LuxSci

Creating Secure Web Forms: What You Need to Know

person filling out a secure web form on a laptop

Creating secure web forms starts with creating a secure website. This process is more complex than creating web pages and adding an SSL Certificate. A certificate is a solid first step, but it only goes so far as to protect whatever sensitive data necessitates security in the first place.

Naive attempts at security can ultimately make the data less secure and more likely to be compromised by creating an appetizing target for the unscrupulous.

So, what do you do beyond hiring a developer with significant security expertise? Start with this article. Its purpose is to shed light on many of the most significant factors in creating secure web forms and how to address them. At a minimum, reading this article will help you intelligently discuss website security with the developers you hire.

person filling out a secure web form on a laptop

What Is Involved In Creating Secure Web Forms?

If you want to add a secure web form to your website, first, you must understand how to securely configure the website. Website security is a serious and complex topic; this article only discusses the high points. Check out some of our other articles and eBooks for more detailed information on website security.

Here are some of the critical issues that need to be considered:

  1. SSL – Is the website and form secured to transmit data from the end user safely? Is your website form page protected with SSL to prevent tampering with its contents?
  2. Web page content – Is the HTML content sent to the end-user protected from Cross-Site Scripting (XSS) issues, and does it avoid loading objects insecurely or from third parties?
  3. Script Security – Are the scripts or programs that process the submitted data written with security in mind? Do they have any vulnerabilities?
  4. Infrastructure – Is the website hosting provider trusted and known for good security? Are you on a shared server when you should be on a dedicated one?
  5. Data Flows – What do you do with the data once submitted? Is that data secured?
  6. Tracking – Do you track events such as data access and submission?
  7. Archival and Backup – Are there processes to make backups and permanent archives of important data?

SSL – Web Security Starts Here

SSL certificates are required for creating a secure website and form. The SSL certificate allows:

  1. The encryption of data sent to and from your web server and users to prevent eavesdropping or tampering.
  2. Your users trust that they are connecting to your website securely.

An SSL certificates on a properly configured web server encrypts your website data as it flows to and from your end users.

To get an SSL certificate, you can order one directly from a third party, or your web hosting provider will handle it for you. In either case, the web host will need to install the certificate on the server where the website is hosted, and then you will need to make changes to your site to take full advantage of the secure channel you have added.

SSL and Encryption

The most significant reason people use SSL is to encrypt the data transmitted from their website and the end-user. When an end-user visits a page protected by SSL, their web browser communicates over a secure channel with the web server so that all data transmitted is sent over this encrypted channel. This helps prevent eavesdropping and man-in-the-middle attacks on the data (more on these below).

Without SSL encryption, there is little or no protection of the data.

SSL and Trust

The most overlooked and misunderstood aspect of SSL is the establishment of trust. That is, enabling your end-users to trust and feel confident that they are connecting to your website. What else could they be connecting to, you may ask?

  1. Someone with access to the network between the end-user and website could be trying to intercept and read all the web traffic or altering your website pages themselves (e.g., changing your forms to submit the data to them instead of you). This is called a man-in-the-middle attack. Even with SSL security, a man-in-the-middle can present the end-user with an SSL Certificate for your domain name that looks legitimate, like a forged ID card.
  2. The user could be visiting another website that is pretending to be yours. This phishing website could collect information from your users for malicious purposes. Unless your users identify this site as illegitimate, they could be duped into revealing personal information. How could they end up at a phishing website like this? This can happen by clicking on a link emailed to them or by visiting a misspelled version of your URL. No site is immune from such attacks, but you can work to mitigate them.

SSL Certificates and Cybersecurity

As mentioned above, SSL certificates are not the sole website and form security solution, but they can help! To understand how it’s worth looking at how certificates are awarded. SSL certificates are signed by a third-party authority, the “Certificate Authority.” This can be:

  1. You, if you sign your certificates.
  2. A respected third-party issuing:
    1. A cheap or free certificate validating only your domain.
    2. A more expensive “Extended Validation” certificate which also validates your organization.

If you sign your own certificates, your website will generate warnings when anyone visits it. Users can choose to dismiss them, but more commonly, they will be more likely to navigate away from the website. For this reason, self-signed certificates are never recommended for a public website. Self-signed certificates provide no inherent trust that they are legitimate (anyone can generate one and pose as your site). They look amateurish and are annoying to the end user. Self-signed certificates should only be used in internal or test environments.

When ordering a certificate from a trusted third-party authority, there are various types that you can order. The cheapest ones are called domain-validated certificates. These work by emailing your domain administrator a validation link. Once verified, the certificate is awarded. These domain-validated certificates are acceptable and provide excellent security; however, as no humans are directly involved in the validation process, it may be easier for an attacker to get an illegitimate certificate by gaining control of the admin’s inbox or via other methods.

You can also order Extended Validation certificates. They cost more because real people validate the organization and your domain ownership. They make phone calls and ensure that everything looks right. If you have one of these certificates, your browser’s address bar turns green (or displays a lock symbol) when visitors come there to indicate that this site is trusted. If you want to maximize trust and make it easy for your end-users to identify your site as legitimate, you should use an Extended Validation certificate. These cost more but are well worth it in terms of security and trust. If EV certificates are outside your budget, you should still use an SSL certificate from some trusted third party.

Securing Web Forms with SSL

Once your website has an SSL certificate installed by a web host, your web pages can be accessed with addresses that start with “https://” instead of just “http://.” The “s” in “https” means “secure.” Note:

  1. When connected to a web page using a secure address like “https://yourdomain.com,” the web browser will show a lock icon to inform you that the connection is secure.
  2. Web pages that end in “.shtml” are not necessarily secure. The “s” means “server” (i.e., server-parsed page) and not “secure.” So, for example, “http://yourdomain.com/index.shtml” is not a secure page, but “https://yourdomain.com/index.html” is a secure page.
  3. With SSL enabled, you can access the same page securely and insecurely in many default web server configurations. Both “http://yourdomain.com/form.html” and “https://yourdomain.com/form.html” work and show the form — the only difference is the use of SSL or not.

So, let’s say that you have a web form located at “http://yourdomain.com/form.html.” You have an SSL certificate, and your web host has installed it. Next, you want to:

  1. Make sure people connect securely to the form page.
  2. Make sure that no one can connect to the form page insecurely.

These two goals might sound the same, but they are not.

