LuxSci vs. Paubox: How to Choose the Right HIPAA-Compliant Email Provider

HIPAA Compliant Email, HIPAA Email Marketing
LuxSci
January 29, 2025

Choosing the right HIPAA-compliant email vendor is crucial for protecting patient data and ensuring compliance with healthcare regulations, including verifying HIPAA compliance and security features, evaluating ease of use and integration capabilities, assessing deliverability and performance, and understanding pricing and scalability. You should also evaluate a vendor’s customer support and company reputation.

The Health Insurance Portability and Accountability Act (HIPAA) details strict guidelines for securing sensitive patient data, including Protected Health Information (PHI). As a result, healthcare providers, payers, and suppliers must use a HIPAA-compliant email provider to abide by regulations designed to safeguard PHI.

With this in mind, this post evaluates two of today’s most popular HIPAA-compliant email providers on the market: LuxSci and Paubox. We’ll compare the two HIPAA-compliant offerings on several criteria, helping you to decide which email provider best fits the needs of your organization.

LuxSci vs. Paubox: Evaluation Criteria

We will evaluate LuxSci vs. Paubox on the following criteria:

Data security and Compliance: how well each email provider safeguards PHI as per HIPAA’s requirements
Performance and Scalability: the platform’s ability to conduct bulk email marketing campaigns, and scale them as a company’s engagement efforts grow.
Infrastructure: if it provides the necessary technical infrastructure, processes and controls to both protect sensitive patient data and support high-volume email marketing campaigns.
Marketing Capabilities: if the platform provides tools for optimizing and refining your communication strategies.
Ease of Use: how steep the learning curve is for each platform.
Other HIPAA-Compliant Products: if the email provider offers complementary features that will aid your patient engagement efforts.

Now that we’ve explained the parameters by which we’ll be comparing the HIPAA compliant email providers, let’s see how LuxSci and Paubox stack up against each other.

LuxSci vs. Paubox: How They Compare

Data Security and Compliance

Both LuxSci and Paubox perform admirably here, with both being fully HIPAA-compliant email providers, offering automated encryption that allows you to include PHI in email communications straight away. Both providers secure email data both in transit and at rest.

Additionally, both are HITRUST certified, which further demonstrates a strong commitment to data privacy and security.

When compared to Paubox, LuxSci has the edge here because it has more comprehensive encryption options. This includes highly flexible encryption: automatically setting the ideal level of security and encryption needs based on the email content, recipient and business process.

Performance and Scalability

While both email providers deliver proven solutions and enable healthcare companies to scale their email marketing campaigns accordingly, LuxSci is the better option for high-volume email marketing campaigns, including bulk sending of hundreds of thousands to millions of emails per month. This is due to the fact that LuxSci specializes in assisting large healthcare organizations with executing high volume email marketing campaigns, including companies like Athenahealth, 1800 Contacts, Eurofins, and Rotech medical equipment. Consequently, LuxSci offers enterprise-grade scalability and has developed robust solutions capable of the high throughput required for enterprise-level patient and customer engagement efforts.

Infrastructure

Additionally, when it comes to other aspects related to infrastructure, LuxSci demonstrates an advantage. Firstly, they offer a dedicated, single tenant infrastructure, as well as secure email hosting, while Paubox does not. Additionally, though Paubox can provide additional options, such as high availability and disaster recovery, their capabilities may not as comprehensive as LuxSci.

Marketing capabilities

Both email delivery platforms possess useful marketing tools, enabling more effective HIPAA-compliant email marketing. This includes automation for streamlining email marketing campaigns and, customization options, so your messages are both more compelling and align with your company’s branding.

LuxSci offers comprehensive reporting capabilities, including real-time monitoring, detailed performance metrics (e.g., deliverability, open and click-through rates, bounced emails, spam complaints, and recipient domain reporting), as well as granular segmentation options.

