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Enhanced Security: AES-256 Encryption for SSL and TLS

AES-256 Maximal Security

AES-256 EncryptionSSL and TLS play critical roles in securing data transmission over the internet, and AES-256 is integral in their most secure configurations. The original standard was known as Secure Sockets Layer (SSL). Although it was replaced by Transport Layer Security (TLS), many in the industry still refer to TLS by its predecessor’s acronym. While TLS can be relied on for securing information at a high level—such as US Government TOP SECRET data—improper or outdated implementations of the standard may not provide much security.

Variations in which cipher is used in TLS impact how secure TLS ultimately is. Some ciphers are fast but insecure, while others are slower, require a greater amount of computational resources, and can provide a higher degree of security. Weaker ciphers—such as the early export-grade ciphers—still exist, but they should no longer be used.

The Advanced Encryption Standard (AES) is an encryption specification that succeeded the Data Encryption Standard (DES). AES was standardized in 2001 after a five-year review and is currently one of the most popular algorithms used in symmetric-key cryptography. It is often seen as the gold standard symmetric-key encryption technique, with many security-conscious organizations requiring employees to use AES-256 for all communications. It is also used prominently in TLS.

AES has been available in most cryptographic libraries for a long time. It became available in OpenSSL in 2002 with v0.9.7. OpenSSL is the foundation of most SSL services in UNIX and Linux environments, such as that used by LuxSci. GPG, the open source implementation of PGP, also includes an AES-256 option.

This article discusses AES, its role in TLS, which web browsers and email programs support it, and how you can ensure that you only use 256-bit AES encryption for communications that require a high level of security.

How secure are AES-256 and AES-128?

AES is Federal Information Processing Standard (FIPS) certified, and there are currently no known non-brute force attacks that work directly against AES. However, there are some side-channel timing attacks on the processing of AES. These are not feasible over a network environment and don’t apply to SSL in general. Because of this, AES is considered robust enough to protect secret government information:

The design and strength of all key lengths of the AES algorithm (i.e., 128, 192 and 256) are sufficient to protect classified information up to the SECRET level. TOP SECRET information will require use of either the 192 or 256 key lengths. The implementation of AES in products intended to protect national security systems and/or information must be reviewed and certified by NSA prior to their acquisition and use.”

Out of the three different key lengths, AES-256 offers a higher degree of security than the 128-bit and 192-bit versions of the standard.

AES-256 Maximal Security

The Beast Attack and TLS-secured websites

When TLS is used to protect website traffic (as opposed to IMAP, SMTP, encryption of files, etc.), an attack against it is known as The Beast. This attack makes it possible for people with access to a trusted location on your network to break into your TLS session and eavesdrop on your communications.

Thankfully, The Beast attack can easily be prevented. All you have to do is use TLS v1.1+ ciphers. This is why The Beast is no longer considered a critical attack vector. See also:

How long will AES-256 remain suitable for security?

The rise of quantum computing has caused a stir in the security community, with fears that it will render many of our security algorithms useless. While quantum computing looks like it will change the landscape regarding public-key algorithms, it is not believed to have significant impacts on algorithms like AES-256 soon.

The biggest quantum computing threat against AES is currently considered to be Grover’s algorithm. It is theorized to be able to perform a brute-force key search using quadratically fewer steps than required in classical computing. The implication is that an attacker with access to a quantum computer may be able to successfully attack a cipher with a key twice the length of what would generally be possible in classical computing.

However, the expense of quantum hardware and real-world complications of using Grover’s algorithm mitigate the threat of these attacks. NIST states that “… AES 128 will remain secure for decades to come. Furthermore, even if quantum computers turn out to be much less expensive than anticipated, the known difficulty of parallelizing Grover’s algorithm suggests that both AES 192 and AES 256 will still be safe for a very long time.”

Currently, there is no great rush to move away from AES to other symmetric key algorithms.

How is the cipher chosen in an SSL or TLS session?

Generally, when an SSL client, such as an email program or web browser, connects to a server and wishes to use SSL or TLS, the client sends the server a list of encryption ciphers it supports. The server then goes through the list and chooses the first match it supports. Usually, the client orders the list with the most secure methods first so that the most secure method supported by both the client and server is selected. Sometimes, the client orders the list based on other criteria to make a compromise between security and speed. This can result in a sub-optimal cipher being chosen.

Most modern web and email servers that support TLS encryption will have a wide range of different encryption techniques that they support. These can vary from 128-bit RC4, to 256-bit AES, to others. This range of options allows users with old or broken software to still take advantage of encryption, even if it is weaker than what is considered ideal in many situations.

Additionally, most companies that provide security services do not permit techniques that are deemed weak and can be broken easily. If you are connecting to a reputable service provided over TLS, the type of encryption will almost certainly be determined by your client program (i.e., email program or web browser), based on the options listed by the server.

What encryption techniques are supported by modern web browsers?

The latest versions of most modern browsers should support appropriate encryption algorithms.

You can check out whether your web browser uses up-to-date security practices by visiting:

https://www.howsmyssl.com/

If it says “Probably Okay,” it means that no security problems could be detected. If it says “Improvable” or “Bad,” your browser may be using an outdated version of TLS or have other security issues. In this case, you need to update to the latest version of your browser or switch to a browser like Firefox or Chrome that is actively being developed.

What encryption techniques were supported by legacy web browsers?

