct preliminary pull request reviews before human sign-off. Claude Code served as a first-pass filter: flagging formatting issues, identifying out-of-scope changes, and surfacing potential problems ahead of manual review.

This approach helped us to move faster without sacrificing the careful, deliberate review process that healthcare-adjacent work demands. Where Claude Code's output needed correction, engineers stepped in, keeping the feedback loop tight and the quality bar high.

Delivering Confidence at Scale

The partnership has given Freshpaint the confidence to say yes to customers requesting mobile investments. Where the team previously had to hedge or delay on mobile requests, they now commit.

Delivering MMP functionality months ahead of schedule is helping Freshpaint retain and grow key enterprise relationships while building a scalable, repeatable approach to supporting healthcare marketers in mobile environments.

The engagement removed mobile development as a source of operational risk and allowed Freshpaint to grow their mobile business.

Our Experience in Healthcare

Mobile complexity and compliance challenges are familiar territory for us. We’ve worked with enterprise healthcare organizations including K Health and Anthem to deliver AI-powered telehealth mobile products. Our engineers are experienced in navigating HIPAA requirements, building compliant products, and working within the constraints that healthcare clients bring. The Freshpaint engagement reflects how we apply that domain knowledge in a managed service model, functioning as a steady long-term partner rather than as a transactional vendor.