Enforce Secure Connections to Form Pages

Since regular website pages may be insecure, you need to ensure that the links to the secure form page are absolute links starting with the prefix “https://.” This will ensure that anyone clicking these links will be taken to the form page on a secure connection.

The best solution is to use an HSTS (HTTP Strict Transport Security), which tells browsers that they should always use the secure version of your website. If you choose to have both the insecure (http) and secure (https) versions of your site running at the same time (not recommended), then you need to be careful with linking so that sensitive pages are secured:

Wrong Links: Relative links are not recommended because, if the user is on an insecure page, relative links will always take them to insecure versions of the destination page. So relative links like the following should be avoided:

Fill out my form!

Correct Links: Absolute links will ensure a secure connection by specifying that SSL must be used via the link prefix “https://.”

For example: <a href=”https://yourdomain.com/form.html”>Fill out my form!

Be sure that all links to all secure pages of the site use this secure format with the “https://” prefix.

Side Note: These days, it is recommended that you use SSL for all website pages, not just ones that process sensitive information. This is good for user trust, security, and privacy. It is also good for Search Engine Optimization (as Google will reward you for securing your site). If you set up your site so all pages are always secure, relative links are safe.

Ensure No One Can Connect to Form Pages Insecurely

Using the above suggestions, all the links on your website will take users to the secure version of the form. However, most web hosts leave the insecure version of the form there, and users can still access it if they enter the insecure address directly (or if links are directed to the insecure page). As a next step, you should ensure that accessing the form page via an insecure connection is impossible.

There are several different ways that this can be done. Some of these include:

Separate space for SSL pages: If your web host has this feature, you can configure the website to store web pages for secure (SSL) connections in a different directory from those for insecure pages. If this feature is enabled, the form page is placed in the secure directory and no copies are in the insecure directory. Thus, any insecure requests for these pages would result in a “page not found” error. You could then implement server-side redirection rules where if someone requests the insecure page, they are automatically redirected to the secure version (this can be done using .htaccess files and the “Redirect” directive). If you did this, secure and insecure requests for the page would take the user to the secure version with no errors, warnings, or issues for the end user.

Scripted pages: If the form page is generated by a server-side script (i.e., PHP, Perl, Python, or JAVA), then the script itself can determine if the request is secure or not (e.g., by looking at the server environment variables). For secure requests, it can render the form as usual. The user receives an error for insecure requests or is redirected to the proper secure location. 

Securing all pages: (Recommended) The site can be configured to automatically redirect all requests for insecure pages to the respective secure page. All pages will be secure, and any accidental/incorrect requests for the insecure pages will still get people to the right place. Security is greatly improved if you have set this up.

If my form is posted to a secure form processing script, why does it need to be secured?

This question is usually asked when a third-party manages the form processing. Is securing the form itself with SSL needed?

The answer is based on the following facts:

  1. The data sent from end-users to the server will be secure and encrypted during transmission. This is critical for creating secure websites and forms that require HIPAA compliance.
  2. Non-technical end-users will only know if their data is securely submitted once it is done. Many end-users will refrain from submitting sensitive data to an insecure form on your site.
  3. End-users cannot know if they are viewing your website or a phishing site or if eavesdropping and modification are happening. Many users will not trust the connection and will not want to submit their data through your site if it appears insecure.
  4. If your form page is insecure, it is straightforward for any malicious party to perform a man-in-the-middle attack to eavesdrop on connections, modify your form in transit to change what is collected and where the data is sent, and set up phishing sites. Your end-users can’t tell if this is going on.

If you do not secure your web form with SSL, it is vulnerable to attack. If nothing is going on, you can rely on transmission security. However, that minimal level of security is not recommended for production websites or anywhere that compliance is required.

Other Aspects of Creating Secure Web Forms

Proper use of SSL for encryption and trust is only part of creating secure website forms. You must be concerned with many other aspects to protect your users, your application, and your company’s reputation. These include (but are not limited to):

1. Cross-Site Scripting (XSS). Suppose you include dynamic content on your web pages (i.e., information submitted by other users or content submitted via form fields), and that content is not cleaned of JavaScript and HTML. In that case, bad actors could make arbitrary content appear on your website, capture user data, or worse. All data displayed should be clear of undesirable content (script tags, special characters, HTML, and other things). This is one of the most significant security issues with dynamic web pages across the internet.

2. Secure Server-Side Programming: The scripts and programs that accept and process the data from online forms must be created with security in mind. They must validate all submitted data as needed without making assumptions about its format and content. The scripts must not provide avenues for attacks like SQL Injection. Scripts must not use submitted content as actual filenames or URLs for remote loading content. They should log any strange errors or problems for later analysis. They should provide a mechanism for blocking undesirable actions or users from using the scripts.

3. Validation: Validation of all input data is part of the above two points. However, it is so essential that we will repeat it and go over some of the fundamental points:

  • If you validate submitted content, always perform your validation on the server side. Even if you use JavaScript to validate the data on the client side, you should always re-validate it on the server side. Why? Because people can get around JavaScript and submit arbitrary content directly to your scripts. The scripts should be prepared to handle that.
  • Always de-taint submitted data. What does that mean? It means never trust submitted data and take pains to ensure that the submitted data matches what you expect. For example, if you have a select list that sends your script a number as the value, do not assume you are getting a number. Instead, check that it is a numeric value or convert whatever is submitted into a number.
  • Remove disallowed content from the text submitted by users. Remove or block special characters, embedded codes, and other things that should not be there.
  • Ensure the submitted data is manageable enough to be used.
  • Do not assume anything — program defensively.

4. Preserving State with Hidden Form Fields or Cookies: If your program remembers information from one page to another by saving the data in hidden form fields, then your program must also ensure that the content of those fields was not tampered with. One good way to do this is to make a hash of all the data, together with a secret value, and include that hash in the form data. Then, when the form is submitted, you can recompute the hash and compare it with what passed from the form. If they match, you are okay; if they do not, the data has been tampered with. No one can break this scheme without knowing your secret value or breaking your hashing algorithm. This method can also be used to validate data saved in cookies. You can go further and use time stamps to prevent replay attacks.