Before AES support became universal for older web browsers, we analyzed cipher support to see which ones supported AES. For posterity, we include this information here:

Web Browser
Operating System Best Cipher Verdict?
Native Android Browser (LG G3) Android v4.4.2+ AES 256-bit Good!
Chrome v39+ Android v4.4.2+ AES 256-bit Good!
Firefox Mobile v8+ Android AES 256-bit Good!
Safari iOS v8+ (iPhone/iPad/etc.) AES 256-bit Good
Safari iOS v5.0.1 AES 128-bit Good
Safari iOS v2.2 AES 128-bit Good
Silk Kindle Fire RC4 128-bit Terrible
Firefox v35+ Windows XP & Vista, Mac OSX AES 256-bit Good!
Firefox v8+ Windows XP & Vista, Mac OSX AES 256-bit Good!
Firefox v3.0.5 Windows XP & Vista, Mac OSX AES 256-bit Good!
Safari v8+ Windows Vista/7, Mac OSX AES 256-bit Good
Safari v5.1.2 Windows Vista/7, Mac OSX AES 128-bit Good
Safari v3.2.1 Windows Vista, Mac OSX AES 128-bit Good
Safari v3.2.1 Windows XP RC4 128-bit Terrible
Chrome v40+ Windows Vista/7, Mac OSX AES 256-bit Good!
Chrome v15+ Windows Vista/7, Mac OSX AES 256-bit Good!
Chrome v1.x Windows Vista AES 128-bit Good
Chrome v1.x Windows XP RC4 128-bit Terrible
Internet Explorer v11 Windows 7 AES 256-bit Good
Internet Explorer v9 Windows 7 AES 128-bit Good
Internet Explorer v9 Windows Vista RC4 128-bit Terrible
Internet Explorer v7 & v8 Windows Vista AES 128-bit Good
Internet Explorer v8 Windows XP RC4 128-bit Terrible
Internet Explorer v7 Windows XP RC4 128-bit Terrible
Internet Explorer v6 Windows XP RC4 128-bit Terrible
Opera v26+ Mac OSX AES 256-bit Good!
Opera v11.10+ Windows Vista AES 256-bit Good!
Opera v9.62 Windows XP & Vista AES 256-bit Good!

So, by default, legacy browsers will take advantage of AES encryption when available. We also found that any program that uses old windows default SSL libraries will use RC4 in Windows XP and 128-bit AES in Windows Vista.

What encryption techniques are supported by modern email programs?

Asking this question about web browsers asks what is supported by the various email programs out there. If you are using a WebMail interface to access your email, the answer depends on your web browser. The latest versions of well-known email programs will use suitable encryption techniques, including AES-256. If you are using outdated/legacy email software, you should immediately update it to the latest version.

What encryption techniques were supported by legacy email programs?

We tested several popular legacy email programs on legacy operating systems to see the best encryption cipher they could use. This was done before AES usage became essentially universal. Here are the results (for posterity):

Email Program Operating System Verdict? Results
Mozilla Thunderbird v2+ Windows XP & Vista Good! 256-bit AES
Thunderbird v2+ Mac OSX v10.4.11 Good! 256-bit AES
Outlook 2010 Windows 7 Good! 256-bit AES
Outlook 2007 Windows XP Terrible 128-bit RC4 is the best supported
Outlook 2007 Windows Vista Good 128-bit AES chosen (though 256-bit is there, it is not listed 1st in the program and thus not used)
Outlook 2003 Windows XP Terrible 128-bit RC4 is the best supported
Mail.app Mac OSX v10.10 Good 256-bit AES
Mail.app Mac OSX v10.5.5 Good 128-bit AES chosen (though 256-bit is there, it is not listed 1st in the program and thus not used)
Mail.app Mac OSX v10.4.11 Good 128-bit AES chosen (though 256-bit is there, it is not listed 1st in the program and thus not used)
Mail.app iPhone v2.2 Good 128-bit AES chosen (though 256-bit is there, it is not listed 1st in the program and thus not used)
Eudora v7 Windows XP Good 256-bit AES
Eudora v8 Mac OSX v10.4 Good 256-bit AES
Entourage v12 Mac OSX v10.4 Terrible DES

We see a similar pattern here. In most cases, the cipher used depended on the Operating System and not the program.  Some programs roll their own SSL (i.e., Thunderbird/Eudora), and some use the OS built-in libraries. So, from this, we can infer that any newer version of Outlook on Vista or Windows 7+ will go for at least 128-bit AES; most things on Windows XP would use 128-bit RC4, etc.

How to force the use of AES-256 on secure web browsers and email programs

Web browsing clients like Mozilla Firefox or Opera and email clients like Thunderbird use AES-256 by default, as long as the server supports it.

However, it’s also possible to force the use of 256-bit AES encryption. This can be useful if your organization mandates that secure connections use 256-bit AES or if you do not trust that the servers you wish to connect to will have secure ciphers.

You can ensure that AES-256 is always used by following the instructions below. If the server does not support AES-256, the connection will fail.

Mozilla Firefox:

  1. Type “about:config” in the address bar to open up the detailed list of configuration parameters.
  2. Scroll down to “tls.version.min”, and ensure that it is set to “1” as an absolute minimum. This will turn off support for SSLv2 and SSLv3.
  3. Search for “ssl3.”
  4. Look for the ciphers that do not include “aes_256” in their names. If any of these say “true,” double click on them to change them to “false.” This will make them no longer available for use.
  5. You will be left with various versions of AES-256 with TLS v1.0+.
  6. You don’t have to restart Firefox for this to take effect.