Ease of use

Paubox has the edge here, being the easier of the two HIPAA-compliant email providers to deploy and for staff to get to ramp up on. Suited for more complex and sophisticated environments, LuxSci offsets this with exemplary customer support honed from decades of facilitating organizations’ HIPAA-compliant email marketing campaigns – especially for this on a large scale.

Other HIPAA-compliant Products

Lastly, when it comes to complementary features, both LuxSci and Paubox offer secure texting functionality, allowing healthcare companies to cater to their patients and customers who prefer to communicate via SMS. And while both email providers feature secure forms for HIPAA-compliant data collection, LuxSci’s forms are capable of handling complex workflows, including multi-step data collection, and providing better customization options.

Additionally, both provide capabilities for secure file sharing. LuxSci’s secure file sharing encrypts files at rest and in transit, allowing for granular access controls and helping ensure that only those within your company who must handle PHI have the appropriate access permissions. This is yet another safeguard against the exposure of PHI, whether accidentally, through identity theft (e.g., session-hijacking by a cybercriminal), or even corporate espionage.

Get Your Copy of LuxSci’s Vendor Comparison Guide

While this post focuses on comparing LuxSci and Paubox, we have created a complete Vendor Comparison Guide, which compares 12 email providers and is packed full of essential information on HIPAA-compliant communication and how to choose the best healthcare email solution for your organization.

You can grab your copy here, and don’t hesitate to contact us to explore your options for HIPAA-compliant email further.

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The HIPAA Security Rule Missed Its May Deadline — Here’s What We Know

June 9, 2026
Pete Wermter

The proposed HIPAA Security Rule update has become one of the most closely watched healthcare compliance developments in recent years. Designed to strengthen cybersecurity protections for electronic protected health information (ePHI), the proposal could significantly reshape how healthcare organizations approach risk management, ePHI encryption, and mandatory email encryption requirements.

A final rule was expected as early as May 2026. However, that deadline has now passed without publication from the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR).

So, what happens next—and what should healthcare IT directors, CISOs, and compliance officers do now?

Where Things Stand Today

The HIPAA Security Rule Notice of Proposed Rulemaking (NPRM) was published on January 6, 2025, with the goal of strengthening cybersecurity protections for ePHI in response to escalating ransomware attacks, healthcare breaches, and growing concerns about cyber resilience across the healthcare sector.

The proposal generated thousands of public comments from healthcare providers, payers, business associates, technology vendors, and industry groups. OCR has spent much of the past year reviewing this feedback and evaluating the operational and financial impact of the proposed changes.

Although the Spring Unified Regulatory Agenda identified May 2026 as a target date for a final rule, that milestone came and went without publication. As of June 2026, the proposed HIPAA Security Rule update remains under review.

While some organizations may be tempted to take a wait-and-see approach, the missed deadline should not be interpreted as a signal that the initiative has stalled. If anything, the proposal offers valuable insight into the future direction of healthcare cybersecurity regulation.

The Growing Focus on Mandatory Email Encryption

One of the most discussed aspects of the proposed HIPAA Security Rule update is encryption.

Under the current HIPAA Security Rule, encryption is generally classified as an “addressable” implementation specification. Organizations can choose alternative safeguards if they document and justify their decisions through a risk analysis process.

The proposed changes would significantly reduce that flexibility. Instead, many security safeguards, including encryption controls, would become more prescriptive and difficult to avoid.

While the final language has not yet been released, healthcare organizations should pay close attention to the proposal’s clear message: protecting ePHI through encryption is increasingly viewed as a baseline cybersecurity requirement.

This is particularly important for email communications.

Email remains one of the most widely used communication channels in healthcare, supporting everything from patient engagement and care coordination to billing, scheduling, and marketing communications. As regulators continue to focus on reducing data breach risks, mandatory email encryption is emerging as a likely area of increased scrutiny.

What Healthcare Organizations Should Do Now

The current delay creates an opportunity, not a reason to postpone action.

Healthcare organizations can begin preparing for likely requirements today by evaluating the security controls highlighted throughout the proposed rule.