5. Third-Party Applications: If you install programs from third parties on your website, you must ensure there are no known security issues with these programs, and you must be sure to update these programs as soon as new versions are released. If you let your website languish with an older, vulnerable version of a program, it will become a target for hackers as they constantly search the internet for such websites. Your site will likely be hacked in these cases, possibly causing loss of business, deactivation of your website, and tarnishing your website’s reputation. Using a third-party application is easy, but you need to select a good one that places the burden of keeping it updated on you. An exception is using a third-party application hosted by the third party itself. In these cases, the third party ensures that the program is continuously updated with anything needed to address any security issues. The burden is on them and not you. If you choose a good, respectable vendor, you should have no problems.

All these things, and more, are critical to developing a secure web application.

Securing the Form Data After Submission

Ensuring that users’ data is transmitted securely to your web server is critical, as is ensuring that your application is secure and will not be hacked. To secure sensitive data, you must understand what happens to that data after your program receives it. Many people forget that transmitting the data from the web server may require just as much preparation as receiving it from their users in the first place.

In the following subsections, we will look at three different ways of saving and retrieving your users’ data. In each case, we will explain what is needed to secure the data in your systems.

Send Form Data via Email 

The most common action data processing scripts do is email the submitted data to the website owner’s email address. The website owner knows when there are new submissions by checking their email and can access the data immediately. Most people running websites check their email reasonably often, which integrates well with their business operations.

However, the standard ways of sending emails are entirely insecure. So, how can you use email while ensuring the data is secure and viewable only by the intended recipient?

  1. Have your website script encrypt the data.
  2. Send this encrypted data (or a link to download the encrypted data) to the intended viewers via regular email.

As the form data is encrypted within the email message, most insecurities inherent in email are obviated. You can also use secure third-party services to have your form data emailed to you securely without programming anything yourself.

Save the Submission in a Database

Many website owners like to save the submitted form data in a database (even if it is also emailed to someone). Why?

  1. The data is saved online and potentially accessible from anywhere.
  2. If the emailed copies of the data are lost, the copies in the database are still there.
  3. The database can be accessed through a web browser with a suitable user interface.
  4. The data is typically backed up and can be restored.

If storage in an online database is for you, then you need to:

  1. Use encryption, like SSL or PGP, to ensure the data is securely stored in the database. Why? The contents of database tables are not encrypted or secure in general. Storing unencrypted data makes it available to anyone with access to the database or its backups.
  2. Provide a user interface that allows you to access the database data. It must be secure, have robust access controls, and provide a means for decrypting the data.

The database option requires much work to make a secure and usable solution. For this reason, most small organizations do not end up using secure database storage for important form data.

Save the Data in Files

The file storage option is the “quick and dirty” alternative to secure database storage. Essentially, your program will:

  1. Make a file containing the form data.
  2. Encrypt that file using PGP or SSL.
  3. Save that encrypted file in a directory on the web server that is not accessible from the website. Another option is to save it in an online file-sharing service.

Then, the website owners can log in to the web server using Secure FTP and download these files as needed. They can be decrypted locally when the data must be accessed. Other simpler data access mechanisms are available if the files are saved in an online file share.

This solution is secure and provides an excellent backup to securely emailed data.

Other Technical Tips for Creating Secure Website Forms

There are many other considerations in developing and maintaining a secure website and forms. It would be impossible to cover or even list them all. However, here are some more interesting and valuable tips.

Use Secure Cookies

If your secure site uses cookies for anything, set the “secure” cookie and the “httpOnly” flags. This will ensure that these cookies are never sent insecurely over the internet when the visitor arrives at any insecure pages of your website (they are not sent at all to insecure pages) and thus helps preserve the security of the contents of these secure cookies.

Prevent Form Spam

Form spam occurs when automated programs find your web forms and try to send spam through them. Form spam can result in hundreds or thousands of useless form posts daily. Once you start getting form spam, stopping it is a priority. There are two primary ways to help prevent spam:

  1. CAPTCHA – This method requires end-users to read text embedded in an image and type that text successfully into a form field. The back-end program then validates this. Since most spam programs cannot read text embedded in images, it will successfully block almost all automated forms spam. However, CAPTCHA requires the users to perform one more step, which can be annoying.
  2. JavaScript and Cookies – Most automated form spam programs do not process JavaScript or use cookies. If your web form requires JavaScript to submit the form successfully, bots cannot do this, and most form spam will be blocked. This method is less reliable than CAPTCHA but does not require any extra work from the end-user. Note that if you wish to use the JavaScript method, you must be sure that arbitrary submissions to the default action URL of your forms will never succeed—only submissions made after the execution of your custom JavaScript should succeed.

Minimize the Need for Trust

A good rule of thumb is to minimize the need to trust third parties and trust only the trustworthy.

  1. If you do not trust your internal IT staff, do not host your web application on your servers or give them access to the server used.
  2. If you do not trust the third-party hosting your website, encrypt the form data as soon as possible. This helps ensure that the data is not saved anywhere in plain text and is not backed up in plain text, thus minimizing your exposure to unauthorized people. Further, ensure that the private keys and passwords needed to decrypt the data are not stored on the web host’s servers.
  3. Ensure that only authorized staff can access the submitted form data. Ideally, it should always be encrypted, and only authorized people should be able to decrypt it.

These are just a few obvious points. As you evaluate your web application and data flow, ask yourself, “Who can access the raw data and how?” at each stage. Are there stages where you are trusting people who should not be trusted?

Forced use of strong encryption in SSL

The strength of encryption used by SSL is a function of both the user’s web browser and the server. Even if your web server supports excellent encryption, like AES256, the user’s browser may choose a weaker level of encryption. Older versions of Internet Explorer are notable for choosing weaker encryption in the interest of speed.

You can modify your web server configuration so that only levels of encryption you approve can be used to access your site.

Use Two-Factor Authentication

Two-factor authentication is standard on very secure sites now. You require a password and something else (a code or token) to validate their identity. With both, the user can log in. Avoid using only SMS texting as the second factor, which is no longer considered secure.

Get Started Creating Secure Web Forms

Outsourcing your form hosting and processing can be the fastest and most cost-effective way to get started. LuxSci’s Secure Form was designed for security and compliance. Contact us today to learn more about protecting sensitive information online.