Mozilla Thunderbird:

  1. From Thunderbird’s home screen, click on the three horizontal lines in the top right corner.
  2. Click Preferences, then Preferences once more in the menu that comes up.
  3. Click Advanced, then scroll to the bottom right where it says Config Editor. Click on Config Editor.
  4. Be aware that configuration changes can affect the program’s stability, and only proceed if you know what you are doing. Click I Accept the risk.
  5. Scroll down to “tls.version.min”, and ensure that it is set to “1” as an absolute minimum. This will turn off support for SSLv2 and SSLv3.
  6. Search for “ssl3 “
  7. Look for the ciphers that do not include “aes_256” in their names. If any of these say “true,” double click on them to change them to “false.” This will make them no longer available for use.
  8. Restart Thunderbird so that any persistent connections are broken and re-opened.
  9. Make sure that your email accounts are all configured to use SSL or TLS (not “if available,” but “always”).
  10. If possible, go to your email provider and disallow insecure connections to your account. This will make the connection fail even if the email program is accidentally configured to make a secure connection. (LuxSci allows this to be set on the user-level or enforced by policy account-wide).

Skype:

  • It’s off-topic, but Skype uses 256-bit AES encryption, so if you use it for chat or voice calls, your data is also being encrypted in this fashion.

Locking down your website (in Apache)

If you are a website owner and have TLS security on it, you can lock it down so that the only cipher your website supports is 256-bit AES. This takes the choice out of the end user’s hands. They can either use AES-256, or they won’t be able to connect to the website. However, this also means that some users may not be able to access your site unless they change to a more secure browser.

To lock your site down so that it only supports 128-bit and 256-bit AES, add the following to your Apache httpd.conf file:

SSLCipherSuite AES256-SHA:AES128-SHA

This can be added globally, in a virtual host, or even in your .htaccess file. It will ensure that any successful connection to your site will use one of these ciphers. Be sure to add it to the secure settings for your site and not just the insecure site area. More information is available at Apache.

You will generally want only to support TLS v1.2+ and NIST-recommended cipher suites. See: what level of TLS is required for HIPAA.

AES encryption is still reliable

AES encryption is still the preferred standard for TLS. Modern machines don’t noticeably affect performance, providing an adequate security level.

However, it’s important to note that TLS only protects data sent between you and the server. When you send and receive an email, the message data travels in the clear, so TLS does not protect it throughout the entire journey. The Case for Email Security explains this in more detail.

Thankfully, services like LuxSci’s SecureLine provide email encryption, which can safeguard your email the whole way. Contact our team for more information on how to protect your organization’s data.

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LuxSci Oiva Health

LuxSci and Oiva Health Combine to Form Transatlantic Healthcare Communications Group

Boston & Helsinki, February 12, 2026 – LuxSci, a provider of secure healthcare communications solutions in the United States, and Oiva Health, a Nordic provider of Digital Care solutions in social and healthcare services, today announced that the companies are joining forces. Backed by Main Capital Partners (“Main”), the combination brings together two complementary platforms and teams, forming a strong transatlantic software group focused on secure healthcare communications.

Founded in 1999, LuxSci is a U.S. provider of HIPAA‑compliant, secure email, marketing, and forms solutions. Its application and infrastructure software enable organizations to securely deliver personalized, sensitive data at scale to support a broad range of healthcare communications and workflows including care coordination, benefits and payments, marketing, wellness communications, after care and ongoing care. Certified by HITRUST for the highest levels of data security, LuxSci serves dozens of healthcare enterprises and hundreds of mid‑market organizations.

Founded in 2010, Oiva Health is a provider of digital care and communications solutions in the Nordics. Headquartered in Finland, with additional offices in Denmark, Norway, and Sweden, Oiva Health offers digital care and digital clinic solutions – including digital visits, secure messaging, online scheduling and appointments, and caregiver communications – serving the long-term care, especially elderly care, and occupational healthcare verticals. The company employs approximately 60 people and has recently expanded across the Nordic region, with a growing presence in Norway and Sweden.

The combination of LuxSci and Oiva Health creates a larger, cross Atlantic group with complementary solutions, serving the U.S. and European markets. Together, the companies offer healthcare providers, payers, and suppliers a comprehensive suite of tools to communicate securely and compliantly, spanning communications, workflows, and virtual care delivery.

Daan Visscher, Partner and Co-Head North America at Main, commented: “We are pleased to announce this cross Atlantic transaction, creating an internationally active secure communications player within the healthcare and home care space. The combined product suite enables healthcare organizations to drive much needed efficiency gains in healthcare provision addressing a global trend of rising costs, aging population, and increasing pressure on resources needed to provide high-quality care.”

Mark Leonard, CEO of LuxSci, said, “We are thrilled to join forces with Oiva Health and believe that together we can truly make a difference in healthcare coordination, access, and delivery. We see an exciting path forward with our customers benefiting from an end-to-end, secure and compliant approach to optimizing both healthcare communications and today’s frontline workers, which we need now more than ever.”

Juhana Ojala, CEO at Oiva Health, concluded, “We look forward to this new chapter together with LuxSci. We are very excited about the strong alignment between our solutions, which especially strongly positions us to expand our flagship Digital Care offering to the high-potential U.S. care market – from care coordination to care delivery to in-home and institutional care.”

Nothing contained in this Press Release is intended to project, predict, guarantee, or forecast the future performance of any investment. This Press Release is for information purposes only and is not investment advice or an offer to buy or sell any securities or to invest in any funds or other investment vehicles managed by Main Capital Partners or any other person.

[END OF MESSAGE]

About LuxSci

LuxSci is a U.S.-based provider of secure healthcare communications solutions for the healthcare industry. The company offers secure email, marketing, forms and hosting, delivering HIPAA‑compliant communication solutions that enable organizations to safely manage and transmit sensitive data. Founded in 1999, LuxSci serves more than 1,900 customers across healthcare verticals, including providers, payers, suppliers, and healthcare retail, home care providers, and healthcare systems, as well as organizations operating in other highly regulated industries. LuxSci is HITRUST‑certified with example clients being Athenahealth, 1800 Contacts, Lucerna Health, Eurofins, and Rotech Healthcare, among others.