Key areas to review include:

Encryption of ePHI across systems and communications channels
Comprehensive asset inventories and ePHI data mapping
Enhanced risk analysis and risk management processes
Multifactor authentication (MFA)
Vulnerability scanning and penetration testing
Incident response planning and testing
Backup and recovery procedures
Email security and secure email encryption practices

Organizations that proactively strengthen these areas now will be better prepared regardless of the final rule’s implementation timeline.

Why Secure Email Encryption Should Be a Priority

For many healthcare organizations, email remains one of the largest compliance and security risks.

Human error, misdirected messages, phishing attacks, and inconsistent encryption practices continue to contribute to breaches involving protected health information. As a result, secure email encryption is increasingly becoming a foundational component of healthcare cybersecurity strategies.

Organizations that rely on manual encryption processes or employee judgment alone may find it difficult to meet evolving regulatory expectations.

Instead, healthcare organizations should look for solutions that automate encryption decisions, reduce user error, and provide flexibility based on the sensitivity of the communication.

At LuxSci, we have long believed that security and usability must work together. We are 100% focused on secure healthcare communications, helping healthcare providers, payers, and suppliers protect sensitive data while improving patient and customer engagement. Our proven secure email solutions, used by leading companies including Athenahealth, 1-800 Contacts, and Hinge Health, help organizations protect ePHI with automated encryption capabilities that support both compliance and operational efficiency. Our unique SecureLine encryption technology enables organizations to apply the appropriate level of protection while maintaining a seamless experience for patients, customers, and staff.

For organizations already using Microsoft 365 or Google Workspace, LuxSci Secure Email Gateway can add HIPAA-compliant email security and encryption without requiring users to change their existing workflows. This approach helps reduce risk, while preserving productivity and user adoption.

The Bottom Line

The HIPAA Security Rule final rule may have missed its anticipated May deadline, but the cybersecurity challenges driving the proposal remain very real.

The OCR is still expected to make the rule change, which could require mandatory encryption of ePHI by early 2027.

The time to prepare is now!

Healthcare organizations should view the proposed HIPAA Security Rule update as an advance warning of where regulatory expectations are heading. Stronger cybersecurity controls, enhanced risk management, ePHI encryption, and mandatory email encryption requirements are all likely to remain central themes in future compliance efforts.

The organizations that begin preparing now will not only be better positioned for future regulatory changes, but will also strengthen their ability to protect patient data, reduce risk, and build trust in an increasingly challenging threat landscape.

At LuxSci, we’re proud to support the healthcare industry’s ongoing digital transformation through secure healthcare communications. Our HIPAA-compliant solutions for secure email, email marketing, and forms empower organizations to safely use and protect PHI, while delivering better patient experiences and outcomes.

Ready to strengthen your healthcare cybersecurity strategy?

Learn more about LuxSci and our complete suite of HIPAA compliant email and marketing solutions, or schedule a consultation with one of our healthcare communication experts today.

LuxSci Awarded 20 Badges in the G2 Summer 2026 Reports

May 28, 2026
Pete Wermter

We’re excited to announce that LuxSci has again been recognized by G2 with 20 badges in its just-released Summer 2026 Reports, highlighting our continued leadership in secure healthcare communications and HIPAA compliant email solutions.

The new LuxSci G2 recognitions span several categories, including:

Best Estimated ROI
Best Support
High Performer
Leader

These latest LuxSci G2 awards reflect what matters most to our customers: delivering secure, HIPAA compliant healthcare communications backed by responsive support and measurable business results.

As one of the most trusted providers of HIPAA compliant email, marketing, and forms solutions, we’re proud to see our commitment recognized across multiple product categories and customer satisfaction metrics.

Recognition Built on Customer Experience

LuxSci’s G2 rankings are based on verified customer feedback and real-world user experiences, making these badges especially meaningful to our team.

This year’s Summer Reports recognized LuxSci for consistently delivering value to healthcare organizations looking to securely engage patients and customers while maintaining compliance with HIPAA requirements.

