Most IBCLC practices need HIPAA-compliant management of their cloud EHR and scheduling tools like SimplePractice or Jane, secure storage for consult notes and latch photos, and a HIPAA-ready telehealth and secure messaging platform with a signed BAA. They also need device security for mobile and home visits, PCI-compliant card-on-file billing, and automated backups. Because these are usually solo or small practices with no in-house IT, a managed provider covers all of it plus a help desk for when something breaks mid-day.