About Oiva Health

Oiva Health is a Digital Care provider in the Nordics, offering a comprehensive Digital Platform for integrated health and care services to digitalize primary healthcare, social care, hospital healthcare and long-term care services. The company was founded in 2010 and currently employs approximately 60 people in Finland, Denmark, Norway, and Sweden serving domestic municipalities, customers and partners, such as City of Helsinki, Keski-Suomi Welfare Region, Länsi-Uusimaa Welfare Region in Finland, and Viborg municipality in Denmark with its Digital Care platform. Annually over 5 million customer contacts are handled digitally through Oiva Health’s Digital Care and Digital Clinic platforms.  

About Main Capital Partners

Main Capital Partners is a software investor managing private equity funds active in the Benelux, DACH, the Nordics, France, and the United States with approximately EUR 7 billion in assets under management. Main has over 20 years of experience in strengthening software companies and works closely with the management teams across its portfolio as a strategic partner to achieve profitable growth and create larger outstanding software groups. Main has approximately 95 employees operating out of its offices in The Hague, Düsseldorf, Stockholm, Antwerp, Paris, and an affiliate office in Boston. Main maintains an active portfolio of over 50 software companies. The underlying portfolio employs approximately 15,000 employees. Through its Main Social Institute, Main supports students with grants and scholarships to study IT and Computer Science at Technical Universities and Universities of Applied Sciences.

The sender of this press release is Main Capital Partners.

For more information, please contact:

Main Capital Partners
Sophia Hengelbrok (PR & Communications Specialist)

sophia.hengelbrok@main.nl

+ 31 6 53 70 76 86

HIPAA Compliant Email

Rethinking HIPAA Compliant Email – Not Just a Checkbox

The compliance-only mentality is outdated.

Let’s be honest—when most healthcare organizations think about HIPAA compliant email, it’s usually in the context of avoiding fines or satisfying checklists. And while yes, compliance is critical, viewing it only through the lens of risk management is a missed opportunity.

In reality, HIPAA compliant email, when implemented properly, is one of the most powerful tools for patient and customer engagement. Why? Because it unlocks the ability to leverage protected health information (PHI) safely, enabling personalized, timely, and high-impact email communication that drives better engagement, satisfaction, and outcomes.

What Makes Email Truly HIPAA Compliant?

As a reminder, HIPAA compliant email requires that protected health information (PHI) is safeguarded both in transit and at rest. That means your email provider must:

  • Use encryption at all times
  • Be access-controlled
  • Include audit logs
  • Be stored and transmitted in a secure manner
  • Provide a Business Associate Agreement

Regular email services just don’t cut it. In fact, most consumer or marketing email platforms like Sendgrid or Constant Contact, while great at sending email, are not HIPAA compliant or have limitations when it comes to using PHI in your messages. Even when bolted-on encryption solutions are used, they often lack the flexibility, scalability, and automation needed for safe and effective healthcare email engagement.

LuxSci goes beyond the basics with policy-based encryption, secure TLS, PKI encryption and escrow/secure portal options. LuxSci’s SecureLine™ encryption technology dynamically selects the appropriate encryption method based on recipient capabilities and messaging context and can be configured to enforce secure delivery automatically according to organizational policies. LuxSci also provides the ability to enforce advanced multi-factor authentication. Every message is tracked with full audit trails—no guesswork, no loose ends.

The Real Opportunity – Secure, Personalized Email with PHI

Using PHI to Drive Personalized Messaging
Imagine sending a personalized reminder to a diabetic patient about an upcoming check-up. Or reaching out to new mothers with postnatal care resources tailored to their needs. Or sending automated email workflows to all your members to accelerate and increase new plan enrollments. Or email customer and prospects about a new product upgrade or new service offering. The list goes on. That’s the power of PHI-personalized email—when done securely.

Targeted Segmentation with Sensitive Data
With HIPAA compliant email solutions like LuxSci, you can segment your audience based on real health data with high levels of precision, such as chronic conditions, appointment history, insurance status, health risks, and more, without compromising patient trust or security.

Breaking the One-Size-Fits-All Approach in Healthcare Email
Generic email blasts are over. Modern patients expect personalization. With LuxSci, you can deliver highly targeted, highly secure emails with encrypted content, while staying HIPAA compliant.

Real Business Results from Secure Email

Here’s how secure, personalized email can drive improved results across a range of healthcare communications, including:

  • Increased Patient Appointments and Follow-ups – Sending encrypted, personalized appointment reminders and follow-up notices can reduce no-shows and boost overall appointment volume.
  • Boosting Preventative Care with Outreach Campaigns – Preventative campaigns (think flu shots or cancer screenings) sent securely to the right segments can lead to higher response rates, better health outcomes, and a lower cost of care.
  • Improving Health Plan Enrollments – Targeted email outreach during open enrollment, tailored by eligibility or plan type, and powered by automated workflows leads to higher enrollments and lower call center costs.
  • Driving Awareness and Sales of New Services or Products – Have a product upgrade offer, new wellness program or telehealth service? Send secure, PHI-informed HIPAA compliant email to the right audience for increased sales and faster adoption.
  • Optimize Explanation of Benefits NoticesReplace snail mail with email that’s fast, reliable and trackable, ensuring customers are informed and compliance is met.

The Healthcare Marketer’s Secret Weapon: Using PHI Responsibly

In a world moving away from third-party cookies, first-party data is more valuable than ever, and PHI is the most powerful form of it in healthcare. With secure HIPAA compliant email, PHI doesn’t have to be locked away. Marketers can safely use it to understand patient needs and send relevant, timely messages. PHI-driven segmentation lets you build hyper-targeted campaigns that speak to relevant conditions, unique needs and timely topics, increasing open rates, clicks throughs, and campaign conversions.

