SIEM (Security Information and Event Management) is increasingly relevant for healthcare IT, but its value depends on smart, cost-effective deployment. Key use cases include reinforcing HIPAA compliance, satisfying cyber insurance underwriting requirements, and detecting abuse of legitimate tools — a growing attack vector. The main challenge is cost: ingesting all data indiscriminately can make SIEM prohibitively expensive. Healthcare organizations and MSPs should evaluate SIEM solutions that are targeted in log collection, user-friendly, and quick to deploy, rather than treating it as a catch-all data vacuum.