Picture of Erik Kangas

Erik Kangas

With 30 years engaged in to both academic research and software architecture, Erik Kangas is the founder and Chief Technology Officer of LuxSci, playing a core role in building the company into the market leader for HIPAA compliant, secure healthcare communications solutions that it is today. An international lecturer on messaging security, Erik also advises and consults on email technology strategies and best practices, secure architectures, and HIPAA compliance. Erik holds undergraduate degrees in physics and mathematics from Case Western Reserve University, and a doctoral degree in computational biophysics from MIT. Erik Kangas — LinkedIn

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LuxSci G2 2026

LuxSci Earns 19 G2 Spring 2026 Badges

LuxSci continues its strong performance in the G2 Spring 2026 Reports, earning 19 badges that reflect real customer satisfaction and consistent product excellence across multiple areas, including email encryption, HIPAA compliant messaging, email security and email gateways.

G2: A Highly Reputable Peer Review Platformn

In a crowded software landscape, it’s easy for bold claims to blur together. That’s where G2 stands apart. Its rankings are based entirely on verified user feedback, giving buyers a clearer picture of how solutions actually perform in day-to-day use, not just how they’re marketed.

For Spring 2026, LuxSci earned recognition across multiple categories, including Leader, Best Customer Support, and Best ROI. Together, these awards show that LuxSci delivers leading technology and a best-in-class customer experience.

What the Badges Represent

Each G2 badge reflects direct input from customers using LuxSci in real-world environments. These evaluations cover usability, onboarding, support responsiveness, and long-term value. LuxSci’s Spring 2026 badges span leadership, customer satisfaction, ROI, and ease of implementation, demonstrating consistent strength across the full customer lifecycle.

Leader Badge: Market Leadership Validated

The Leader badge is awarded to companies with high customer satisfaction and strong market presence. LuxSci’s placement reflects reliable performance, strong security, and continued trust from organizations operating in highly regulated environments like healthcare.

Best Customer Support: A Standout Strength

In secure healthcare communications, timely and accurate support is essential. Issues must be resolved quickly to avoid operational or compliance risks. Customers consistently highlight LuxSci’s fast response times, deep expertise, and a hands-on approach, showing that our technology and our people deliver meaningful, real-world solutions.

Best ROI: Proven Business Value

ROI includes reduced compliance risk, improved efficiency, and scalable operations, not just cost. Customers report measurable benefits from LuxSci’s reliability, built-in compliance, and streamlined workflows, leading to strong long-term value and a solution that keeps you ahead of security and compliance risks.

What This Means for LuxSci Customers

These awards show LuxSci’s ability to serve organizations of varying sizes, from mid-market to enterprise. All reviews are from verified users, ensuring authenticity and transparency. Customers consistently mention reliability, security, and responsive support, along with overall peace of mind. The recognitions validate LuxSci’s ability to deliver secure, dependable communication solutions backed by strong support, including HIPAA compliant email, marketing and forms.

LuxSci’s 10 G2 Spring 2026 badges—including Leader, Best Customer Support, and Best ROI—demonstrate consistent excellence across performance, usability, and customer satisfaction. These results reinforce its position as a trusted provider in secure communications.

LuxSci MFA

Traditional MFA No Longer Qualifies as “Reasonable” Security

For years, multi-factor authentication (MFA) was considered one of the most effective ways to protect sensitive systems. By requiring a second verification step, such as a text message code or push notification, organizations could significantly reduce the risk of compromised passwords.

But the threat landscape has changed.

Today, attackers routinely bypass traditional MFA using techniques such as MFA evasion, token replay attacks, and consent phishing. These methods are no longer rare or highly sophisticated. They are widely used, automated, and increasingly effective.

As a result, regulators, auditors, and security frameworks are raising expectations for authentication security. For healthcare organizations in particular, traditional MFA alone may no longer satisfy the HIPAA requirement to implement “reasonable and appropriate safeguards.”

In the near future, email systems that rely only on basic MFA, without conditional access or phishing-resistant authentication, may increasingly be viewed as security gaps during risk assessments.

Why Traditional MFA Is No Longer Enough

Traditional MFA still improves security compared to passwords alone. However, many common MFA methods were designed before today’s phishing techniques and cloud authentication attacks became widespread.

Common MFA methods include:

  • SMS verification codes
  • Email-based authentication codes
  • Push notifications to mobile apps

While these mechanisms add friction for attackers, they can still be intercepted or manipulated during sophisticated phishing attacks. Because modern attackers now target authentication workflows directly, organizations relying solely on traditional MFA may be more vulnerable than they realize.

How Attackers Bypass MFA Today

Cybercriminals increasingly rely on tools that capture credentials and authentication tokens during login sessions. Three attack techniques are now especially common.

  • MFA Evasion and Phishing Proxies – Attackers frequently deploy adversary-in-the-middle phishing kits that sit between the user and the real login service. When users enter their credentials and MFA code on a phishing page, the attacker forwards the information to the legitimate site and captures the authentication session. The user successfully logs in—but the attacker gains access as well. If attackers capture those tokens, they can reuse them to access the account directly.
  • Token Replay Attacks – After successful authentication, systems typically issue session tokens that allow users to remain logged in without repeated MFA prompts. This technique has been widely observed in attacks targeting cloud email platforms such as Microsoft 365, allowing attackers to access email data even when MFA is enabled.
  • Consent Phishing – Consent phishing bypasses MFA entirely. Instead of stealing passwords, attackers trick users into granting permissions to malicious applications that request access to their mailbox or files. If users approve the request, the attacker’s application receives persistent access to the account through APIs—often without triggering security alerts.

Why Email Authentication Matters Most in Healthcare

Email remains one of the most critical systems in healthcare organizations. It supports patient communication, internal collaboration, and the exchange of sensitive information. Unfortunately, it is also the most frequently targeted entry point for cyberattacks.

Once attackers gain access to an email account, they can:

  • Impersonate healthcare staff
  • Launch internal phishing attacks
  • Access sensitive patient communications
  • Extract protected health information (PHI)

Because of this, email authentication controls are becoming a major focus for security teams and compliance auditors alike.

Evolving Regulatory Expectations

HIPAA does not prescribe specific technologies, but it requires organizations to implement safeguards that are “reasonable and appropriate” based on risk. As new attack methods emerge, the definition of reasonable security evolves.

Today, many security frameworks and regulatory bodies are emphasizing stronger identity protections, including:

  • Phishing-resistant authentication
  • Conditional access policies
  • Monitoring for suspicious login behavior
  • Controls for third-party application permissions

Organizations that rely solely on basic MFA may increasingly struggle to demonstrate that their authentication protections are sufficient.

