How do I fix the reputation of my IP address?

Business Solutions, HIPAA Compliant Email
LuxSci
May 11, 2021

It happens — you’re sending email messages without issue, and then suddenly emails are not being delivered, or they’re being flagged as spam. A little digging reveals that the problem is that your “IP reputation” is poor, and you need to fix it somehow.

What is IP Reputation?

Email service providers (e.g. AOL, Gmail, LuxSci) and email filtering systems (e.g. Barracuda, McAfee, Proofpoint, SenderScore) collaborate on and track the sending of unwanted emails to reduce the blight of email spam that continues to plague the Internet. Some of the significant factors that they track include:

Quantity of email sent from your IP address
The spam-like characteristics of these messages (based on spam filter analysis)
The number of spam complaints by recipients of these messages
The number of messages sent to invalid recipients or honey pots. Honey pots are email addresses that do not belong to real people and are traps for senders who have acquired these email addresses via web site scraping or some other illegitimate manner.

Put together, these factors end up determining the reputation of that IP address with respect to the sending of email messages. If the reputation becomes poor, then spam filters will start to quarantine or reject your email messages, resulting in poor deliverability.

What is the “bad neighborhood” effect?

If your sending server is in the same neighborhood as other sending servers, then its reputation can be affected by the others’ actions. The following are some well-known “bad neighborhoods”:

Public cloud servers (e.g. at Amazon). As these servers can be owned by anyone, they are often used for sending unwanted emails. As a result, if you use one of these servers, your IP address probably has a diminished reputation.
Big Internet Service Providers (ISPs). ISPs like Comcast always have problems with suppressing spam coming from their users’ systems (due largely to malware infecting end users and sending unsolicited emails from unsuspecting people’s machines). If you are sending messages directly from your ISP, your reputation can fluctuate wildly as a function of your neighborhood.

If you are suffering from the bad neighborhood effect, your choices are limited and simple:

You can talk to your ISP about the problem, but they may not take any action.
Instead of sending emails directly from servers in this location, you need to relay the messages through a third-party email sending service with a good reputation. This service should also scrub your messages, removing all trace of the tarnished IP of origin.

What can I do to fix IP reputation?

Assuming that you are not a victim of a bad neighborhood, you can take steps to repair the reputation of your server’s IP address. The first thing you need to do is stop sending outbound emails until you take further steps. This can be frustrating, but it is better to send no email than to continue sending problematic email.

Resolving your server reputation problem will take some work. You need to make sure that you’re only sending legitimate emails to real people, as doing this for a while will establish a track record of good sending for your server.

Review Email Lists and Message Content

To fix your IP reputation, take a look at the types of emails you are sending and who is receiving them.

Content. Review the actual content of the messages that you are sending. Make sure that it doesn’t sound like spam. Some software systems can help you analyze your message content for “spamminess.”
CAN-SPAM. Make sure that any bulk email is compliant with CAN-SPAM. Your purpose for emailing, identity, and method for unsubscribing should all be clear.
Sending Rate. Make sure that your server is not sending messages too fast to places like AOL, Yahoo, Google, etc. Pushing too many too fast is a red flag and can hurt your reputation.
Real Addresses. Sending to old or invalid email addresses does significant harm to your IP reputation. You need to review bounced emails and remove dead-end addresses from your lists.
Good Addresses. The single most important thing that you can do for your IP reputation is to send to only people who actually want and expect your email messages. This means, in particular:
1. Do not use or send to purchased lists.
2. Discard addresses obtained through scraping web pages or copied from directories or books.
3. You must get rid of all spam-trap and honey pot email addresses that you may have accumulated.
4. Eliminate all addresses that have not subscribed to your messages or with whom you do not have an existing business relationship.
5. Remove the addresses of all people that have requested to be unsubscribed or otherwise eliminated from future mailings.
6. Remove the addresses of all people that have complained that your messages are spam.

Items 1-3 relate to your message content and sending pattern and are fairly easy to address. The rest of the issues involve actively cleaning and managing your recipient lists. You need to clean all of your existing lists and then manage them going forward.

How do I clean my lists?

Cleaning mailing lists can be difficult and expensive without getting into more trouble with your IP reputation. We recommend the following steps, in the order presented. Depending on your current situation, you might not have enough information to perform them all — that will just increase the cost of the last step.

First, contact your email service provider or IT staff and:

Find a list of all of your bouncebacks and remove them
Find a list of all spam complaints and remove these recipients

Then, take your lists to FreshAddress, and use their SafeToSend email address validation service. It will take your lists, sanitize them, and then provide you with new, improved, and cleaned lists. SafeToSend will:

Validate. Ensure that email addresses are well-formatted, correspond to valid domain names that accept email, and match a working email address.
Correct. The addresses are checked for common spelling errors and typos and corrected as needed (e.g. @gmail.com instead of @gamil.com).
Protect. SafeToSend will identify and remove: spam trap email addresses, role accounts, disposable domains, fictitious and malicious email addresses, and addresses on “do not email lists” and FCC wireless domains.

After sanitizing your lists with SafeToSend and after removing people who have not opted-in to email messages, your delivery rate will skyrocket and complaints will plummet.

How long does it take to improve my IP reputation?

Sending a solid stream of messages with appropriate content to your new, safe list will reestablish your server’s IP reputation. However, it could take a number of days or even weeks to rebuild your reputation. It will depend on how much good email you are sending after repairing your content and lists. Poor IP reputation will continue to affect your email delivery rates as you rebuild that reputation.

To improve email deliverability quickly, the only other option is to relay your email out through a third-party email sending provider and having them scrub your server’s IP address. It won’t rebuild your IP reputation, though the lack of email being sent from your server can slowly improve its reputation to normal levels. However, if your reputation is due to poor lists, third-party email providers will not want your business and may terminate your account if they detect your use of bad email lists.

How do I maintain my lists?

Going forward, you need to be actively collecting bounceback and failure messages and removing these recipient addresses from your lists. Additionally, you need to be collecting spam complaints via feedback loops from the major email service providers (i.e. AOL, Yahoo, etc.) and remove these complainer addresses as well.

If you do not have the facility to capture bounces and feedback, you should use an email sending service that can take care of this for you.

List maintenance is critical. Failing to maintain your list will cause your IP reputation to gradually decline until your sending issues return.

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Why Healthcare Insurers Should Send Explanation of Benefits Statements Via Email

July 30, 2025
Pete Wermter

Explanation of Benefits statements or EOBs are mission-critical communications for health insurers because they ensure transparency, help detect billing errors or fraud, and most importantly, keep patients informed about their benefits and related payments.