Meeting the Personalization Demands of Today’s Patients and Customers

HIPAA-compliant email is no longer just about checking a box. It’s about unlocking the full potential of your patient and customer data to drive better engagement, healthier outcomes, and measurable business results.

In closing, below are some final thoughts on how secure, HIPAA compliant email delivers long-term value for your organization and better connections with your patients and customers, including:

    • Future-Proofing Healthcare Engagement – Patients expect Amazon-level personalization. HIPAA-compliant tools let you meet those expectations securely.

    • Adapting to Data Privacy Regulations Beyond HIPAA – From GDPR to state-level privacy laws, secure communication is no longer optional, it’s foundational.

    • Building Trust Through Secure Communication – Each secure, personalized message sent is a trust-building moment with your patients and customers.

Why LuxSci? The Infrastructure Behind the Performance

With LuxSci’s secure email infrastructure and email marketing solutions, healthcare organizations can confidently personalize communication, reach patients more effectively, and fuel growth with PHI-safe segmentation, messaging, and email automation.

LuxSci takes data security and email performance to the next level by offering dedicated cloud infrastructure for each customer, which means your email campaigns aren’t slowed down by other vendors on shared cloud services and your attack footprint is much smaller. In short, you get higher delivery rates and throughput with proven HIPAA compliance and data security.

The future of healthcare engagement is personal, secure, and performance-driven—and it starts with HIPAA compliant email done right.

Reach out today with any questions or to learn more about LuxSci.


FAQs

1. Is HIPAA-compliant email necessary for marketing communications?
Yes—if your emails include or are based on PHI (like appointment reminders, condition-based messaging, or insurance info), you need HIPAA-compliant email and recipient consent to avoid legal risk and preserve patient trust.

2. Can PHI be used in marketing emails under HIPAA?
Yes, with proper consent and secure, HIPAA compliant infrastructure like LuxSci’s, PHI can be safely used in emails for personalized, segmented campaigns.

3. How does LuxSci ensure high email deliverability for healthcare messages?
LuxSci uses dedicated cloud servers for each customer, active email reputation monitoring, and best-practice configurations to ensure high deliverability rates for sensitive emails.

4. Is LuxSci only for marketing teams?
No—LuxSci supports marketing, clinical, operations, and IT teams by enabling secure, compliant email communication across the entire organization.

5. What types of PHI can I use to segment campaigns using LuxSci?
You can segment based on chronic conditions, visit history, insurance status, provider details, age, gender, location, and more—all while staying fully compliant.

HIPAA compliant email

Most Popular LuxSci Blog Posts of 2025

As we close out 2025, healthcare communicators, IT and compliance leaders, and digital marketers face an ever-changing landscape of security threats, regulatory updates, and technology innovations. At LuxSci, we’re committed to helping you with continuous updates and guidance on the future of secure healthcare communications.

In case you missed it, or need a refresh, below are some of our most popular blog posts from 2025. Enjoy!

1. Improve Email Engagement and Marketing Results with Automated Workflows

Automated workflows are transforming how healthcare organizations engage patients and customers — enabling dynamic, event-driven campaigns that easily scale your outreach and keep you HIPAA compliant. In this post, we introduce LuxSci’s Automated Workflows capability for our Secure Marketing healthcare solution. Learn how sequence-based journeys can personalize outreach and optimize engagement with behavior-based triggers that improve campaign performance — without sacrificing data security.

Read the full post: LuxSci Enhances Secure Marketing with Automated Workflows

2. Healthcare Email Threat Readiness Strategies

Email remains a frontline channel for healthcare communications, and a prime target for cyber threats and criminals. This deep-dive into email threat readiness strategies covers essential practices like continuous monitoring, business continuity planning, and workforce training to mitigate email-borne security risks. Whether you’re responsible for clinical systems, marketing, or enterprise IT, this post provides a strategic playbook to strengthen your defenses, while maximizing your results.

Read the full post: Healthcare Email Threat Readiness Strategies

3. HIPAA Compliant Email — 20 Tips in 20 Minutes

For practical guidance you can apply right now, this on-demand webinar distills 20 key tips for HIPAA-compliant email across technical, legal, and operational domains. Whether you’re refining your infrastructure, improving deliverability, or modernizing your data security posture in 2026, this resource is a time-efficient way to elevate your compliance and security.

Read the post and watch the webinar on demand: HIPAA Compliant Email: 20 Tips in 20 Minutes

4. Is SendGrid HIPAA-Compliant? What You Should Know

Choosing the right email provider matters, especially when Protected Health Information (PHI) is at stake. In this post, we examine SendGrid’s capabilities in the context of HIPAA compliance, outline what it takes to send PHI securely, and offer guidance on evaluating third-party services for secure healthcare email and communication needs.

Read the full post: Is SendGrid HIPAA-Compliant?

5. LuxSci Shines in G2 Winter 2026 Reports

Customer feedback matters to LuxSci. In this post, we share the most recent news about LuxSci’s performance in the G2 Winter 2026 Reports, where we earned 20 badges across categories like Email Security, Encryption, Gateway, and HIPAA-Compliant Messaging. These reviews reflect not just product excellence, but trust from real users, which we work hard to build every day!

Read the full post: LuxSci Shines in G2 Winter 2026 Reports

Looking Ahead to 2026

We look forward to providing more information and insights on secure healthcare communications in the coming year, including the latest on HIPAA compliant email, PHI security, healthcare marketing, threat readiness, and personalized engagement. In the meantime, if you’re not already, follow us on LinkedIn below, and we’ll see you here in 2026!