Among the highlights, the LuxSci G2 recognition includes:

Best Estimated ROI, reflecting the measurable value customers achieve through secure healthcare communications and personalization
Best Support, reinforcing LuxSci’s long-standing reputation for responsive, knowledgeable customer service
High Performer badges across multiple categories for customer satisfaction and product performance
Leader recognition for delivering secure, scalable communications solutions trusted by healthcare organizations

At LuxSci, we believe secure communications should also drive better engagement, stronger outcomes and operational efficiency. These recognitions reinforce our focus on helping healthcare providers, payers and suppliers personalize communications while protecting sensitive patient data.

Supporting the Future of Personalized Healthcare Engagement

LuxSci’s secure healthcare communication and patient engagement solutions empower organizations to safely communicate with patients and customers through:

HIPAA-compliant high volume email
Secure email marketing
Secure forms and data collection
Flexible encryption with SecureLine technology

Our solutions are designed to help healthcare organizations improve engagement, streamline workflows and personalize the healthcare journey while maintaining the highest standards of security and compliance.

These latest LuxSci G2 recognitions also build on LuxSci’s broader reputation for security, performance and customer success. Security and trust remain foundational to everything we do, alongside our commitment to delivering smart, responsive support for our customers.

Thank You to Our Customers

We’re grateful to our customers for their continued trust, collaboration and feedback. Their reviews and insights help shape our products and drive ongoing innovation across the LuxSci product set.

To learn more about LuxSci’s secure healthcare communications solutions, contact our team to schedule a secure email assessment or demo.

Connect with us today!

Is OCR Already Enforcing Email Encryption Under the New HIPAA Security Rule?

May 12, 2026
Pete Wermter

Healthcare organizations waiting for the final HIPAA Security Rule updates before improving email encryption and security may already be behind.

While the proposed changes to the HIPAA Security Rule are expected to be finalized in May, the direction from the U.S. Department of Health and Human Services Office for Civil Rights (OCR) is becoming increasingly clear. Across investigations, settlements, and enforcement actions, OCR continues emphasizing stronger technical safeguards, encryption, documented security programs, multi-factor authentication (MFA), risk analysis, and proactive cybersecurity operations.

For healthcare organizations, one area stands directly in the middle of all of these priorities: email.

Email remains a primary communication channel in healthcare — and one of the industry’s largest security vulnerabilities. From unauthorized PHI exposure to phishing attacks and ransomware delivery to account compromise, email continues to be at the center of healthcare cybersecurity incidents.

So, are the proposed HIPAA Security Rule changes hypothetical future guidance or a preview of OCR’s future enforcement expectations?

For healthcare email security, the implications are significant.

Email = Healthcare Cybersecurity Risk

Healthcare organizations rely on email for critical communications and healthcare workflows, including:

Patient communications
Care coordination
Claims and billing notifications
Marketing and engagement
Internal collaboration
Third-party vendor communications
Delivery of sensitive PHI

At the same time, attackers continue targeting email systems because they remain one of the easiest entry points into healthcare environments.

Insecure email workflows create unnecessary exposure of protected health information. Phishing campaigns are becoming more sophisticated. Credential theft attacks are bypassing traditional MFA methods. And business email compromise (BEC) attacks continue rising.

Recent OCR enforcement actions increasingly reflect these realities.

Organizations are being evaluated not simply on whether a breach occurred, but whether they implemented reasonable safeguards beforehand, including encryption, authentication controls, monitoring, access management, and documented risk mitigation processes.

For email systems specifically, that means healthcare organizations should expect increased scrutiny around:

Email encryption enforcement
MFA deployment
Audit logging and retention
Conditional access policies
Vendor security controls
Secure email delivery best practices
Segmentation and infrastructure isolation
Ongoing patch and vulnerability management

In many ways, email infrastructure is becoming a visible test of an organization’s overall cybersecurity posture.

