Skovos guide

Alternatives to Rubrik for healthcare AI agents

Skovos publishes this guide and is one of the alternatives listed. Each vendor is described from its own public materials or from reporting we cite below. Rubrik is a strong option, and for some health systems it is the best one.

What does Rubrik offer for AI agents?

Rubrik Agent Cloud is Rubrik's platform for governing AI agents. As reported by SiliconANGLE in August 2026, Rubrik Agent Identity grants access "one tool call at a time" by minting scoped, short-lived tokens for each call, and every call passes three checks at an MCP gateway: behavioral analysis, policy, and identity. Rubrik's Agent Rewind reverses agent actions that pass the gateway but still go wrong. Agent Cloud launched in October 2025 and, per the same report, became generally available for Claude in June 2026. Rubrik also joined the Coalition for Health AI in July 2026.

When Rubrik is the right choice

Rubrik is a natural fit if your health system already uses Rubrik for backup and data security. Agent Rewind builds on Rubrik's core strength, recovering data, and the ability to undo an agent's changes is valuable when agents write to files, databases or SaaS systems. Per-tool-call credentials are also a sound security design: an agent with no standing permissions has less to misuse.

Why health systems look at alternatives

Hospitals look at other options for four common reasons:

  1. Healthcare-specific evidence. Governance leads need records that map to Joint Commission AI certification surveys, OCR Section 1557 reviews and internal quality review, not only security logs.
  2. Ownership of the stop control. Clinical and quality leaders want to recall an agent themselves, from a governance tool they run, without routing through security operations.
  3. Existing platforms. A system that runs OneTrust for privacy or a different backup vendor may prefer to extend what it has.
  4. Scope. Some teams need model quality monitoring or policy mapping more than tool-call security.

The alternatives

Skovos

Skovos is the governance layer for healthcare AI. Each agent gets a registered identity, an accountable owner and scoped permissions. Every action is checked and the decision is logged to a hash-chained audit trail the hospital owns and can verify for tampering. A recall stops an agent immediately, and every later check denies it. Signed evidence can be exported in an OVERT v1.1 style profile for auditors, and a connector lets staff query or stop agents from Claude or ChatGPT. Skovos governs agents that are connected to it or checked through it. It does not offer an undo of changes an agent already made, so pair it with your backup and recovery tools.

Zenity

Zenity secures AI agents across SaaS, cloud and endpoints. It offers discovery of which agents exist and what they can reach, posture management to catch over-permissioning, and runtime detection and response that looks at the agent's full execution path, including tool calls and memory access. It is a security-team tool with broad platform coverage and no healthcare-specific focus on its site.

OneTrust AI Governance

OneTrust catalogs AI systems, agents, models, datasets and vendors, applies EU AI Act, NIST AI RMF and ISO 42001 templates, and enforces guardrails that can "block, allow, redact, escalate, or route actions by policy" on Amazon Bedrock, Microsoft Foundry and Databricks. It governs agents' purpose, permissions and allowed actions with audit capture in MCP environments. It suits hospitals already using OneTrust for privacy.

Credo AI

Credo AI offers an AI registry with shadow AI discovery, an agent registry with agent cards, an agentic risk and control library, and policy packs for major frameworks. It is stronger on policy and risk mapping than on per-call enforcement.

Fiddler

Fiddler describes itself as an AI control plane, with agentic observability, continuous evaluations and fast guardrails that run in the customer's environment. It describes clinical care use cases and offers SaaS, VPC and GovCloud deployment. It fits teams whose main risk is output quality and safety.

Comparison table

RubrikSkovosZenityOneTrustCredo AIFiddler
Agent registry or discoveryYesYes, connected agentsYesYesYesObservability
Per-action permission checkYes, per tool callYesPosture and runtimeGuardrails on supported platformsControls libraryGuardrails
Undo agent actionsYes, Agent RewindNoNot describedNot describedNot describedNot described
Hospital-owned stop controlAsk RubrikYes, recallResponse actionsPolicy routingNot describedGuardrails
Healthcare focusJoined CHAIBuilt for healthcareNot describedNot describedHealthcare listed as a sectorHealthcare use cases
Signed evidence exportNot describedYesNot describedAudit-ready evidenceNot describedNot described

"Not described" means we did not find it in the public sources below. Ask each vendor.

How to choose

Pick based on who will own agent governance day to day. If it is the security team and you already run Rubrik, start there. If it is a governance lead under the CIO working with clinical informatics and quality, favor a tool built for their evidence and their stop decisions. In a pilot, run the same test with every vendor: register an agent, let it attempt an action it should not take, confirm the denial, pull the record, stop the agent, and hand the evidence to someone who was not in the room.

Frequently asked questions

What is Rubrik Agent Rewind?

It is Rubrik's feature for reversing actions an AI agent took that passed its checks but still caused harm, according to August 2026 reporting.

Is there a healthcare-specific alternative to Rubrik Agent Cloud?

Yes. Skovos is built for health systems and focuses on agent identity, per-action permission checks, a hospital-owned audit trail, a recall control and signed evidence.

Can Skovos undo what an agent did?

No. Skovos stops the agent and records exactly what it did. Undoing changes depends on your backup and recovery tools, which is where Rubrik is strong.

Can Rubrik and Skovos be used together?

Yes. Rubrik can protect and restore data, and Skovos can govern and record agent permissions and stops for clinical and quality oversight.

Which alternative is best for hospitals already on OneTrust?

OneTrust AI Governance extends an existing OneTrust deployment, which can reduce procurement work.

Related reading

Sources

See Skovos in action. Registry, permission checks, audit trail and a stop control your hospital owns. Talk to us or read Can we stop it?
Governed AI infrastructure for health systems, from first deployment to enterprise scale.
Copyright @2026 Skovos is a trade name of Haver AI Inc. All rights reserved.