
The Complete Breakdown of Miami Managed IT Services: Deliverables, SLAs & Hidden Fees
Explore Miami's managed IT services for healthcare, focusing on cybersecurity, compliance, SLAs, and avoiding hidden fees for optimal practice efficiency.





from 10 reviews
Healthcare IT Support
Jun 30, 2025
Healthcare providers in Miami face growing IT challenges, from cybersecurity threats to compliance with strict regulations. Managed IT services are stepping in to help by offering:
Cybersecurity and compliance: Protecting sensitive patient data and meeting HIPAA requirements.
24/7 IT support: Ensuring minimal downtime and reliable access to critical systems like EMRs and EHRs.
Transparent pricing: Avoiding hidden fees that can strain healthcare budgets.
Key Takeaways:
NexaCore IT Solutions: A Miami-based provider specializing in healthcare IT, offering flat-rate pricing, HIPAA compliance, and tailored services. Praised for reliability and local expertise.
Other Miami Providers: Offer similar services but may include hidden fees for audits, hardware, or extended support. SLAs vary widely, with some providers excelling in 24/7 monitoring and disaster recovery.
When choosing a provider, focus on SLAs, transparency in pricing, and industry-specific expertise to ensure your practice stays secure, compliant, and efficient.
1. NexaCore IT Solutions

NexaCore, based in Miami, specializes in delivering IT services tailored to healthcare practices in South Florida. Founded by Alvaro and Kevin, the company has built a reputation for addressing the specific challenges faced by medical providers in this competitive region.
Core Services
NexaCore focuses on IT solutions designed specifically for healthcare needs. Their services include continuous network monitoring to ensure healthcare systems remain operational, supporting seamless access to electronic health records.
They also offer antivirus protection, content filtering, and robust network performance and security measures. With both onsite and remote computer support, NexaCore ensures technical issues are resolved promptly, minimizing disruptions.
A standout service is their HIPAA compliance management and support, which helps healthcare providers navigate the complex regulatory landscape. Additionally, they manage hardware and software procurement, taking the burden of technology decisions off healthcare providers.
Dr. Emilio Pando, MD, shared his positive experience:
"We chose NexaCore IT Solutions for their expertise in healthcare IT, and they've exceeded our expectations. Their team provided us with a comprehensive IT infrastructure overhaul that has made our medical clinics more efficient and secure. The scalable solutions they offer have supported our expansion efforts without any hitches."
Service Level Agreements (SLAs)
NexaCore’s SLAs are designed to meet the critical uptime needs of healthcare practices. They provide customized reporting to give practice managers clear insights into system performance and potential issues, ensuring problems are addressed before they escalate. This proactive approach highlights their dedication to rapid response and efficient support.
Maria Toirac, DDS, from American Dental Clinic, praised their reliability:
"We work with NexaCore for all of our office's internet, security and IT needs. It's been nothing but the best experience because we feel extremely secure knowing that our information is safe with them. They are extremely efficient and if we ever have any issues, it’s super easy to get access to them whether it's through an online service request or a phone call."
Their commitment to transparency also extends to their pricing model.
Transparent Pricing
NexaCore sets itself apart with a flat-rate pricing structure, eliminating the unexpected costs often associated with managed IT services. This pricing model ensures healthcare practices know exactly what they’re paying for, avoiding hidden fees like charges for audits, hardware, user changes, or extended-hours support.
Dr. Michael P. Newman, D.C., P.A., highlighted the value of this approach:
"As a chiropractor, my focus has always been on patient care, not IT headaches. That's where NexaCore came in. The best part? Their flat-rate pricing means we can continue to offer top-notch care without worrying about unexpected IT expenses."
Performance and Expertise
NexaCore’s strong performance and healthcare-focused expertise have solidified its leadership in Miami’s IT services market. They’ve successfully handled comprehensive IT infrastructure upgrades while maintaining the specialized knowledge required for healthcare compliance and security.
Their scalable solutions make it easy for healthcare providers to expand operations while staying compliant with regulations. Furthermore, their ability to adapt to various medical specialties ensures consistent service quality and adherence to industry standards.
2. Other Miami-Based Managed IT Providers
Miami's managed IT services scene offers a variety of options for healthcare practices, each with its own approach to services, agreements, and pricing. Knowing these differences can help healthcare organizations make smarter IT partnership decisions.