Email Encryption Is Moving From Addressable to Required

Historically, healthcare organizations often interpreted HIPAA email encryption requirements with flexibility because encryption was technically categorized as an “addressable” safeguard under the Security Rule. But, OCR enforcement and broader cybersecurity realities are changing that interpretation rapidly.

Today, failing to encrypt sensitive healthcare communications increasingly creates both security and regulatory risk. The proposed Security Rule updates place even greater emphasis on encryption and technical safeguards. At the same time, OCR investigations continue examining whether organizations properly protected PHI in transit and at rest.

For healthcare email specifically, this creates several growing expectations:

Email encryption should be automated wherever possible
Human error should not determine whether PHI is protected
Organizations should maintain documented encryption policies
Secure delivery methods should adapt dynamically to recipient capabilities
Audit trails should demonstrate how messages were secured

At LuxSci, we have long believed that encryption should operate as a strategic layer of healthcare communications infrastructure, not as a manual user decision.

Our SecureLine email encryption technology automatically applies appropriate encryption methods based on organizational policies and delivery requirements, helping reduce the risks associated with human error while maintaining usability, deliverability and compliance. As enforcement expectations rise, this type of automated security enforcement is becoming increasingly important.

Traditional MFA May No Longer Be Enough

Another major shift emerging from both OCR enforcement trends and the proposed rule updates is the growing importance of stronger authentication models.

Healthcare organizations have historically viewed MFA deployment as sufficient protection. But attackers have adapted quickly.

MFA bypass attacks, token theft, session hijacking, and consent phishing campaigns are increasingly targeting healthcare users. As a result, regulators and cybersecurity experts are placing greater emphasis on phishing-resistant authentication approaches and contextual access controls.

For email environments, organizations should increasingly evaluate:

Whether MFA methods are resistant to phishing attacks
Conditional access policies based on device, location, and behavior
Account monitoring and anomaly detection
Administrative access protections
Session management controls
Logging and authentication auditing

The broader message is clear: healthcare organizations need authentication strategies designed for today’s threat landscape, not yesterday’s compliance checklist.

OCR Wants Proof, Not Just Policies

One of the clearest trends emerging from recent OCR activity is the increasing importance of documentation and operational evidence. Healthcare organizations must increasingly demonstrate not only that safeguards exist, but that they are consistently enforced, monitored, tested, and maintained over time.

For email systems, organizations should be prepared to demonstrate:

Email encryption policies
MFA enforcement records
Audit logs and message tracking
Vendor security documentation
Risk assessments involving email infrastructure
Patch management procedures
Employee security awareness training
Incident response procedures for email-based threats

This represents a broader shift in healthcare cybersecurity expectations.

The question is no longer: “Do you have email security controls?”

The question is increasingly: “Can you prove they are operationally effective?”

Healthcare Organizations Need a New Email Security Strategy

The healthcare industry is entering a new phase of cybersecurity enforcement.

OCR’s direction is becoming increasingly clear: organizations are expected to proactively secure systems handling PHI using modern, documented, and continuously maintained safeguards. For email security specifically, that means organizations should stop treating encryption, MFA, and secure communications as optional compliance requirements. Instead, they should view secure email infrastructure as a strategic component of enterprise cybersecurity and patient trust.

At LuxSci, we help healthcare organizations modernize secure communications with HIPAA compliant email infrastructure designed specifically for healthcare environments, including flexible encryption, secure delivery, auditability, high deliverability, access controls, and dedicated infrastructure options.

The proposed HIPAA Security Rule updates may not yet be final. But, OCR is already signaling where healthcare cybersecurity enforcement is headed next. For organizations relying on email to communicate with patients, members, customers, and partners, the time to examine your secure email infrastructure is now.

Connect with our experts to learn more using the form at the top of this page!