Follow LuxSci on LinkedIn

HIPAA compliant email

LuxSci Welcomes Angel Mazariegos as Head of Finance

LuxSci, a leader in secure healthcare communications and HIPAA compliant email, is pleased to announce the appointment of Angel Marie Mazariegos as the company’s new Head of Finance. With over 25 years of experience in financial management, accounting, and human resources, Angel will play a central role in advancing LuxSci’s operational excellence and supporting the company’s rapid growth in 2026 and beyond.

Angel brings a wealth of expertise to LuxSci, having held senior leadership positions at organizations focused on financial services, language and access services for healthcare, and human resources. In these roles, Angel has led multi-department Finance and HR teams, spearheading critical initiatives, including ERP implementations, streamlined employee onboarding, and financial process optimization.

In her role at LuxSci, Angel will oversee all aspects of the company’s finance operations, including budgeting, forecasting and reporting. Additionally, Angel will manage the company’s HR function, ensuring that LuxSci continues to foster a strong, people-driven culture based on its Secure, Trust, Responsible and Smart company values.

“Angel’s blend of financial and HR leadership makes her an invaluable addition to the LuxSci executive team and a real asset for our people,” said Mark Leonard, CEO of LuxSci. “We look forward to working with Angel to build the high-performing teams that will be critical to our future growth and serving the evolving needs of our customers.”

Angel holds dual MBA degrees in Accounting and Human Resource Management from Cappella University, as well as dual BS degrees in Business Administration (Accounting and CIS Business Systems) from California State University, Los Angeles.

“I am honored to join the LuxSci team at such an exciting time for the company,” said Mazariegos. “I look forward to working with the team and helping build on LuxSci’s reputation for excellence and reliability in secure healthcare communications.”

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HIPAA Marketing Compliance

What Are the HIPAA Marketing Compliance Requirements?

HIPAA marketing compliance requires healthcare organizations to obtain written patient authorization before using protected health information for promotional communications, with strict exceptions for treatment communications, appointment reminders, and health-related benefits descriptions. Organizations must distinguish between permissible healthcare operations communications and restricted promotional activities, ensuring that any PHI used for advertising purposes receives explicit patient consent through properly executed authorization forms that detail the intended use, recipients, and patient rights.

Healthcare organizations tend to struggle with the boundary between acceptable patient communications and prohibited promotional activities. Marketing materials that reference patient experiences, treatment outcomes, or demographic information without proper authorization create immediate HIPAA marketing compliance violations.

Authorization Requirements & Marketing Boundaries

Written patient authorization must precede any use of PHI for promotional purposes, including testimonials, case studies, or targeted advertising campaigns. These authorization forms must specify the exact information to be used, identify recipients of the promotional materials, and explain the patient’s right to revoke consent at any time. Healthcare organizations cannot condition treatment or payment on patients providing authorization for promotional activities.

Authorization forms require language elements including expiration dates, patient signature requirements, and clear descriptions of how PHI will be used in promotional contexts. Organizations must maintain signed authorization documents and respect revocation requests immediately upon receipt, stopping all ongoing promotional activities involving that patient’s information.

Treatment Communications Receive Different Standards

Healthcare organizations can communicate directly with patients about treatment alternatives, appointment scheduling, and health-related services without obtaining separate authorization. These communications fall under treatment or healthcare operations rather than promotional activities, allowing providers to send appointment reminders, medication adherence information, and preventive care notifications without additional consent.

Communications that promote third-party products, include financial incentives for referrals, or advertise non-medical services require authorization even when sent to existing patients. Organizations must evaluate each communication to determine whether it serves legitimate healthcare purposes or constitutes promotional activity requiring consent.

Third-Party Vendor Relationships Create Additional Obligations

BAAs with promotional vendors must address PHI handling requirements and specify permitted uses of patient information. Vendors creating promotional materials, managing patient communications, or analyzing treatment data for promotional purposes need appropriate legal frameworks governing their access to protected information.

Healthcare organizations are liable for vendor compliance failures, making careful selection and monitoring of promotional partners essential. Contracts must include breach notification procedures, data destruction requirements, and audit rights to ensure HIPAA marketing compliance with patient information protection standards.

Challenges of Digital Advertising Platforms

Social media advertising, email campaigns, and online promotional activities often involve sharing patient data with technology platforms that may not meet HIPAA requirements. Healthcare organizations must avoid uploading patient contact lists, demographic information, or treatment details to advertising platforms without proper authorization and business associate agreements.

Retargeting campaigns that track patient website visits or online behavior require careful evaluation to ensure no PHI is shared with advertising networks. Organizations should implement protections to prevent accidental transmission of patient information through website analytics, social media pixels, or advertising platform integration.

Patient Testimonials and Case Studies

Using patient stories, photographs, or treatment outcomes in promotional materials requires detailed authorization forms that specify exactly how patient information will be used. These authorizations must address potential future uses, distribution channels, and the duration of consent to prevent compliance violations when promotional materials are repurposed or distributed broadly.

De-identification of patient information offers an alternative to authorization but requires removing all identifying elements according to HIPAA standards. Organizations must ensure that demographic information, treatment dates, and outcome details cannot be combined to identify patients when creating promotional case studies or success stories.

Staff Training & HIPAA Marketing Compliance Violations

Employees involved in promotional activities need training on distinguishing between permissible healthcare communications and restricted promotional activities. Staff must understand authorization requirements, recognize when business associate agreements are necessary, and identify situations requiring legal review before implementing promotional campaigns.

Training updates address new promotional channels, new technology platforms, and changing regulatory interpretations of HIPAA requirements. Organizations should establish clear approval processes for promotional materials and designate compliance personnel to review campaigns before launch.