However, the most conventional method of sending out EoBs, traditional mail, has several drawbacks that can prevent important information about healthcare coverage from reaching the intended recipient. This can leave policyholders in the dark about their healthcare coverage, which can lead to confusion and dissatisfaction with their insurance provider when they receive an unexpected medical bill. This can also drive up inbound calls into your claims department or contact center.

Because Explanation of Benefits statements contain the protected health information (PHI) of policyholders, insurers are bound by HIPAA (the Health Insurance Portability and Accountability Act) regulations to ensure their secure delivery. Consequently, the risks inherent to sending paper EoB statements in the mail not only have security implications but also potential consequences for non-compliance.

With all this in mind, this post discusses why healthcare insurers should send EoBs to their policyholders via secure email instead of traditional mail. We detail the various benefits of making the switch to electronic EoBs, which include enhanced security, better adherence to compliance regulations, and the opportunity to save millions of dollars per month.

Protecting Patient Privacy

The primary reason that insurance companies should shift to email EoBs as opposed to traditional mail is that it’s far more secure. Sending an EoB via email drastically decreases the risk of protected health information (PHI) getting into the wrong hands. When sent in paper form by mail, an EoB could be:

Lost, stolen or damaged in transit
Delivered to the wrong address
Not properly deposited in a letter or mailbox, then stolen
Intercepted within the intended address by another individual who lives at or has access to the residence.

As detailed later in this post, email also allows for various controls and processes, which mitigate the risks of unsuccessful message delivery.

Most importantly, secure email provides data encryption, which safeguards the sensitive patient data within EoBs during transmission and when stored by rendering it unreadable to malicious actors who might intercept it. Physical mail, in contrast, offers no such protection, as someone who intercepts a paper EoB form can simply open it and freely read its contents.

Finally, secure email delivery platforms feature identity verification and access controls that enable healthcare insurers to restrict access to PHI to authorized personnel, limiting its exposure. They also provide auditing capabilities to track access to patient data, and quickly identify the source of security breaches.

HIPAA Compliance Benefits

Because sending an Explanation of Benefits statement via email is more secure, and better protects any patient data contained within them, this also reduces the risk of HIPAA compliance violations.

First and foremost, HIPAA regulations mandate that communications containing PHI, such as EoBs, must securely reach the intended recipient. By eliminating the risk of physical interception or non-delivery, and the compliance violations from a resulting security breach, insurers can better adhere to HIPAA regulations using email for sending EOBs. On a similar note, the security features built into a HIPAA compliant email platform, such as encryption, access controls, and audit logs, help insurers to satisfy the requirements of HIPAA’s Privacy and Security Rules in their compliance efforts.

Another considerable benefit of using secure email to send policyholders their EoBs, or, in fact, any communication containing PHI, is that it’s far easier to implement breach notification protocols. Email delivery platforms provide real-time tracking, so companies can pinpoint email message failures quickly and act accordingly. Similarly, intrusion detection systems and other cybersecurity measures that support email systems can enable faster detection and containment of data breaches.

In stark contrast, physical mail is far more difficult to track – and even those limited capabilities are reserved for more expensive delivery options. Consequently, security breaches via mail could go unnoticed for days or even weeks. If you’re unaware of a data breach, or have not yet contained or mitigated it, you’re then unable to inform all affected parties, resulting in further HIPAA violations.

Increased Deliverability Rates

By greatly mitigating the security risks presented by physical mail, i.e., the various ways an EoB could fall into the wrong hands, sending an EoB by email increases your ability to get more EOBs into the hands of policyholders, more quickly. At the same time, policyholders can make faster decisions regarding their healthcare.

The ability to track secure email gives you greater control over EOB deliverability, as it allows organizations to determine the cause of delivery failure and can also make subsequent attempts. Additionally, the process of determining the reason for the message delivery failures can also reveal security issues; the same process, however, is very difficult to achieve with traditional mail.

Here’s how the typical protocol for resending a secured email goes beyond what you can do with managing traditional mail delivery:

Determine the cause of non-delivery: verify that the intended recipient information is correct and check for issues like a full email inbox or security misconfigurations.
Don’t automatically resend: to avoid exposing PHI to the wrong person, confirm the intended recipient’s email address through an alternative verified channel, e.g., phone call, secure SMS, etc.
Log the incident: document the delivery failure, steps taken to determine its cause, attempts, etc.
Reattempt message delivery: if the investigation deems it safe, attempt message redelivery with the corrected information.

In the event that subsequent delivery attempts fail, it’s best practice to contact the individual to arrange the most convenient and secure alternative to deliver their EoBs.

Cost Savings

Simply put, sending Explanation of Benefits statements via email instead of traditional mail saves health insurers money – potentially lots of it. Processing EOBs from start to finish can cost health insurers one to two dollars or more per EOB. That’s a lot. The biggest opportunity for cost reduction is tied to the money saved on printing and mailing paper EoB statements. Additionally, the cost of administering the delivery of EoB forms, ensuring their delivery, etc., is lowered when it’s done electronically. Not to mention, resending EoBs in the event of their non-delivery is much easier and cheaper via email.

In a broader sense, increasing the deliverability and the success rate of sending EoBs helps a larger number of policyholders better understand the details of their insurance coverage, i.e., how it works, which services and procedures it covers, etc. As a result of their policyholders being more informed, insurers won’t spend as much time explaining policy details and cost breakdowns to their members, allowing them to divert the otherwise required resources to other areas of the business.

Reduced Carbon Footprint

Finally, it’s difficult to highlight the benefits of sending EoBs to policyholders by email without recognizing the positive environmental impact, too. Email EoBs cut down on paper, for both the forms themselves and the envelopes they’re mailed in. Then there’s the matter of the electricity and ink involved in printing them, the emissions produced in their delivery, etc. Opting to send EoBs via email reduces all these factors, which enables healthcare organizations to lower their carbon footprint and, where applicable, meet their sustainability obligations or goals.

Deliver EoBs More Securely, Reliably, and at Lower Cost with LuxSci

LuxSci’s Secure High Volume Email Solution enables healthcare insurance companies to instantly send Explanation of Benefits statements to policyholders at a massive scale, extending into hundreds of thousands or millions per month.

Our HIPAA compliant email delivery platform features:

Dedicated IPs that isolate critical transactional messages, such as EoBs, from other email traffic, allowing LuxSci customers to reach deliverability rates of 98% or more.
Real-time tracking for determining the delivery status of EoBs, as well as troubleshooting unsuccessful delivery attempts.
Flexible encryption through LuxSci’s proprietary SecureLine Technology, which automatically adjusts encryption settings according to the recipient to better ensure the protection of sensitive data.