LuxSci Launches Enterprise-Grade HIPAA Compliant Email Security for Mid-Sized Healthcare Organizations

May 5, 2026
Pete Wermter

New right-sized offering brings advanced encryption, easy API integration, and HITRUST-certified compliance to the most underserved segment in healthcare email — with pricing starting at $99/month

CAMBRIDGE, MA — May 5, 2026 — LuxSci, a leading provider of HIPAA compliant secure healthcare communications, today announced the launch of LuxSci Secure High Volume Email for mid-sized healthcare organizations, the industry’s trusted HIPPA-compliant email solution now packaged and priced for mid-size healthcare organizations. Regional health systems, health plans, specialty group practices, urgent care networks, and multi-site regional providers can now access LuxSci’s enterprise-grade email security and encryption infrastructure at published, volume-based pricing — with no custom quote required.

LuxSci Secure High Volume Email for mid-sized healthcare organizations delivers the same HITRUST CSF r2-certified email security and flexible encryption capabilities that power communications for some of the largest healthcare organizations in the industry, including Athenahealth, 1-800 Contacts, Hinge Health and Eurofins. The new LuxSci mid-sized offer is tiered and priced for organizations with email sending volumes of between 300 and 99,000 emails per month.

LuxSci Secure High Volume Email is built on the company’s proprietary SecureLine™ encryption technology, which automatically selects the optimal email encryption method — TLS, secure portal fallback, PGP, or S/MIME — on a per-recipient basis at the time of delivery, with no action required from senders or recipients. This intelligent, adaptive encryption method goes significantly beyond TLS-only or portal fallback models offered by basic platforms, giving mid-market healthcare organizations the flexibility and cybersecurity depth they need as HIPAA regulations tighten and email threats continue to get more sophisticated.

Key capabilities include:

Automatic email encryption via SecureLine™ — encrypt every email and its content, including Protected Health Information (PHI), with per-recipient adaptive encryption across TLS, portal fallback, PGP, and S/MIME.
Advanced REST API with webhooks for dataflows into your systems — supports unlimited messages/hour with failover, queuing, plus webhooks can push email engagement data back to EHRs, CRMs, RCM and customer data platforms.
Comprehensive audit logging and reporting — message-level tracking, delivery status, engagement reporting, and downloadable reports for compliance officers.
HITRUST CSF r2 certification, BAA, GDPR-compliant, and US-EU Privacy Framework agreement all included.
Microsoft 365 and Google Workspace overlay — use LuxSci’s Secure Email Gateway add-on to integrate directly with existing M365 or Google Workspace environments, adding HIPAA-compliant encryption without migration or user retraining.
HIPAA-compliant patient engagement — secure outbound email campaigns with PHI-powered hyper-segmentation, automated workflows, and personalized emails for marketing campaigns, proactive patient communications, appointment reminders, care gap outreach, new plan enrollments, healthcare education, and more — with LuxSci Secure Marketing add-on.

New Published LuxSci Pricing

LuxSci Secure High Volume Emai for mid-sized healthcare organizations features published pricing based on monthly sending volume:

Monthly Send Volume	Monthly Price
300 to 9,999 emails/month	$99/month
10,000 – 29,999 emails/month	$199/month
30,000 – 49,999 emails/month	$299/month
50,000 – 99,999 emails/month	$399/month
100,000+ emails/month	Custom

“Mid-size healthcare organizations have been underserved for too long, forced to choose between inadequate email security tools that weren’t built for healthcare and HIPAA compliance and enterprise level solutions that felt too big or too complex,” said Mark Leanord, CEO of LuxSci. “Our new secure email packaging for mid-sized organizations changes that. We’re making the same encryption depth, ease of integration into EHRs, CRMs and other systems, and compliance rigor that powers our largest customers accessible for mid-sized organizations to easily evaluate and buy.”

Timing and Market Context

The launch comes at a critical moment for mid-size healthcare organizations. The HHS HIPAA Security Rule overhaul, expected to finalize in mid-2026, is anticipated to mandate email encryption as a required safeguard, elevating email security from addressable best practice to a regulatory requirement for thousands of organizations that have not yet upgraded their email security and compliance posture. LuxSci secure email is designed to meet these requirements, backed by HITRUST CSF r2 certification and the company’s 20-year track record in secure healthcare communications.