Common Violations

Recent OCR enforcement cases display the penalties incurred for using patient information in promotional materials without authorization, sharing PHI with advertising vendors without business associate agreements, and failing to honor patient requests to opt out of promotional communications. These violations result in significant financial penalties and corrective action requirements.

Healthcare organizations face scrutiny of their promotional activities, particularly digital advertising campaigns and patient outreach programs. Compliance programs must include audits of promotional materials, vendor relationships, and patient authorization procedures to identify and address potential violations before they result in enforcement actions.

replying to an email

Are Replies to Encrypted Emails also Secure?

Sending HIPAA-compliant emails is easy when you use an encryption solution like LuxSci. But what happens when someone replies to an encrypted message? Are the replies also secure? This is primarily a concern when using SMTP TLS as a secure means of email delivery. 

This article will explain how messages are sent securely, how replies behave, and whether they are secure and compliant. At the end, we provide some recommendations for how to balance security and usability. 

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LuxSci Third Party Integrations

The Risks of Third-Party Email Integrations for Healthcare Companies

Today’s healthcare organizations heavily rely on a variety of third-party organizations for a range of services and products. This includes applications (i.e., SaaS solutions), suppliers, partners, and other companies depended upon to serve their patients and customers.

As the healthcare industry evolves, companies will need to increasingly collaborate with external parties, or business associates, which creates several dependencies and risks.

In particular, third-party email platforms are integral to the operations of healthcare companies, and the sensitive nature of protected health information (PHI) contained in email communications raises the stakes exponentially.

This post analyzes the main risks associated with third-party email integrations. From there, we detail the most effective measures for safeguarding your company from the dangers of an insecure integration with an email delivery platform.

What Are The Risks of Third-Party Email Integrations?

Email applications are a pillar of the modern workplace, enabling companies to communicate almost instantly and facilitating greater productivity and efficiency. Email has transformed the speed at which transactions can take place and individuals receive the product or service they’ve purchased.

Consequently, the importance of email communication and the vast amounts of sensitive data it encompasses, makes it a contrast target – or “attack vector” for cybercriminals. Hackers and other malicious actors know that if they can infiltrate an organization’s email system, they have the potential to steal vast amounts of private or proprietary data. Just as alarmingly, they may simply use an insecure email platform as a backdoor into a company’s wider network, assuming greater control over their systems in an effort to maximize their financial gain or inflict maximum damage to an organization.

For healthcare companies with ambitious patient engagement goals, sharing protected health information (PHI) with a reliable third-party email provider is mandatory. Unfortunately, this comes with a litany of risks, which include:

  1. Data Breaches: weak security features in third-party email providers can expose PHI. 
  2. Misconfigured Permissions: misconfigurations and a lack of oversight control can result in personnel at third parties having excessive access to PHI.
  3. HIPAA Non-Compliance – if the integration does not support encryption, audit logs and other features mandated by HIPAA, you may drift into non-compliant territory.
  4. Financial Implications: violating HIPAA regulations can result in financial penalties, including fines and compensation to affected parties. 
  5. Reputational Damage: companies that fall victim to cyber attacks, especially through negligence, become cautionary tales and case studies for cybersecurity solution vendors. Data exposure that comes from an insecure email platform integration can have disastrous effects on your company’s reputation. 

Therefore, mitigating the risks of integrating a third-party email platform into your IT infrastructure, platforms and systems is crucial. This includes customer data platforms (CDP), electronic health record systems (EHR) and revenue cycle management platforms (RCM). Let’s move on to specific strategies on how to do so and, subsequently, better safeguard your organization’s PHI. 

How To Mitigate Email Integration Risk

Now that you have a better understanding of the potential risks that come with integrating an insecure third-party email solution into your IT ecosystem, let’s look at risk prevention. Fortunately, several strategies will significantly lower the risk of malicious actors getting their hands on the sensitive patient data under your care. Let’s take a look:

Verify A Third-Party Vendor’s Security Practices

Before sharing PHI with a vendor, ensure they have a strong cybersecurity posture. This makes sure they have measures such as encryption, access control (or identity access management (IAM), and continuous monitoring solutions in place, in addition to conducting regular risk assessments.

Similarly, it’s crucial to research an email provider’s reputation, including how long they’ve been in operation, the companies they count among their clients, and their overall standing within the industry. 

Business Associate Agreements (BAAs)

A business associate agreement (BAA) is a legal document that’s required for HIPAA compliance, when sharing PHI with third-party vendors, such as email services. It ensures that both you and the vendor formally agree to comply with HIPAA regulations and your respective responsibilities in protecting patient data.

Without a BAA, the above point about verifying a vendor’s security practices is moot. If they’re not willing to sign a BAA, their security stance is irrelevant, as your organization would have violated HIPAA regulations by not signing a BAA. More to the point, a HIPAA compliant email vendor will be eager to highlight their willingness to sign a BAA, as it advertises their ability to safeguard PHI and aid companies in achieving compliance. 

Encrypting PHI

Encryption needs to be a major consideration when it comes to integrating a third-party email services provider. Adequate encryption measures ensure that sensitive data is protected even in the event of its exfiltration or interception. Sure, the hackers now have hold of the PHI, but with proper encryption policies and controls, it will be unreadable, preserving the privacy of the individuals affected by the data leak.

With this in mind, encryption measures that mitigate third-party email integrations include automated encryption, which ensures PHI is always encrypted without the need for manual configuration, and flexible encryption, which matches the encryption level with the security standards of your recipients. 