Know the Biggest Email Threats Facing Healthcare Right Now

July 16, 2025
Pete Wermter

Due to its near-universal adoption, speed, and cost-effectiveness, email remains one of the most common communication channels in healthcare. Consequently, it’s one of the most frequent targets for cyber attacks, as malicious actors are acutely aware of the vast amounts of sensitive data contained in messages – and standard email communication’s inherent vulnerabilities.

In light of this, healthcare organizations must remain aware of the evolving email threat landscape, and implement effective strategies to protect the electronic protected health information (ePHI) included in email messages. Failing to properly secure email communications jeopardizes patient data privacy, which can disrupt operations, result in costly HIPAA compliance violations, and, most importantly, compromise the quality of their patients’ healthcare provision.

With all this in mind, this post details the biggest email threats faced by healthcare organizations today, with the greatest potential to cause your business or practice harm by compromising patient and company data. You can also get our 2025 report on the latest email threats, which includes strategies on how to overcome them.

Ransomware Attacks

Ransomware is a type of malware that encrypts, corrupts, or deletes a healthcare organization’s data or critical systems, and enables the cybercriminals that deployed it to demand a payment (i.e., a ransom) for their restoration. Healthcare personnel can unwittingly download ransomware onto their devices by opening a malicious email attachment or clicking on a link contained in an email.

In recent years, ransomware has emerged as the email security threat with the most significant financial impact. In 2024, for instance, there were over 180 confirmed ransomware attacks with an average paid ransom of nearly $1 million.

Email Client Misconfiguration

While a healthcare organization may implement email security controls, many fail to know the security gaps of their current email service provider (ESP) or understand the value of a HIPAA compliant email platform, leaving data vulnerable to email threats, such as unauthorized access and ePHI exposure, and also, subsequently, a greater risk of compliance violations and reputation damage.

Common types of email misconfiguration include:

Lack of enforced TLS encryption: resulting in emails being transmitted in plaintext, rendering the patient data they contain readable by cybercriminals in the event of interception during transit.
Improper SPF/DKIM/DMARC setup: failure to configure or align these email authentication protocols correctly gives malicious actors greater latitude to successfully spoof trusted domains.
Disabled or lax user authentication: a lack of authentication measures, such as multi-factor authentication (MFA), increases the risk of unauthorized access and ePHI exposure.
Misconfigured secure email gateways: incorrect rules or filtering policies can allow phishing emails through or block legitimate messages.
Outdated or unsupported email client software: simply neglecting to download and apply the latest updates or patches from the email client’s vendor can leave vulnerabilities, which are well-known to cybercriminals, exposed to attack.

Social Engineering Attacks

A social engineering attack involves a malicious actor deceiving or convincing healthcare employees into granting unauthorized access or exposing patient data. Relying on psychological manipulation, social engineering attacks exploit a person’s trust, urgency, fear, or curiosity, and encompass an assortment of threats, including phishing and business email compromise (BEC) attacks, which are covered in greater depth below.

Phishing

As mentioned above, phishing is a type of social engineering attack, but they are so widespread that it warrants its own mention. Phishing sees malicious actors impersonating legitimate companies, or their employees, to trick victims into revealing sensitive patient data.

Subsequently, healthcare organizations can be subjected to several different types of phishing attacks, which include:

General phishing: otherwise known as bulk phishing or simply ‘phishing’, these are broad, generic attacks where emails are sent to large numbers of recipients, impersonating trusted entities to steal credentials or deliver malware.
Spear phishing: more targeted attacks that involve personalized phishing emails crafted for a specific healthcare organization or individual. These require more research on the part of malicious actors and typically use relevant insider details gleaned from their reconnaissance for additional credibility.
Whaling: a form of spear phishing that specifically targets healthcare executives or other high-level employees.
Clone phishing: when a cybercriminal duplicates a legitimate email that was previously received by the target, replacing links or attachments with malicious ones.
Credential phishing: also known as ‘pharming’, this involves emails that link to fake login pages designed to capture healthcare employees’ usernames and passwords under the guise of frequently used legitimate services.

Domain Impersonation and Spoofing

This category of threat revolves around making malicious messages appear legitimate, which can allow them to bypass basic email security checks. As alluded to above, these attacks exploit weaknesses in email client misconfigurations to trick the recipient, typically to expose and exfiltrate patient data, steal employee credentials, or distribute malware.

Domain spoofing email threats involve altering the “From” address in an email header to make it appear to be from a legitimate domain. If a healthcare organization fails to properly configure authentication protocols like SPF, DKIM, and DMARC, there’s a greater risk of their email servers failing to flag malicious messages and allowing them to land in users’ inboxes.

Domain impersonation, on the other hand, requires cybercriminals to register a domain that closely resembles a legitimate one. This may involve typosquatting, e.g., using “paypa1.com” instead of “paypal.com”. Alternatively, a hacker may utilize a homograph attack, which substitutes visually similar characters, e.g., from different character sets, such as Cyrillic. Malicious actors will then send emails from these fraudulent domains, which often have the ability to bypass basic email filters because they aren’t exact matches for blacklisted domains. Worse still, such emails can appear authentic to users, particularly if the attacker puts in the effort to accurately mimic the branding, formatting, and tone used by the legitimate entity they’re attempting to impersonate.

Insider Email Threats

In addition to external parties, employees within a healthcare organization can pose email threats to the security of its PHI. On one hand, insider threats can be intentional, involving disgruntled employees or third-party personnel abusing their access privileges to steal or corrupt patient data. Alternatively, they could be the result of mere human error or negligence, stemming from ignorance, or even fatigue.

What’s more, insider threats have been exacerbated by the rise of remote and flexible conditions since the onset of the COVID-19 pandemic, which has created more complex IT infrastructures that are more difficult to manage and control.

Business Email Compromise (BEC) Attacks

A BEC attack is a highly targeted type of social engineering attack in which cybercriminals gain access to, or copy, a legitimate email account to impersonate a known and trusted individual within an organization. BEC attacks typically require extensive research on the targeted healthcare company and rely less on malicious links or attachments, unlike phishing, which can make them difficult to detect.

Due to the high volume of emails transmitted within the healthcare industry, and the sensitive nature of PHI often included in communications to patients and between organizations, the healthcare industry is a consistent target of BEC attacks.

BEC attacks come in several forms, such as:

Account compromise: hijacking a real employee’s account and sending fraudulent messages.
Executive fraud: impersonating high-ranking personnel to request urgent financial transactions or access to sensitive data.
Invoice fraud: pretending to be a vendor asking for the payment of a fraudulent invoice into an account under their control.

Supply Chain Risk

Healthcare organizations increasingly rely on third-party vendors, including cloud service providers, software vendors, and billing or payment providers to serve their patients and customers. They constantly communicate with their supply chain partners via email, with some messages containing sensitive patient data; moreover, some of these organizations will have various levels of access to the PHI under their care.