Availability

LuxSci Secure Email for mid-sized healthcare organizations is available immediately. Pricing and product details are published here.

Users can contact LuxSci to set up a call or DEMO.

About LuxSci

LuxSci is a leading 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, including protected health information (PHI). Founded in 1999 and recently merged with digital care and telehealth provider Ovia Health, LuxSci serves more than 2,000 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 current customers including Athenahealth, 1800 Contacts, Lucerna Health, Eurofins, and Rotech Healthcare, among others.

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Media Contact:
Pete Wermter, CMO

pwermter@luxsci.com

What is a Secure Email Gateway?

April 2, 2025
Pete Wermter

Email communication is indispensable in today’s fast-paced, digitally-driven healthcare world. Unfortunately, for healthcare organizations, cyber criminals are aware of this too, which is why email-based cyber threats, such as unauthorized access, PHI exposure, phishing and ransomware, remain as prevalent as ever. A Secure Email Gateway can help, providing a security solution that sits between an organization’s email server and the outside world to monitor, filter, and control all incoming and outgoing email traffic.

As healthcare companies learn to recognize and mitigate email security threats, malicious actors grow more sophisticated, developing new ways of breaching organizations’ email security measures. In light of this, healthcare companies must find ways to better safeguard the electronic protected health information (ePHI) within their IT infrastructure, especially for email. Not only will this help maintain operational consistency, delivering high-quality and expedient service to their patients and customers, but it helps them comply with the regulatory guidelines mandated by the Health Insurance Portability and Accountability Act (HIPAA).

A secure email gateway provides an excellent solution to the problem of an evolving email cyber threat landscape, without a healthcare company having to make significant changes to their IT infrastructure. So, with this in mind, this post explores the concept of secure email gateways, how they better safeguard sensitive patient data, and how they support HIPAA compliance efforts.

What Is a Secure Email Gateway?

A secure email gateway is a security tool that filters inbound and outbound email communications to mitigate a variety of email-based cyber threats, including phishing, malware (e.g., ransomware, viruses, etc), PHI exposure, and spam mail.

Effectively providing an additional security layer for your organization’s email accounts, a secure email gateway acts as a checkpoint between its email systems and the internet, enforcing your healthcare company’s security policies and ensuring HIPAA compliance.

How Do Secure Email Gateways Work?

A secure email gateway sits between a company’s email platform (e.g., Microsoft 365, Google Workspace) and external email traffic, scanning messages for potential malicious activity and security policy violations.

When sending an outbound email, the message is encrypted before being passed onto the recipient. This prevents the exposure of any ePHI contained in the email, in the event of its interception. Without the encryption key, the email is rendered unreadable by cyber criminals, ensuring data privacy and regulatory compliance. By the same token, depending on its nature, the secure email gateway may automatically archive the email to help satisfy compliance requirements for message retention – something that will be all the more important when the updated HIPAA Security Rule comes into effect in later 2025.

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Conversely, for incoming traffic, a secure email gateway utilizes filtering tools to identify and quarantine suspicious messages. By preventing potentially malicious messages from reaching employee inboxes, a gateway reduces instances of phishing, malware installation, credential compromise – and any email cyber threat that requires human error or negligence.

When Should You Opt For a Secure Email Gateway?

The key reason to opt for a secure email gateway solution is that you want to enhance your company’s email security without replacing your existing email infrastructure.

A key advantage offered by secure email gateways is that they’re easy to install, manage, and use. This keeps the administrative burden on a company’s IT and operations departments to a minimum while still achieving the key objectives of boosting email security and aiding compliance efforts.

More specifically, installing a secure email gateway can be an easy solution for healthcare care companies looking to quickly achieve HIPAA compliance for email. By simply sitting on top of a company’s existing email service, like Microsoft 365 or Google Workspace, a secure email gateway can be easier for IT teams to install and maintain, especially for smaller companies and organizations. Additionally, employees won’t require additional training or have to make any adjustments: they can simply keep using their existing email accounts without interruption.