The Shift Toward Phishing-Resistant Authentication

To address the weaknesses of traditional MFA, many organizations are adopting phishing-resistant authentication technologies, which can be enabled with tools like Duo and Okta. These solutions rely on cryptographic authentication tied to trusted devices, which prevents attackers from capturing or replaying login credentials.

Examples include:

  • Hardware security keys
  • Passkeys
  • Certificate-based authentication

Because authentication is tied to both the device and the legitimate website domain, these technologies significantly reduce the success rate of phishing attacks.

Why Conditional Access Is Becoming Essential

Conditional access adds another layer of protection by evaluating context and risk before granting access. Instead of treating every login the same, conditional access policies analyze signals such as:

  • Device security status
  • Geographic location
  • Network reputation
  • User behavior patterns

If something appears unusual, such as a login from a new country, the system can require stronger authentication or block the attempt altogether. This risk-based approach to authentication helps prevent many account compromise scenarios.

The Future of HIPAA Risk Assessments

As authentication threats evolve, healthcare security assessments are increasingly focusing on identity protection maturity. Organizations may begin seeing findings related to:

  • Weak or outdated MFA methods
  • Lack of conditional access policies
  • Insufficient monitoring of login activity
  • Unrestricted third-party application permissions

In particular, email systems without advanced authentication protections may be flagged as high-risk vulnerabilities, especially when PHI is accessible.

LuxSci’s Modern Approach to MFA

Modern threats require more than a simple second login factor. LuxSci approaches authentication security with layered identity protection designed specifically for healthcare environments.

Instead of relying solely on basic MFA methods like SMS codes or email verification, LuxSci supports stronger authentication controls and policies that align with evolving security expectations. These protections can include:

  • Strong multi-factor authentication options
  • Monitoring for unusual login behavior
  • Enhanced identity verification mechanisms

By combining multiple security layers within its HIPAA-compliant secure communications email and marketing solutions, LuxSci helps healthcare organizations protect sensitive email communications while maintaining usability for providers, health plan administrators, payment providers, and patient engagement teams.

Conclusion

Multi-factor authentication remains an important security control—but not all MFA is created equal. Attack techniques such as phishing proxies, token replay, and consent phishing have demonstrated that traditional MFA methods can be bypassed. As a result, regulators and auditors are increasingly expecting stronger identity protections.

For healthcare organizations that rely heavily on email communications, the implications are significant. Weak authentication controls can expose sensitive patient data and may soon appear as high-risk findings during HIPAA risk assessments. The organizations best positioned for the future will be those that modernize authentication strategies now, moving toward phishing-resistant methods, conditional access policies, and layered identity protection.

Reach out to LuxSci today to learn how HIPAA compliant email can support both your organization’s engagement and cybersecurity needs.


FAQs

1. What is traditional MFA?

Traditional MFA refers to authentication methods that require a second verification step, typically SMS codes, email codes, or push notifications.

2. Why can attackers bypass MFA today?

Modern phishing tools can intercept authentication sessions or steal login tokens, allowing attackers to access accounts even when MFA is enabled.

3. What is phishing-resistant authentication?

Phishing-resistant authentication uses cryptographic methods tied to trusted devices, preventing attackers from capturing login credentials.

4. Why is email security especially important for healthcare organizations?

Email systems often contain patient communications and sensitive information, making them a common target for cyberattacks.

5. How can organizations improve authentication security?

Organizations can strengthen identity security by adopting phishing-resistant authentication methods, implementing conditional access policies, and monitoring login activity.

LuxSci Automated Email Encryption

Encryption Optional Email Will Fail Audits in 2026 and Beyond

For years, healthcare organizations have relied on click-to-encrypt email workflows and secure portals as a practical compromise between usability and compliance. Or in some cases, they simply thought most of their emails did not need to be compliant. In regulated industries where data security and privacy are paramount, this approach was still considered “good enough.”

That era is ending.

As we progress into 2026 and beyond, regulators, auditors, and cyber insurers are sending a clear and consistent message: encryption that depends on human choice is no longer acceptable. It’s already happening. Encryption optional email isn’t merely raising concerns, it’s failing audits outright.

An Email Threat Landscape That’s Changing Faster Than Email Habits

Historically, email encryption was treated as a best practice rather than a hard requirement. If an organization could demonstrate that encryption tools existed and that employees had access to them, auditors were often satisfied. The box was checked, everybody moved on.

Today, the questions auditors ask are fundamentally different. Instead of asking whether encryption is available, they are asking whether sensitive data can ever leave the organization unencrypted. If the answer is yes, even in rare cases, or even accidentally, that’s no longer viewed as an acceptable gap. It’s viewed as inadequate control.

Why 2026 Is a Tipping Point for Email Security

Several forces are converging here in 2026 that make optional encryption increasingly untenable. Regulatory scrutiny around PHI and PII exposure continues to intensify. Breach costs and litigation are rising, with email remaining one of the most common vectors for data exposure and breaches. AI is also changing the game for cybercriminals, and attacks will continue to increase and be more sophisticated. As a result, cyber insurers are tightening underwriting requirements and demanding stronger, more predictable controls.

At the same time, email user behavior is unpredictable and inconsistent, which is a non-starter for data security in today’s world.

Taken together, these trends and behaviors point to a single requirement: email security controls must be automated. They must be enforced by systems, not dependent on employee memory, judgment, or good intentions.

The Reality of “Encryption Optional” in Practice

On paper, optional encryption can sound reasonable. In practice, it creates gaps large enough to open you up to a breach.

Secure portals are a good example. They require recipients to click a link, authenticate, and access content in a controlled environment. While this protects data in transit, and is a better approach than no security at all, it also introduces friction. And people don’t like friction. Senders forget to use the portal. Recipients ask for “just a quick email instead.” Shortcuts are taken to save time. And every shortcut becomes a risk.

Click-to-encrypt systems suffer from a similar problem. They rely on users to correctly identify sensitive data and remember to take action. But people often misclassify information, forget to click the button, or assume someone else has already secured the message. From an auditor’s perspective, this isn’t a training failure. It’s a set-up and control failure.

Email Security Defaults Are the New Normal

The latest message from regulators, auditors, and insurers is clear. If encryption is optional, data vulnerabilities become inevitable.