Consequently, undetected vulnerabilities or lax security practices within your supply chain network could serve as entry points for email threats and malicious action. For instance, cybercriminals can compromise the email servers of a healthcare company’s third-party vendor or partner, and then send fraudulent emails from their domains to deploy malware or extract patient data.

Another, somewhat harrowing, way to understand supply chain risk is that while your organization may have a robust email security posture, in reality, it’s only as strong as that of your weakest third-party vendor’s security controls.

Download LuxSci’s Email Cyber Threat Readiness Report

To gain further insight into the biggest email threats to healthcare companies in 2025, including increasingly prevalent AI threats, download your copy of LuxSci’s Email Cyber Threat Readiness Report.

You’ll also learn about the upcoming changes to the HIPAA Security Rule and how it’s set to impact your organization going forward, and the most effective strategies for strengthening your email security posture.

Grab your copy of the report here and begin the journey to strengthening your company’s email threat readiness today.

What is the Best HIPAA Compliant Email?

July 10, 2025
Erik Kangas

The best HIPAA compliant email contains strong security features with ease of use and reasonable pricing. Top options include properly configured Google Workspace or Microsoft 365 accounts with Business Associate Agreements in place. Look at HIPAA compliant email platforms that offer encryption, access controls, audit logging, and secure mobile access while fitting their practice size, budget, and technical capabilities.

HIPAA Compliant Email Features

Healthcare professionals require email systems with particular security capabilities to protect client communications. Any HIPAA compliant email must include automatic encryption that works without requiring clients to create accounts or remember passwords. You need detailed access logs that document when messages were sent, received, and viewed. Message recall capabilities help address accidental disclosures before they become compliance issues. Calendar integration supports secure appointment scheduling and reminders. Mobile access controls ensure therapists can communicate safely from smartphones and tablets during off-hours or between office locations. Document sharing features allow secure exchange of intake forms and treatment plans. These capabilities help therapists maintain compliant communications while managing their practice efficiently.

Popular HIPAA Compliant Email Platforms

Several email providers offer solutions well-suited to mental health professionals. Hushmail for Healthcare includes features designed for therapists with web-based secure forms for client intake and customizable email templates. Paubox delivers encrypted email that works without requiring recipients to take extra steps, making it ideal for client communications. Virtru integrates with existing Gmail or Outlook accounts to add HIPAA compliant protections without changing email addresses. Google Workspace and Microsoft 365 provide affordable options when properly configured with appropriate security settings and covered by Business Associate Agreements. Smaller therapy practices often prefer these mainstream platforms for their familiarity and integration with other practice tools.

Security Considerations for Healthcare Communications

Secure healthcare communications require thoughtful security approaches due to their sensitive nature. HIPAA compliant email should include protections against phishing attacks that might target patient information. Data loss prevention tools identify and secure messages containing sensitive information even when users forget to enable encryption. Account recovery procedures must balance security with practicality for small practices. Multi-factor authentication prevents unauthorized access even if passwords are compromised.

For example, healthcare personnel handling substance use disorder information need email systems that comply with both HIPAA and 42 CFR Part 2 requirements. Solutions should accommodate supervision relationships where communications may need controlled sharing with supervisors.

Client Experience and Usability Factors

The best HIPAA compliant email solutions balance security with positive client experiences. Buyers should evaluate how encryption affects the client’s process for reading and responding to messages. Some solutions require clients to create accounts or install software, while others deliver protected messages that open with minimal friction. Mobile compatibility matters as many clients prefer communicating from smartphones. Branding options allow therapists to maintain professional appearance in all communications. Automated responses help set appropriate expectations about response timing and emergency protocols. Client-facing secure forms streamline intake processes while maintaining compliance.

HIPAA Compliant Email Implementation for Medical Practices

Implementing secure email requires planning tailored to medical practice workflows. Solo practitioners need solutions with straightforward setup and minimal ongoing maintenance. Group practices benefit from centralized administration that enforces consistent security policies across all therapists. Practice management integration connects secure email with scheduling, billing, and documentation systems.

Transition planning helps migrate existing communications to new secure platforms without disrupting client relationships. Documentation templates ensure compliance with both HIPAA and professional ethical standards for electronic communications. Training materials must address both technical operation and appropriate clinical use cases. When implementing HIPAA compliant email practice admins should create workflow procedures that incorporate secure communication into their practice routines.

Cost Considerations For Selecting Email Services

Healthcare providers must balance security requirements with budget realities when selecting HIPAA compliant email. Pricing models vary significantly, with some services charging per user while others offer flat-rate plans better suited to solo practitioners. Additional fees may apply for features like secure forms, extra storage, or advanced security controls. Implementation costs include time spent on configuration, training, and client education about new communication methods. Some platforms offer discounted rates for professional association members or multi-year commitments. Buyers should calculate the total cost of ownership beyond monthly subscription fees, including technical support and compliance documentation. Affordable HIPAA compliant email options exist for practices of all sizes, but require thoughtful evaluation of both immediate pricing and long-term value.

Integrating Email with Broader Practice Security

HIPAA compliant email represents one component of comprehensive practice security. Email solutions should complement electronic health record systems while maintaining appropriate boundaries between clinical documentation and communications. Device management policies ensure therapists access email securely across computers, tablets, and smartphones. Backup procedures preserve communications while maintaining security protections. Incident response planning prepares therapists for addressing potential security issues or breaches. Regular security reviews evaluate whether email practices continue to meet evolving compliance requirements. By integrating email security with broader practice safeguards, therapists create communication systems that protect client information throughout its lifecycle.

What Is Email Marketing For Healthcare?

July 4, 2025
Erik Kangas

Email marketing for healthcare is targeted communication strategy that medical organizations use to engage patients, promote wellness services, share health education content, and encourage preventive care while maintaining regulatory compliance and patient privacy protections. This specialized approach helps healthcare providers, payers, and suppliers build stronger relationships with their communities through informative, valuable email communications. Email marketing for healthcare differs from traditional marketing because it must balance promotional objectives with medical ethics, patient trust, and strict privacy regulations. Understanding email marketing for healthcare helps medical facilities develop communication programs that support patient engagement, improve health outcomes, and grow their practices while respecting regulatory requirements and maintaining professional standards.

The Use of Email Marketing For Healthcare

Email marketing for healthcare encompasses several communication types including patient education newsletters, appointment reminders, wellness program promotions, and health screening campaigns. Patient education emails provide valuable health information, seasonal wellness tips, and disease management guidance that helps recipients make informed healthcare decisions. These educational communications build trust and establish healthcare organizations as reliable health information sources.