Threat Intelligence

Unfortunately, cybersecurity never stands still. With the ever-evolving nature of cyber threats, healthcare organizations must keep up with the latest dangers to patient data. This means creating a process for discovering, and acting upon, the latest threat intelligence.

This could entail signing up for a threat intelligence service, or retaining the periodic services of an external threat intelligence expert. 

Developing An Incident Response Plan For Vendor-Related Breaches

The alarming reality of securing PHI is that, even with robust safeguards in place, such as continuous monitoring, a process for acquiring the latest threat intelligence, and generally following the advice outlined in this post, data breaches are still a stark reality. Cyber criminals will always target healthcare organizations, due to the value and sensitivity of their data and systems. Worse, even as security measures grow more effective, the tools that malicious actors have at their disposal become more sophisticated. It’s an arms race, and one that’s only been exacerbated by the introduction of AI, with both security professionals and cyber criminals honing their use of it for their respective purposes.

Taking all this into consideration, having a comprehensive incident response plan in place ensures your organization responds quickly and effectively to cyber threats, or even suspicious activity. Your incident response plan should:

  • Detail what employees should do if they suspect malicious activity.
  • Outline steps for investigation and containment.
  • When and how to notify affected parties.
  • Processes for disaster recovery and retaining operational continuity.

While it’s vital to develop a general incident response plan, having a specific set of protocols for security breaches caused by third-party vendors is especially prudent.

Choose a HIPAA-Compliant Email Provider

An efficient and convenient way of mitigating the risks of third-party email integrations is to deploy a HIPAA compliant email delivery platform for communicating with patients and customers.

Being well-versed with the safety requirements of healthcare organizations, HIPAA compliant email software features all the security required to safeguard PHI. In deploying a HIPAA compliant email provider, you also implement several of the strategies outlined above, such as encryption and signing a BAA (as a HIPAA compliant will offer a BAA). Accounting for this, taking the time to select the right HIPAA compliant email provider for your organization’s needs and goals should be a key part of your overall cyber threat defense strategy. 

Train Staff on Secure Email Communication Practices

Your staff is a considerable part of securing third-party email communications, so they must know the best practices for email security and safeguarding PHI. Comprehensive cyber threat awareness training ensures your personnel understand the risks of HIPAA non-compliance and follow the procedures you’ve set in place. Furthermore, the more responsibility an employee has in regards to PHI, the more comprehensive and regular their training needs to be.

Additionally, training, or “drilling”, if you will, on their roles in the incident response process increases its efficacy considerably and optimizes your response to attempts at unauthorized access to data. 

How LuxSci Mitigates the Risks of Third-Party Integrations

At LuxSci, we specialize in providing secure, HIPAA compliant solutions that enable healthcare organizations to execute effective email communications and marketing campaigns.

With more than 20 years of experience, and helping close to 2000 healthcare organizations with HIPAA compliant email services, LuxSci has developed powerful, proven tools that sidestep the vulnerabilities often associated with third-party email integration. To learn more about how LuxSci can help your organization address the risks of third-party email integration, contact us today.

LuxSci G2 Spring Reports

LuxSci Earns 22 G2 Spring 2025 Badges, Including “Best Support” and “Best ROI”

We’re excited to share that LuxSci has once again been recognized by G2, the world’s largest and most trusted software marketplace, in its Spring 2025 Reports—this time earning 22 new badges across multiple email security and encryption categories. This recognition reflects not only our unwavering commitment to secure healthcare communications, but also the trust and satisfaction of our valued customers, many of whom have been with us for years.

Among the standout G2 accolades:
🏅 Best Support – A badge that means the world to us, as we pride ourselves on offering the smartest, most responsive support in the HIPAA compliant email and communications industry.
💰 Best Estimated ROI – Demonstrates how LuxSci helps organizations maximize value from their investment in HIPAA compliant email communications – with better results like 98% deliverability.
📈 Momentum Leader – Highlighting the rapid adoption and growing impact of our secure healthcare ommunication solutions across email, text, forms and marketing.

A Spring of Recognition for LuxSci’s Secure Healthcare Communications Suite

This season’s G2 recognition spans our Secure Email, Secure Email Gateway, and Secure Text products, which are part of the LuxSci Secure Healthcare Engagement suite of solutions. These achievements reflect real user feedback, aggregated through verified G2 reviews, and they reinforce our commitment to providing the most flexible, scalable, and secure communication tools tailored for the evolving needs of healthcare organizations.

Whether you’re looking to scale secure high-volume email, build personalized communications and marketing campaigns, or accelerate workflows with multi-channel healthcare journeys, LuxSci delivers best-in-class performance and a proven HIPAA compliant solution for a wide range of healthcare communications use cases.

Why This Matters

In today’s digital healthcare landscape, secure, HIPAA-compliant email and communications are critical. But security alone isn’t enough. Providers, payers, and suppliers also need tools that are high-performing, delivered with expert support, and designed to drive business outcomes—from patient engagement to operational efficiency.

That’s where LuxSci stands out. With more than 20 years of experience, MIT roots, and a singular focus on delivering Secure Healthcare Communications, we offer customers not just software, but a strategic partner in transforming the healthcare journey and keeping patient and customer data secure.

Our recognition by G2 in categories like Support, ROI, and Momentum speaks directly to this value. It also confirms that with LuxSci, you’re not just choosing security and compliance—you’re choosing performance, personalization, and long-term success.

Explore What’s Possible with LuxSci

We invite you to discover how LuxSci can support your organization’s email communications and compliance goals. Contact us to learn more about our HIPAA-compliant solutions for secure email, marketing, forms, and text messaging—and why healthcare organizations like Athenahealth, 1800 Contacts, Rotech Medical Equipment, Delta Dental and Eurofins all use LuxSci as their trusted secure communications partner.