Core Deliverables
Managed IT providers in Miami typically offer key services like cybersecurity, disaster recovery, cloud solutions, and compliance management, all backed by 24/7 support to ensure minimal downtime during patient care. The healthcare IT services market is growing rapidly, with projections hitting $728.6 billion by 2029 and a 15% annual growth rate. Many providers specialize in healthcare-specific needs such as EHR systems and HIPAA compliance, though the depth of expertise varies. Current trends include the use of AI and machine learning for predictive analytics and threat detection, Zero Trust security models, and hybrid IT setups that combine in-house strategy with outsourced operations. These advancements highlight the importance of evaluating service agreements that secure healthcare operations.
SLAs
Service Level Agreements (SLAs) are a cornerstone of IT support, especially in healthcare where HIPAA compliance and system reliability are critical. For example, a 25-physician group in Aventura implemented redundant systems and 24/7 monitoring, achieving 99.9% uptime, zero HIPAA violations, and saving $50,000 annually by minimizing downtime. This setup also ensured smooth operations during hurricane season. Effective SLAs often include clear metrics for response times, uptime guarantees, and resolution deadlines, tailored to the 24/7 demands of healthcare. Providers offering 24/7 managed detection and response (MDR) are particularly valuable, especially as ransomware attacks surged from 25 to 46 in just one year (2022–2023).
Hidden Fees
Hidden fees can be a common issue with Miami-based providers. These might include charges for audits, hardware, adding users, extended support, or on-site visits. Healthcare organizations should be especially wary of costs tied to after-hours support, project-based work, or software updates. Typical monthly costs range from $125–$250 per user or $95–$200 per device, with additional hourly rates between $100 and $200 for extra work. Some providers also charge around $15 per month for each new workstation. Billing adjustments for user count changes may only occur twice a year, which can lead to discrepancies during periods of rapid staffing changes.
Provider Evaluation
Choosing the right provider goes beyond services and SLAs. With 44% of healthcare CIOs citing a shortage of qualified IT resources as their biggest challenge, and IT budgets increasing by 18% from 2019 to 2023, healthcare organizations must prioritize providers with deep industry experience and 24/7 security operations. Look for providers with strong healthcare references, proven expertise with specific EHR platforms, and a solid understanding of compliance frameworks like HITRUST. It's also vital to confirm the provider’s security operations center capabilities, including round-the-clock staffing and effective incident response.
One example comes from an investment advisory firm in Coral Gables, targeted by cybercriminals attempting wire fraud. Their managed services provider, ITP360, implemented advanced threat detection and employee training, preventing a $2 million fraud attempt, maintaining SEC compliance, and preserving client trust. For healthcare practices, it’s essential to ensure potential providers not only sign HIPAA Business Associate Agreements but also prioritize data protection as a key part of patient safety. Providers should have teams that understand clinical workflows and how IT decisions affect patient care.
Advantages and Disadvantages
When comparing managed IT services, it's essential to weigh how they influence patient care, regulatory compliance, and operational efficiency. Here's a breakdown of the key advantages and disadvantages of two provider types, along with their best use cases.
Provider Type | Advantages | Disadvantages | Best Fit |
---|---|---|---|
Nexacore IT Solutions | • 24/7 network monitoring tailored for healthcare | • Pricing requires individual consultations | Small to large healthcare practices needing HIPAA-compliant IT, tailored solutions, and local expertise |
Established Miami Providers | • Strong track record with measurable outcomes | • Potential hidden fees for extra services | Practices prioritizing a proven reputation and willing to manage potential extra costs |
This side-by-side comparison highlights the unique strengths and weaknesses of Nexacore IT Solutions and other established Miami providers.
Nexacore stands out for its customizable solutions and scalable services, which are ideal for practices experiencing growth or seasonal staffing changes. Their custom pricing adapts to specific budgets, offering flexibility that can prevent unexpected costs. By contrast, some established providers may include hidden fees for additional services, which can complicate budgeting.
HIPAA compliance is another area where Nexacore excels, as it’s seamlessly integrated into their core services. This reduces administrative burdens for medical practices. Many other providers treat compliance as an optional add-on, often with separate billing, which can make operations more complex.
Scalability is also a major factor. Nexacore’s solutions are designed to grow with a practice, avoiding the need for a complete system overhaul. On the other hand, some traditional providers may require costly service upgrades or modifications as practices expand.