Appointment and follow-up communications use email to streamline patient care coordination, reduce no-show rates, and improve treatment adherence. Wellness program promotions encourage patients to participate in health screenings, fitness classes, vaccination clinics, and other preventive care activities. Event marketing emails promote health fairs, educational seminars, and community health initiatives that benefit both patients and the broader community. Service line marketing allows healthcare organizations to promote specific departments or specialties to patients who have expressed interest in related services. Women’s health programs, cardiac care services, and orthopedic treatments can be marketed to relevant audience segments based on demographic factors and self-reported health interests rather than protected medical information.

Patient retention campaigns use email to maintain ongoing relationships with existing patients, encouraging regular check-ups, annual screenings, and continued engagement with healthcare services. These campaigns focus on long-term health maintenance rather than immediate sales objectives.

Regulatory Framework and Privacy Considerations

Email marketing for healthcare must comply with HIPAA privacy regulations that govern how protected health information can be used for communication purposes. Healthcare organizations cannot use patient medical records, diagnosis codes, or treatment histories for marketing without explicit written authorization from patients. General health education content can be sent without authorization, but targeted campaigns based on specific health conditions require proper consent procedures.

The CAN-SPAM Act applies to all commercial healthcare emails, requiring truthful subject lines, clear sender identification, valid physical addresses, and functional unsubscribe mechanisms. Healthcare organizations must honor opt-out requests promptly and maintain suppression lists to prevent future unwanted communications. State privacy laws may impose additional requirements that healthcare organizations must research and implement. Business associate agreements become necessary when healthcare organizations use third-party email platforms or service providers to handle patient information during marketing activities. These agreements ensure that vendors maintain appropriate privacy protections and comply with healthcare industry regulations. Healthcare organizations remain responsible for ensuring their email marketing practices meet all applicable regulatory requirements.

Patient consent management requires systems to track when and how patients provided authorization for different types of marketing communications. Organizations need documentation showing patient consent for targeted campaigns and procedures for updating preferences when patients change their communication choices.

Technology Platforms and Integration Requirements

Email marketing for healthcare requires specialized platforms that provide HIPAA compliance features, data encryption, audit logging, and business associate agreements. These platforms must protect patient information during campaign creation, delivery, and performance tracking while maintaining security standards appropriate for healthcare data. Standard consumer email marketing platforms may not provide adequate privacy protections for healthcare communications.

Integration capabilities allow email marketing for healthcare systems to connect with electronic health records, patient management platforms, and appointment scheduling systems. These integrations enable automated campaign triggers based on appointment dates, discharge events, or routine care intervals without exposing sensitive medical information to unauthorized personnel. Single sign-on features allow staff to access email marketing tools using existing healthcare system credentials. List management functionality should support consent tracking, preference management, and compliance reporting requirements specific to healthcare organizations. Segmentation tools need to work with demographic and behavioral data rather than protected health information to maintain privacy compliance. Automated workflows can personalize communications based on publicly available information and patient preferences.

Security monitoring and audit trails provide detailed logging of who accesses patient information, what campaigns are created and sent, and how patient data is used for marketing purposes. These features support compliance demonstrations during regulatory reviews and help organizations investigate potential privacy incidents.

Patient Engagement and Content Strategies

Email marketing for healthcare should prioritize patient value and health outcomes over purely promotional messaging to build trust and encourage long-term engagement. Educational content performs better than sales-focused communications because patients appreciate receiving useful health information that helps them make better healthcare decisions. Content should be evidence-based, medically accurate, and reviewed by qualified healthcare professionals before distribution.

Personalization strategies must balance engagement benefits with privacy requirements and regulatory constraints. Basic personalization using names, preferred languages, and geographic information can improve response rates without requiring protected health information. More detailed personalization based on health interests or conditions requires explicit patient authorization and careful data management procedures. Timing and frequency considerations help healthcare organizations maintain patient engagement without overwhelming recipients with excessive communications. Different types of healthcare emails may require different sending schedules based on urgency, content type, and patient preferences. Appointment reminders need timely delivery, while educational newsletters can follow regular monthly or quarterly schedules.

Interactive content such as health assessment questionnaires, symptom checkers, and wellness challenges can increase patient engagement while providing valuable health information. These interactive elements should collect only necessary information and maintain appropriate privacy protections throughout the user experience.

Performance Measurement and Optimization

Email marketing for healthcare should be evaluated using metrics that reflect patient engagement, health outcomes, and organizational objectives rather than purely commercial success indicators. Appointment booking rates, health screening participation, and patient satisfaction scores provide more meaningful performance measurements than traditional marketing metrics alone. These healthcare-specific metrics demonstrate how email communications support patient care and organizational mission.

Patient feedback collection through surveys, focus groups, and direct communication helps healthcare organizations understand recipient preferences and identify areas for improvement. Regular feedback collection demonstrates commitment to patient-centered communication approaches and provides insights for optimizing future campaigns. Feedback should guide content development, timing decisions, and overall communication strategy adjustments. A/B testing can improve campaign performance by comparing different subject lines, content formats, sending times, and call-to-action approaches while maintaining compliance requirements. Testing should focus on elements that affect patient engagement and health outcomes rather than manipulative tactics that might undermine patient trust.

Long-term performance analysis helps healthcare organizations understand the cumulative impact of their email marketing efforts on patient relationships, care utilization patterns, and health outcomes. This analysis supports continuous improvement initiatives and demonstrates the value of patient communication investments to organizational leadership and stakeholders.

Understanding HIPAA Email Retention Requirements

May 22, 2025
Erik Kangas

HIPAA email retention requirements mandate that healthcare organizations preserve electronic Protected Health Information (ePHI) contained in email communications for specific time periods based on state and federal regulations. The HIPAA Privacy Rule requires covered entities to maintain documentation and policies related to patient information for at least six years from the date of creation or when last in effect. Email messages containing patient data become part of designated record sets and must be retained according to the same standards that apply to other medical records and administrative documents.

Healthcare organizations deal with complex retention obligations that vary by state, with some requiring longer preservation periods than the federal minimum. Understanding HIPAA email retention requirements helps organizations develop compliant policies while managing storage costs and operational efficiency.

Why Do Healthcare Entities Need Email Retention Policies?

Healthcare organizations need email retention policies to comply with legal obligations and support patient care continuity. Medical record laws in most states require healthcare providers to maintain patient information for specific periods, ranging from three years to indefinitely depending on the jurisdiction and type of information. Email communications that contain treatment discussions, appointment scheduling, or billing information become part of the medical record and fall under these retention requirements.