What can you do?

Below is a quick email security checklist to help you get started. Cyber insurers may require or recommend the following safeguards during the underwriting process, such as:

  • Multi-factor authentication (MFA)
  • Endpoint protection
  • Encrypted backups
  • Incident response planning
  • Encryption protocols for sensitive data in transit and at rest, including PHI in emails

In 2026 and beyond, healthcare organizations and regulated industries will be judged not by what they allow, but by what they prevent. Automated, encrypted email is the new. normal.

Want to learn more about LuxSci HIPAA compliant email? Reach out today.

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

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HIPAA Compliant

Is Google Forms HIPAA Compliant?

Google Forms is not HIPAA compliant by default and cannot be used to collect protected health information (PHI) without additional measures. While Google Workspace can be configured for HIPAA compliance with a signed Business Associate Agreement (BAA), this agreement specifically excludes Google Forms from covered services. Healthcare organizations must use alternative form solutions designed for healthcare data collection to maintain HIPAA compliance.

Understanding HIPAA Requirements for Digital Forms

Digital forms used by healthcare organizations must meet specific security and privacy standards to comply with HIPAA regulations. Any platform collecting patient information needs encryption during transmission, access controls, audit logging, and secure data storage. Forms must include proper patient authorization language and maintain data confidentiality throughout processing. Google’s consumer products, including the standard version of Google Forms, lack many of these required security features. Healthcare providers who collect PHI through non-HIPAA compliant systems risk substantial penalties for HIPAA violations.

Google Workspace and Business Associate Agreements

Google offers a Business Associate Agreement (BAA) for its Google Workspace (formerly G Suite) business customers. This agreement establishes Google as a business associate under HIPAA and defines responsibilities for protecting healthcare information. However, Google explicitly excludes certain services from its BAA coverage, including Google Forms. The BAA typically covers Gmail, Google Calendar, Google Drive, and similar core services when properly configured. Healthcare organizations attempting to use Google Forms for PHI collection, even with a signed BAA, would violate their agreement terms and HIPAA regulations.

Security Limitations of Google Forms

Google Forms lacks several technical safeguards required for handling protected health information. The platform does not provide adequate access controls to limit form data visibility within organizations. Audit trail capabilities for tracking who has viewed or downloaded form responses do not meet HIPAA standards. While Google implements basic transport layer security, the form data storage and transmission methods were not designed for highly regulated healthcare information. The platform also lacks features for obtaining and documenting patient authorization as required under the HIPAA Privacy Rule.

Alternative HIPAA Compliant Form Solutions

Healthcare organizations have various compliant alternatives for collecting patient information electronically. Purpose-built healthcare form platforms include advanced security features like end-to-end encryption, detailed access logging, and healthcare-specific authorizations. These specialized systems integrate with electronic health records and secure messaging systems while maintaining compliance. Many vendors provide HIPAA compliant form solutions with documentation templates for common healthcare scenarios. Organizations can evaluate these alternatives based on factors like cost, ease of use, integration capabilities, and compliance certification.

Implementation Requirements for Compliant Forms

Regardless of the chosen platform, healthcare organizations must implement specific procedures when collecting patient information through electronic forms. Staff training on handling form data securely plays a crucial role in maintaining compliance. Organizations need documented policies for form creation, approval processes, and data retention schedules. Form systems require regular security assessments and updates to address emerging vulnerabilities. Compliance officers should review all form collection processes to ensure they meet current HIPAA requirements and organizational security standards.

Common Misunderstandings About Google Services and HIPAA

Many healthcare organizations misinterpret Google’s BAA coverage, incorrectly assuming all Google services become HIPAA compliant with a signed agreement. This misunderstanding leads to compliance violations when organizations use excluded services like Google Forms for patient information. Another common error involves using personal Google accounts rather than properly configured Google Workspace accounts with appropriate security settings. Organizations sometimes fail to recognize that collecting even basic patient information through non-compliant systems violates HIPAA when that information qualifies as protected health information under the regulations

HIPAA Compliant

Is Wix HIPAA Compliant?

Wix is not HIPAA compliant for healthcare websites that collect, store, or process protected health information. Wix does not offer Business Associate Agreements and lacks the necessary security features required for handling patient data under HIPAA regulations. While Wix provides user-friendly website building tools and basic security measures like SSL certificates, these features do not satisfy the requirements for healthcare data protection. Healthcare organizations need specialized platforms if they plan to handle protected health information on their websites.

Wix Platform Limitations for Healthcare

Wix website building tools focus on ease of use rather than healthcare compliance requirements. The platform uses shared hosting infrastructure that may lack the data isolation needed for sensitive health information. User authentication systems in Wix do not provide the access controls required by HIPAA regulations. Form data collected through Wix stores information in ways that don’t align with healthcare privacy requirements. The platform may lack adequate audit logging capabilities to track who accesses patient information and when. Data backup systems do not include the encryption guarantees needed for protected health information. These structural limitations prevent Wix from serving as a platform for healthcare websites with patient data.

Business Associate Agreement Status

Healthcare organizations require Business Associate Agreements (BAAs) from any service provider handling protected health information. Wix does not offer BAAs for its website building platform or hosting services, making it legally impossible to use Wix for websites collecting or displaying patient information, regardless of added security measures. Wix does not offer HIPAA assurances or a BAA for its website platform; Wix advises customers not to use Wix in a way that causes Wix to handle PHI. Healthcare providers may assume website builders automatically support healthcare regulatory requirements without checking BAA availability.

Form Collection and Data Storage

Many healthcare websites collect patient information through online forms. Wix form builders store submitted information in ways that don’t meet HIPAA requirements. Form data typically resides in the Wix database without the encryption needed for protected health information. The platform lacks documentation about data storage locations and security measures applied to form submissions. Integration options for connecting form data to HIPAA compliant systems remain limited. Access to stored form data doesn’t include the detailed permission controls needed for healthcare information. These form handling limitations are challenging for healthcare websites that may need to collect patient information securely.

Acceptable Uses for Healthcare Organizations

Despite HIPAA limitations, Wix remains suitable for certain healthcare-related websites that don’t involve protected health information. Healthcare providers can use Wix for informational websites displaying services, provider details, location information, and general health resources. Marketing materials and educational content without patient-specific information work well on the platform. Healthcare organizations sometimes maintain separate websites, keeping public information on Wix while placing patient portals on HIPAA compliant platforms. This separation allows organizations to benefit from Wix’s user-friendly design tools for public-facing content while maintaining compliance for protected information.