Local expertise is a significant advantage in Miami’s healthcare landscape. Nexacore’s Miami presence ensures a deep understanding of regional compliance needs, quick response times for emergencies, and timely onsite support. These qualities are especially critical for addressing Miami-specific challenges, such as severe weather events or rapid clinic expansions.
Additionally, Nexacore’s focus on long-term partnerships and tailored recommendations enhances their ability to support clinical workflows. By aligning their services with the unique needs of healthcare practices, they provide technology solutions that genuinely improve day-to-day operations.
Final Recommendations
When selecting an IT provider, consider the size of your practice, its complexity, and your future growth plans. Align these factors with the right service model to ensure a seamless fit.
Small to Medium Healthcare Practices (1–25 physicians) will find Nexacore IT Solutions a strong option. They offer a pricing model tailored to smaller budgets while including essential HIPAA compliance as part of their standard services. This approach helps avoid unexpected charges for compliance add-ons, keeping costs predictable.
Large Healthcare Organizations (25+ physicians) should pay close attention to pricing structures and service agreements. Hidden fees can creep in if contracts aren’t clear, so ensure all terms are transparent to maintain control over IT budgets.
"Choosing the right managed IT service provider is akin to selecting a strategic business partner. Their expertise and reliability can significantly impact your company's ability to innovate and compete in the market."
– Michael Assunto, VP of Operations, Accelerated Business Solutions
Beyond these practice-specific recommendations, there are other critical factors to evaluate. For example, review your SLA (Service Level Agreement) to ensure it includes strong performance benchmarks. Look for commitments like nearly 99.99% system uptime and clearly defined response times for technical issues. Transparent contracts are equally important - confirm that all services are listed, along with any conditions that could lead to extra fees. Additionally, verify that compliance services are included to avoid surprise costs.
Local expertise adds another layer of value. Providers familiar with Miami’s unique regulatory landscape and challenges - like preparing for hurricane season - can offer operational advantages that out-of-town providers might lack.
Timing also matters. Select a provider that can match their rollout schedule to your practice’s urgency and compliance deadlines. Long-term partnerships should be a priority, so look for providers that offer regular strategic reviews and ongoing system improvements.
As telehealth and AI continue to reshape healthcare IT, it’s essential to choose a provider that balances forward-thinking solutions with reliable security. This balance ensures your practice remains competitive while safeguarding sensitive data and systems.
FAQs
What should healthcare providers in Miami look for when selecting a managed IT service provider?
When selecting a managed IT service provider, healthcare providers in Miami should pay close attention to expertise in healthcare IT. Providers familiar with healthcare regulations, like HIPAA, are better equipped to navigate the specific challenges and compliance requirements your practice faces.
It's also important to look for clear and upfront pricing to avoid surprise costs, strong cybersecurity measures to safeguard patient information, and round-the-clock support to address issues promptly. These elements are crucial for finding a provider that offers dependable, compliant, and cost-efficient IT services tailored to the healthcare industry.
How does NexaCore IT Solutions protect patient data and ensure HIPAA compliance for healthcare practices?
NexaCore IT Solutions puts HIPAA compliance at the forefront by employing strong security protocols designed to protect sensitive patient information. These measures include data encryption, stringent access controls, and routine risk assessments to uncover and address potential vulnerabilities.
Beyond security, NexaCore offers specialized compliance management services to help healthcare organizations handle the complexities of HIPAA regulations. By staying current with changing privacy and security requirements, NexaCore ensures that electronic protected health information (ePHI) remains secure, reducing the likelihood of data breaches and allowing healthcare providers to focus on patient care with confidence.
What hidden fees should healthcare practices in Miami look out for when choosing managed IT services?
When reviewing managed IT service contracts, healthcare practices need to keep an eye out for hidden fees that can unexpectedly drive up costs. These charges might include expenses for network hardware, extra devices, or user modifications. Some providers may also tack on fees for after-hours support, software and hardware purchases, or project-based tasks like IT audits or security improvements.
Additionally, be cautious of costs for services outside the contract’s scope, such as troubleshooting phone systems or support for security cameras. To steer clear of unexpected bills, thoroughly examine the contract and request a clear, itemized list of all possible charges in advance.
Related posts
FAQ
What specific services are included in your Miami managed IT offering?
How do you ensure HIPAA compliance for Miami healthcare practices?
What is your on-site response time for Miami IT emergencies?
How does your Miami MSP team handle cybersecurity threats?
How is pricing structured for Miami managed IT services?
Will my Miami business have a dedicated account manager?