Litigation and regulatory investigations create additional drivers for email retention. Healthcare organizations may face lawsuits, malpractice claims, or regulatory audits that require access to historical communications. Courts can impose sanctions on organizations that fail to preserve relevant electronic communications, including email messages that contain patient information. The legal hold process requires organizations to suspend normal deletion procedures when litigation is anticipated or pending.

Patient care coordination benefits from accessible historical communications between providers, patients, and care teams. Retained email messages can provide context for treatment decisions, document patient preferences, and track care transitions between different providers or facilities. Quick access to communication history helps healthcare workers make informed decisions and avoid repeating previous discussions or recommendations.

Audit and compliance verification depend on comprehensive record retention that includes email communications. Regulatory agencies like the Office for Civil Rights may request documentation during HIPAA compliance investigations. Organizations that cannot produce required communications face potential violations and penalties. Strong retention policies ensure that audit trails remain intact and compliance documentation stays accessible throughout required timeframes.

Minimum Retention Period of HIPAA Emails

Federal HIPAA requirements establish a minimum retention period of six years for policies, procedures, and documentation related to patient information protection. This timeframe applies to administrative records rather than medical records themselves. Email communications that contain ePHI may need longer retention based on state medical record laws and the type of information contained in the messages.

State regulations create varying retention requirements that healthcare organizations must navigate. Some states require medical records to be retained for seven to ten years after the last treatment date, while others mandate longer periods for specific patient populations such as minors. Email communications that become part of the medical record inherit these extended retention requirements regardless of the federal HIPAA minimum.

Patient age considerations affect retention calculations for pediatric healthcare providers. Many states require medical records for minors to be retained until the patient reaches majority age plus an additional period, potentially extending retention requirements by decades. Email communications involving pediatric patients fall under these extended requirements when they contain treatment-related information.

Specialty practice requirements may dictate longer retention periods for certain types of healthcare information. Mental health records, substance abuse treatment communications, and occupational health information often have specific retention requirements that exceed standard medical record timeframes. Healthcare organizations practicing in these areas need policies that address the longest applicable retention period for their email communications.

What Types of Email Require HIPAA Retention?

Treatment-related email communications between healthcare providers require retention when they contain patient information or clinical decision-making discussions. Messages about diagnosis, treatment plans, medication management, and care coordination become part of the medical record. Email consultations between specialists, primary care providers, and other members of the healthcare team need preservation to maintain complete treatment documentation.

Administrative email communications containing patient information also fall under retention requirements. Appointment scheduling messages, insurance verification communications, and billing inquiries that include patient identifiers become part of designated record sets. Staff discussions about patient care policies or quality improvement initiatives may require retention depending on their content and regulatory implications.

Patient communication emails need careful evaluation to determine retention requirements. Direct email exchanges between patients and providers about symptoms, treatment questions, or care instructions become part of the medical record. Portal notifications, appointment reminders, and educational materials sent to patients may also require retention based on their content and relationship to patient care.

Business partner communications involving patient information require retention consideration under Business Associate Agreement terms. Email exchanges with laboratories, imaging centers, billing companies, and other business associates may contain patient information that falls under retention requirements. Organizations need clear policies about which communications with external partners require preservation and for how long.

How to Implement HIPAA Email Retention Systems

Email archiving systems provide automated solutions for capturing and preserving healthcare communications that contain patient information. Modern archiving platforms can identify emails containing ePHI through content analysis, keyword detection, and sender/recipient patterns. The systems automatically route qualifying messages to secure storage while applying appropriate retention schedules based on content type and regulatory requirements.

Legal hold capabilities within email retention systems allow healthcare organizations to suspend normal deletion schedules when litigation or investigations require preservation of communications. The systems can place holds on specific custodians, date ranges, or keyword-identified communications while maintaining normal retention processing for other messages. Legal hold functionality helps organizations avoid spoliation sanctions while managing ongoing retention obligations.

Search and retrieval functionality enables healthcare organizations to locate specific communications quickly during audits, litigation, or patient care needs. Advanced search capabilities allow users to find messages by date ranges, participants, keywords, or patient identifiers. The systems maintain indexing that preserves search functionality even as message volumes grow over time.

Storage management features help healthcare organizations balance retention requirements with cost considerations. Tiered storage systems can move older communications to less expensive storage media while maintaining accessibility for audit or legal purposes. Compression and deduplication technologies reduce storage costs without compromising compliance or retrieval capabilities.

Challenges of HIPAA Email Retention?

Storage cost escalation creates ongoing financial pressure as email volumes grow and retention periods extend. Healthcare organizations generate substantial email volumes daily, and retaining communications for years or decades can require significant storage investments. Cloud storage costs continue to increase as data volumes expand, particularly for organizations in states with extended retention requirements.

Data classification complexity arises when determining which email communications require retention under HIPAA versus other regulatory frameworks. Healthcare organizations may need to apply different retention schedules to communications based on content, sender, recipient, and applicable regulations. Manual classification processes become impractical with large email volumes, requiring automated systems that can accurately categorize communications.

System integration challenges emerge when email retention platforms need to work with existing healthcare IT infrastructure. Electronic health record systems, practice management platforms, and communication tools may not integrate seamlessly with retention systems. Data synchronization between platforms can create gaps in retention coverage or duplicate storage requirements.

Compliance monitoring becomes complex when retention policies span multiple regulatory frameworks and state jurisdictions. Healthcare organizations operating across state lines may need to apply the most restrictive retention requirements to ensure compliance in all jurisdictions. Tracking compliance across different retention schedules, legal holds, and disposal requirements requires sophisticated policy management capabilities.

How To Optimize HIPAA Email Retention Strategies

Policy standardization helps healthcare organizations create consistent retention practices across different departments and communication types. Clear guidelines about what communications require retention, how long they must be preserved, and when disposal is appropriate reduce confusion and compliance gaps. Standardized policies also simplify training and help ensure that staff members understand their retention responsibilities.

Technology automation reduces the manual effort required to classify and retain healthcare email communications appropriately. Advanced systems can analyze message content, identify patient information, and apply retention schedules automatically. Machine learning capabilities improve classification accuracy over time while reducing the burden on IT staff and healthcare workers.

Regular policy review ensures that retention practices keep pace with changing regulations and organizational needs. Healthcare organizations examine their retention policies annually to verify compliance with current federal and state requirements. Policy updates may be necessary when organizations expand into new states, add practice specialties, or adopt new communication technologies.

Staff training programs help healthcare workers understand their roles in email retention compliance. Training covers what types of communications require retention, how to handle legal holds, and when to escalate retention questions to compliance teams. Regular refresher training ensures that staff members stay current with policy changes and retention best practices as communication patterns evolve.