Secure Alternatives for Healthcare Websites

Healthcare organizations have several alternatives for creating HIPAA compliant websites. Specialized healthcare website platforms include appropriate security measures and offer BAAs as standard practice. Content management systems like WordPress can be configured for HIPAA compliance with proper hosting and security implementations. Custom web development on compliant hosting environments provides maximum flexibility while meeting security requirements. Patient portal systems designed specifically for healthcare use include built-in compliance features. These alternatives typically require more technical knowledge or higher investment than Wix but provide the necessary security infrastructure for protected health information.

Website Compliance Assessment

Healthcare organizations should assess their website needs before selecting a platform. This process starts with determining exactly what information the website will collect and process. Organizations need policies defining what constitutes protected health information in their context. Security requirements should align with the sensitivity of information handled on the website. Budget considerations need to balance platform costs against compliance requirements and potential penalty risks. Technical resources available for website maintenance affect platform choices. This assessment helps organizations select appropriate website platforms and implement necessary security measures based on their needs

HIPAA Email Policy

How-To Guide: High Volume HIPAA Compliant Email

In a world of increasing and more frequent healthcare communications, secure, scalable, and HIPAA compliant email is a necessity for large scale operations. Whether you’re engaging patients, members, customers, or healthcare professionals, email remains one of the most effective and preferred channels for reaching people with timely, relevant information.

But when Protected Health Information (PHI) is involved, and your campaigns exceed tens or hundreds of thousands of emails per month, the challenge becomes more complex.

How do you scale email outreach without compromising data security, HIPAA compliance, deliverability, or performance?

To help answer that question Download the How-To Guide: HIPAA-Compliant High Volume Email Campaigns.

This educational guide is purpose-built for executives, compliance officers, IT security teams, and digital marketers across the healthcare ecosystem — including providers, payers, and suppliers — who are looking to advance their email communications to better engage with targets, increase conversions, and improve the patient experience — all while meeting the highest standards for privacy and security.

Why You Need This Guide

With more than 20 years of experience helping organizations securely deliver billions of healthcare emails and messages, at LuxSci we’ve seen just how challenging and mission-critical high volume email campaigns can be when HIPAA is in play and high performance is a requirement. Too often, teams are forced to choose between usability and security — leading to clunky workarounds, manual processes, or worse, non-compliance.

This guide lays out the foundation for doing things right from the start — so your organization can confidently scale email engagement, reduce operational inefficiencies, and improve outcomes without risking a breach.

Here’s a preview of what’s inside:

Understanding HIPAA Compliance in Email

The guide begins with a clear explanation of what qualifies as PHI — and how even something as simple as an email address can become identifiable under HIPAA rules. It explores how to:

  • Secure PHI both at rest and in transit
  • Choose the right encryption methods for different types of email (e.g. TLS vs. portal-based delivery)
  • Ensure you have a Business Associate Agreement (BAA) in place with any vendor handling PHI
  • Avoid common compliance pitfalls that lead to fines — some exceeding $2 million per year

Strategies for High Volume Email Success

Sending email at scale isn’t just a compliance issue—it’s a deliverability challenge. That’s why the guide also dives into the infrastructure and best practices needed to ensure your emails land in the inbox and not the spam folder. Highlights include:

  • Why using dedicated servers and IPs is critical for both security and performance
  • How to gradually warm up new IP addresses to establish a strong sender reputation
  • The importance of list hygiene, opt-in management, and CAN-SPAM compliance
  • How to implement SPF, DKIM, and DMARC to improve authentication and reduce spoofing risks

These insights are supported by real-world examples of how organizations are using PHI to personalize communications, closing care gaps, increasing patient satisfaction, and driving higher ROI.

Built for the New Era of Healthcare Engagement

At LuxSci, we believe that personalized healthcare communication can—and should—coexist with the highest standards of compliance and security. That’s why we’ve built hipaa compliant marketing solutions like our Secure High Volume Email and Secure Marketing solutions to empower healthcare teams to reach the right people, with the right message, at the right time — safely.

Download the Guide Today

Whether you’re launching a new patient outreach campaign, looking to streamline transactional emails, carrying out a healthcare email marketing campaign, or planning to scale communications across your business, this guide offers the practical insights and technical guidance you need to move forward — securely and compliantly.

Download the How-To Guide: HIPAA-Compliant High Volume Email Campaigns.

Google Business Email HIPAA Compliant

Understanding Business Associate Agreements (BAAs) and Shared Responsibility

Modern-day healthcare organizations rely on a growing array of partners and vendors to provide them with the tools they need to effectively serve patients and customers.

However, while new digital solutions and healthcare ecosystems often result in greater productivity and efficiency, they also increase the number of third parties a company must communicate with and share protected health information (PHI), requiring a business associate agreement (BAA). Unfortunately, this increases the risk of PHI being exposed, as it increases a healthcare organization’s supply chain network and the number of external organizations with access to their data, significantly raising the risk of a security breach.

This is where the concept of shared responsibility comes in.

In this article, we explore the shared responsibility model for data security, explaining the concept, the role of a BAA in shared responsibility, and why healthcare companies need to know how it works and where it factors into their HIPAA compliance efforts. 

What Is The Shared Responsibility Model? 

Shared responsibility is a core data security principle that divides the responsibility for protecting data between a company that collects the data and a vendor that supplies the infrastructure or systems used to process said data.

The shared responsibility model grew in prominence as more companies moved to cloud-based environments and applications. In the past, when companies kept their systems and data onsite, they had more control over who could access their data and, subsequently, a better ability to mitigate data security risks.

However, in adopting cloud-based infrastructure and applications, companies have to process and store their data in the cloud – often in shared infrastructure with other vendors using the same cloud – which consequently shifts some of the responsibility of information security to the cloud service provider (CSP) itself. This marked a profound shift in the way data was handled, transmitted, and stored – necessitating an evolved approach to data security.

This fundamental shift in the way companies consume infrastructure and use apps ushered in the shared responsibility model: Where the cloud vendor provides the infrastructure or application, including HIPAA compliant and high secure environments, but it’s still the responsibility of the client to configure and use it securely. 