What are the Three Levels of Patient Engagement?

October 25, 2024
Erik Kangas

Patient engagement occurs across three levels: consultation, involvement, and partnership. These progressive levels describe how patients interact with healthcare systems and participate in their care decisions. Healthcare organizations design communication strategies, technologies, and care models to move patients through these engagement levels, ultimately improving health outcomes and patient satisfaction while reducing costs.

The Consultation Level of Patient Engagement

The consultation level marks the starting point for patient engagement in most healthcare settings. At this level, patients receive information about their health conditions and treatment options from healthcare providers. Communication flows primarily from provider to patient, with limited opportunity for patient input. Patients ask basic questions about their care but generally follow provider recommendations without substantial discussion. Healthcare organizations implement patient portals and educational materials to support information sharing at this level. Appointment reminders and basic health tracking tools help patients follow prescribed care plans. The consultation level of patient engagement meets minimum standards for informed consent but doesn’t fully utilize patient knowledge and capabilities in the care process.

The Involvement Level of Patient Engagement

As patients move to the involvement level of engagement, they become more active participants in their healthcare decisions. Providers seek patient input about preferences and priorities when developing treatment plans. Patients regularly track health metrics and report symptoms between appointments using digital tools and paper logs. Care teams establish two-way communication channels through secure messaging and follow-up calls. Patients receive education about their conditions that enables them to make more informed choices about treatment options. Healthcare organizations measure involvement through metrics like patient portal usage, appointment attendance, and treatment plan adherence. The involvement level of patient engagement creates more personalized care experiences while improving clinical outcomes through better treatment adherence and earlier problem identification.

The Partnership Level of Patient Engagement

The partnership level is the most advanced form of patient engagement, where patients function as true collaborators with their healthcare team. Patients and providers make decisions jointly, with providers offering medical expertise while respecting patient values and preferences. Care planning becomes a shared activity with mutually established goals and responsibilities. Patients access and contribute to their health records, adding context to clinical data. Healthcare organizations include patient advisors in program development and quality improvement initiatives. Technology platforms support robust data sharing between patients and providers, integrating patient-generated health data with clinical systems. The partnership level of patient engagement transforms the traditional healthcare hierarchy into a collaborative relationship that recognizes patients’ expertise about their own health experiences.

Factors Influencing Patient Engagement Levels

Several factors determine which level of patient engagement an individual can achieve at any given time. Health literacy affects patients’ ability to understand medical information and participate in decision-making. Cultural backgrounds influence expectations about patient-provider relationships and appropriate levels of involvement. Digital access and technology skills impact how effectively patients can use engagement tools. Chronic conditions often motivate higher engagement levels as patients develop expertise managing long-term health issues. Healthcare system design either facilitates or creates barriers to engagement through appointment scheduling, communication policies, and information accessibility. Provider communication styles and willingness to share decision-making power affect how comfortable patients feel increasing their engagement level.

Measuring Patient Engagement Across Levels

Healthcare organizations use various metrics to assess patient engagement at each level. Survey tools like the Patient Activation Measure (PAM) quantify patients’ knowledge, skills, and confidence in managing their health. Digital platform analytics track how patients interact with portals, mobile apps, and communication tools. Care plan adherence rates indicate how actively patients follow recommended treatments and lifestyle changes. Patient-reported outcome measures capture health improvements resulting from engagement activities. Healthcare utilization patterns often shift as engagement levels increase, with fewer emergency visits and more appropriate preventive care. These measurement approaches help organizations track progress in their patient engagement initiatives and identify areas needing improvement.

Strategies for Advancing Patient Engagement

Healthcare organizations implement targeted strategies to help patients advance through engagement levels. Communication training for clinical staff develops skills in shared decision-making and patient activation. Technology selection focuses on tools accessible to diverse patient populations with varying digital literacy. Care team redesign creates roles dedicated to patient education and self-management support. Process improvements reduce barriers to engagement by simplifying scheduling, communication, and information access. Population segmentation allows for personalised engagement approaches based on patient characteristics and needs. Incentive structures for both providers and patients reward activities that increase engagement levels. Through these strategic approaches, healthcare organizations create environments where patients can progress toward more active participation in their healthcare.

Benefits of Advancing Patient Engagement Levels

Moving patients to higher engagement levels creates substantial benefits for individuals and healthcare systems. Patients experience improved health outcomes as they become more knowledgeable and confident managing their conditions. Clinical quality measures improve through better treatment adherence and more effective care planning. Healthcare costs often decrease with reductions in unnecessary services and better chronic disease management. Patient satisfaction increases when care aligns more closely with individual preferences and priorities. Provider satisfaction improves through more productive interactions and shared responsibility for health outcomes. Healthcare organizations that successfully advance patient engagement across all three levels position themselves for success in value-based payment models that reward better outcomes and patient experiences.

Know the Requirements for Sending HIPAA-Compliant Emails

July 30, 2024
LuxSci

Sending HIPAA-compliant emails continues be a core requirement for effective healthcare engagement, including for care management, patient and customer communications, and preventative care, as well as for marketing and data collection efforts. At the same time, patient and customer protected health information (PHI) can never be compromised, making it critical to understand the risks and requirements for sending HIPAA-compliant emails.

The Risks of Non-Compliance

Data Breaches: Failing to send HIPAA-compliant emails can lead to data breaches. When patient information is sent through unsecured channels, it becomes vulnerable to unauthorized access. This not only jeopardizes patient and customer privacy but also opens up the possibility of identity theft and fraud. Personal medical details falling into the wrong hands is a nightmare scenario that can easily be avoided with proper email security measures.
Hefty Fines and Legal Action: Failing to adhere to HIPAA regulations can result in significant fines and legal action. The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is vigilant in enforcing HIPAA rules, and violations can lead to penalties ranging from thousands to millions of dollars, depending on the severity and negligence involved. For any healthcare organization or associated business, these financial penalties can be devastating.
Loss of Trust: The loss of trust from patients and customers can be an irreversible blow to your reputation. In a field where confidentiality is a requirement, mishandling sensitive information can lead to a breakdown in patient-provider relationships, harming your organization’s credibility and future business.
Operational Disruptions: Data breaches and compliance issues can lead to operational disruptions. Addressing a breach requires time, resources, and often halts regular operations, affecting the quality of care provided to patients, customer experiences, and overall business efficiency.
Criminal Charges: In severe cases, non-compliance with HIPAA regulations can result in criminal charges against the individuals responsible for the breach. This could include imprisonment and other serious legal consequences.

Tips for Sending HIPAA-Compliant Emails

Use Encrypted Email Services: Ensure that all email communications involving patient information are encrypted. Encryption converts the data into a code to prevent unauthorized access, making it a crucial tool for securing protected health information.
Implement Access Controls: Limit access to sensitive information to only those employees who need it to perform their job duties. This minimizes the risk of unauthorized access and potential breaches.
Regular Training: Conduct regular training sessions for your staff on HIPAA compliance and the importance of securing patient and customer information. Keeping everyone informed about the latest practices and threats is key to maintaining a secure environment.
Audit and Monitor: Regularly audit and monitor email communications and data access. This helps identify and address any vulnerabilities or suspicious activities promptly.
Use HIPAA Compliant Email Solutions: Invest in email solutions specifically designed to meet HIPAA standards. These solutions often come with built-in security features such as automated encryption, access controls, and audit trails.

How to Evaluate HIPAA-Compliant Email Solutions

End-to-End Encryption: Best-in-class solutions offer end-to-end encryption to protect data in transit and at rest, using a dedicated cloud infrastructure for maximum security.
Automated encryption: Make sure solutions can automatically encrypt every email sent versus requiring user intervention to ensure security and HIPAA compliance.
Access Controls: Look for solutions that provide strong access controls, including multi-factor authentication, to ensure only authorized personnel can access sensitive information.
Audit Trails: Maintaining detailed audit trails is a must-have to track who accessed information and when. This is crucial for compliance and identifying potential breaches.
Regular Updates and Support: Work with vendors that provide regular updates and strong customer support to address issues promptly, and to stay up to speed and compliant with the latest regulations.

How do you rate your HIPAA compliant communications efforts?

Take the LuxSci HIPAA Compliance Communications Health Check to find out – it’s 5 minute survey that gets you a personalized report on how your organization can benefit from the latest innovations and capabilities for secure healthcare communications. Take the assessment here.

Ensuring your emails are HIPAA compliant is not just about avoiding fines; it’s about safeguarding patient and customer privacy, maintaining their trust, and expanding your business with better healthcare engagement. By uusing secure healthcare communication services and adhering to HIPAA guidelines, you can protect sensitive information, improve the healthcare journey, and deliver better outcomes for your patients – and for your business.

Is SendGrid HIPAA-Compliant?

January 23, 2025
LuxSci

Twilio’s SendGrid is a cloud-based email marketing platform that contains the tools and resources that organizations need to carry out bulk email marketing campaigns. By providing companies with a robust, scalable email infrastructure, SendGrid reduces the technical and management overhead from delivering emails at scale.

SendGrid’s capabilities and benefits are undeniable – and are the reason why the popular platform is the email delivery service of choice for prominent companies like Spotify and Airbnb. For healthcare organizations, however, while reliability and scalability are essential for large-scale patient engagement campaigns and communications, security is another crucial concern. More specifically, for a healthcare company to send electronic protected health information (ePHI) through an email services platform, the service must be HIPAA-compliant.

This then begs the question, is SendGrid a HIPAA compliant email service? Subsequently, can companies use SendGrid to transmit ePHI?

The short answer is no, they are not. Let’s take a closer look…

Is SendGrid HIPAA-Compliant?

SendGrid is not a HIPAA-compliant email service. There are two key reasons for this:

It lacks sufficient encryption measures
SendGrid does not sign business associate agreements (BAAs)

Let’s discuss each reason in greater detail.

Basic Encryption

SendGrid only offers the basic encryption provided by the Simple Mail Transmission Protocol (SMTP), i.e., the standard mechanism used to transmit emails.

Unfortunately, this level of encryption leaves ePHI vulnerable to cyber threats such as business email compromise (BEC) attacks, ransomware, and device loss or theft. In contrast, for an email services platform to be HIPPA-compliant, it must protect ePHI in transit and at rest, using security measures like Transport Layer Security (TLS) encryption and end-to-end encryption.

Refreshingly, SendGrid is clear and upfront about this (in contrast to, Mailchimp, for example, who make you dig a little deeper to determine their non-compliance) – as Twilio’s documentation explicitly says that they do not offer HIPAA-compliant data transmission. Stating, “SendGrid does not natively support HIPAA-compliant data transmission. We do not offer any encryption or security measures surrounding message transmission beyond those included in the SMTP RFC, which was not designed with HIPAA compliancy in mind.”

In short, SendGrid wasn’t designed to withstand the increased cyber risk that accompanies handling ePHI and isn’t HIPPA-compliant as a result.

No Business Associate Agreement

Additionally, in addition to lower levels of encryption, SendGrid does not sign the business associate agreements (BAA) required to be HIPPA-compliant.

A business associate agreement (BAA) is a written contract between a covered entity (your company) and a business associate (a service provider, such as an email services or email marketing platform) that’s an essential requirement of HIPAA compliance. A BAA details how two organizations can share data and the legal responsibilities of each party.

This is again stated on Twilio’s website that says, “Twilio SendGrid does not intend uses of the Service to create obligations under The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), the Gramm-Leach-Bliley Act (“GLBA”) or similar laws and makes no representations that the Service satisfies the requirements of such laws. If You are (or become) a Covered Entity or Business Associate (as defined in HIPAA) or a Financial Institution (as defined in GLBA), You agree not to use the Service for any purpose or in any manner involving Protected Health Information (as defined in HIPAA) or Nonpublic Personal Information (as defined in GLBA).”

Here, Twilio is explicitly telling you that SendGrid does not fit the requirements of HIPPA-compliant and that you should not use their service to transmit ePHI.

HIPAA-Compliant Alternatives to SendGrid

While healthcare companies cannot rely on popular options like SendGrid if they want to utilize ePHI in their patient outreach campaigns, fortunately, there are HIPAA-compliant email platforms that are specifically designed for organizations that have to comply with the regulations.

As the most experienced HIPAA-compliant email provider, LuxSci specializes in providing secure and scalable HIPAA-compliant services for companies aiming to send hundreds of thousands – or millions – of emails. In light of this, we place security, regulatory and practical considerations front and center when building our solutions – from their early planning stages until final deployment.

Our approach results in tailor-made tools and services like HIPAA-compliant bulk email, secure text and secure marketing. This includes flexible encryption functionality, such as TLS, end-to-end, or role-based access encryption, that enable healthcare organizations to align their security with the sensitivity of the transmitted and their specific business requirements – all while remaining HIPAA compliant.

To discover how LuxSci and SendGrid stack up against each other, as well as with other HIPAA-compliant, general purpose and marketing email providers on the market, including Virtru and Mailchimp, take a look at our Vendor Comparison Guide. The guide takes a deep dive on 12 email delivery platforms, offering insights on what to consider when selecting a provider – and how to choose the vender best suited to meet your secure healthcare communications needs.

Get your copy here, and reach out to us with any questions.