Business Associate Agreements (BAAs) and Shared Responsibility

By detailing the respective responsibilities of healthcare companies or Covered Entities (CEs) and their vendors or Business Associates (BAs) in securing PHI, a Business Associate Agreement is a prime example of shared responsibility.

For example, the Business Associate shoulders the responsibility of providing the data safeguards required by HIPAA to secure patient data, such as infrastructure, encryption, audit logging, and even physical onsite security.

The Covered Entity, meanwhile, is responsible for conducting risk assessments, defining access control policies and processes, configuring services accordingly, workforce training, and continuous monitoring.

Additionally, both parties have the obligation to report security incidents to each other, as well as being independently accountable to the U.S. Department of Health and Human Services (HHS).

Why Shared Responsibility Is Essential for HIPAA Compliance

For healthcare companies, having a firm grasp of the shared responsibility model for safeguarding and securing PHI, and how they fit within your overall security posture is essential (for two key reasons).  

Security Gaps

Firstly, clearly understanding the shared responsibility decreases the likelihood of security gaps. If CEs are under the impression that the vendor handles all aspects of data security, they won’t be as vigilant. They’ll be less inclined to configure services, educate their staff accordingly, pay appropriate attention to vendor security alerts, etc.

But the same is also true for BAs: If they assume their client does most of the heavy lifting in securing the data disclosed to them, they could be remiss in their duties to protect it. Without shared responsibility, each side simply assumes the other is covering a safeguard, opening the door for security gaps that malicious actors can exploit.

Fortunately, by detailing both parties’ (CEs and BAs) responsibilities and liabilities regarding data protection, a BAA removes this ambiguity and, more importantly, reduces the risk of security gaps. It’s critical to know the details and work with vendors building products for compliance versus implementing a tick-box approach to compliance that places too much burden on the CE.

Covered Entities (CEs) Are Ultimately Accountable

Subsequently, the second reason why it’s essential for CEs to understand the shared responsibility model, and increase their cybersecurity readiness accordingly, is that it’s the CE that’s ultimately held accountable for data breaches.

Mistakenly thinking that a BAA automatically makes them compliant may result in healthcare companies underinvesting in training, monitoring, and incident response. Conversely, understanding that even with a BAA in place, they’re the ones primarily accountable for protecting PHI gives them a greater sense of urgency to properly implement HIPAA compliant security measures. 

The Covered Entity’s Role Within Shared Responsibility

Let’s look at the ways that healthcare companies have to hold up their end in the shared responsibility model. 

Choose Compliance-Conscious Vendors 

First and foremost, companies have to choose the right vendors to supply them with HIPAA compliant services and solutions.

Look for companies that market themselves as HIPAA compliant and display a detailed understanding of HIPAA requirements, particularly the HIPAA Security Rule. Do your due diligence and perform deeper dives on potential vendors, researching their stated security features, reviews from existing clients, whether they have certifications like HITRUST – and if they’ve been involved in any data breaches.

Naturally, a core prerequisite of being a HIPAA compliant vendor is being willing to sign a BAA, so you can immediately rule out any vendors not willing to do so. For instance, some healthcare companies may assume they can use widely adopted solutions such as SendGrid, Mailchimp, but they don’t offer a BAA.

Once you’ve confirmed a vendor offers a BAA, look through it to establish its terms and determine if it covers the services you’re interested in. 

Configuration 

Another core component of shared responsibility is comprehensive configuration management. While the BA’s responsibility is to provide a secure solution that satisfies HIPAA requirements, it’s the CE’s responsibility to configure it securely to fit within their IT ecosystem. 

Features that often require configuration include: 

 

  • Access control: Role-based access, Zero Trust, Multi-Factor Authentication (MFA).
  • Encryption settings: Enabling encryption, choosing encryption type, enforcing forced TLS, enabling storage encryption.
  • Feature restrictions: Disabling default configurations that enable integration with non-compliant tools. 
  • Audit logging: Enabling audit logging and configuring log formats.
  • Retention settings: How long to retain audit logs and who is permitted to review them.

Finally, establishing a patch management strategy, i.e., when and how your organization applies software updates, is an important element of configuration.  While the vendor must release updates to fix security vulnerabilities discovered in their solutions, it’s up to healthcare companies to deploy the patches. 

Training

Regardless of how many security features a vendor bakes into their solutions, once deployed by a healthcare company, the tool is only as secure as the practices of their least security-conscious employee. Consequently, companies must train their staff on how to properly use a solution to process protected health information and sensitive data. The more an employee is required to handle PHI, the more thorough and frequent their training should be.

Key aspects of comprehensive cybersecurity training include:

  • Common cyber threats: what the most prevalent cyber threats are and how to recognize them.
  • Incident response: how to report a suspected security incident, i.e., who to contact and when. 
  • Specific solution training: how to securely use systems that process PHI
  • Scope awareness: knowing which services within your organization’s IT ecosystem are HIPAA-compliant and which are not

Reporting 

Although both healthcare companies and BAs have notification obligations to the HHS in the event of a data breach involving PHI, it’s the CE that bears most of the investigative burden.

Firstly, while a BA may report a security incident, it’s the CE’s responsibility to conduct a risk assessment to determine the probability of compromise of PHI, assess risk, and determine whether an official notification of a breach to HHS is necessary.

Secondly, BAs must notify the CE without unreasonable delay and no later than 60 days after discovery. Although BAs often wait to complete internal investigations before notifying the CE, the CE’s 60-day clock starts upon the BA’s discovery, not upon the BA’s report. Therefore, BA delays can create compliance risks for the CE.

To prevent this, where possible, you can include stricter contractual reporting timelines in the BAAs. This constantly keeps your company in the loop, ensuring you have sufficient lead time to complete your own investigations and your HIPAA-regulated deadlines.

LuxSci – Secure Healthcare Communications

Developed specifically to fulfil the stringent regulatory and ever-evolving data security needs of the healthcare sector, LuxSci’s secure email, text, marketing and forms solutions help companies protect PHI and personalize communications.

Equally as importantly, instead of leaving you to “figure it out” – pushing additional responsibility back onto your company – LuxSci has a reputation for the best customer support in the business, offering onboarding, detailed documentation, secure default configurations, and ongoing support to help navigate the murky waters of HIPAA compliance, while getting best-in-class performance out of your solution.

Contact LuxSci today to learn more or get a demo.