Enhance Your Email Security Posture With Luxsci’s Secure Email Gateway

LuxSci’s Secure Email Gateway can be easily integrated with Microsoft 365, Google Workspace, or your on-premise email client to better safeguard ePHI and ensure HIPAA compliance – with zero disruption to your current systems, employees, or your quality of service.

Using LuxSci’s proprietary SecureLine encryption technology, our Secure Email Gateway solution automatically encrypts every email, protecting sensitive patient data without the need for explicit employee intervention before sending the message.

Want to know more about how HIPAA compliant email will boost your security and compliance? Contact us to learn more and get started!

HIPAA-Compliant Email Marketing: FAQ

November 21, 2023
LuxSci

Email is an essential channel for most marketers. However, HIPAA regulations raise many questions for healthcare marketers who need to execute email marketing campaigns without violating patient privacy.

HIPAA is a complicated law that offers a lot of guidance but does not require the use of any specific technologies to protect patient privacy. The ambiguity causes a lot of confusion for marketers trying to integrate email into their marketing strategy. This article addresses some frequently asked questions about HIPAA-compliant email marketing and offers advice for securing patient data and futureproofing your marketing.

Do generic practice newsletters need to be protected?

Some marketers assume practice newsletters do not contain health information and, therefore, do not fall under HIPAA requirements. However, this assumption is often incorrect. Many are surprised to learn that protected health information can be implied from seemingly benign information.

In this way, many generic email newsletters often indirectly contain PHI because they are sent to lists of current patients. Email addresses are individually identifiable and combined with the email content; it may imply that they are patients of the practice. For example, say you send a “generic” newsletter to the patients of a dialysis clinic. An eavesdropper may be able to infer that the recipients receive dialysis. Therefore, the email reveals information about an individual’s health treatment, is PHI, and should be secured in compliance with HIPAA regulations.

In some cases, it can be complicated to determine what is PHI and what is not. Using a HIPAA-compliant marketing solution is best to avoid ambiguity and ensure security.

How Do I Find a HIPAA Compliant Email Marketing Vendor?

Unfortunately, using broadly popular email marketing platforms is not recommended. Many of these platforms were designed for e-commerce businesses and are not secure enough to meet HIPAA requirements. We do not recommend using a solution not specifically equipped to meet the healthcare industry’s unique security and compliance needs. To determine if your email marketing provider is compliant, they must meet three broad criteria at a minimum.

The vendor must sign a Business Associate Agreement outlining how they plan to secure your data and what they will do in the event of a breach.
Encrypt data at rest when it is stored in their systems.
Encrypt email messages and data in transit as it is sent to the recipients.

Not all vendors will be up to the task. Carefully vet your email marketing vendors to ensure they are taking steps to secure data and protect patient privacy.

What is an Email API?

API is an acronym that stands for “Application Programming Interface.” An email API gives applications (like CRMs, CDPs, or EHRs) the ability to send emails using data from the application. Email APIs also return campaign data to the platform or dashboards so you can assess the effectiveness of your marketing efforts. Trigger-based transactional or marketing emails are ideal for sending with an email API. In this situation, emails are sent when pre-determined conditions in the application are met. Healthcare organizations may use email APIs to send appointment reminders using electronic health records system data about a patient’s upcoming appointment.

Email APIs enable the automation of common email workflows. However, they are not interchangeable with email marketing platforms. Email APIs do not include the contact management systems standard in most email marketing platforms because all that data lives within the application they connect to. In addition, email API tools typically do not include drag-and-drop editor tools or other design features that help your emails stand out.

Does HIPAA permit providers to send unencrypted emails with PHI to patients?

Encryption is an addressable standard under the HIPAA Security Rule, but that does not mean it is optional. The HIPAA Privacy Rule does not explicitly forbid unencrypted email. Still, it does state that “other safeguards should be applied to protect privacy reasonably, such as limiting the amount or type of information disclosed through the unencrypted email.”

In addition, the Department of Health and Human Services also states that “covered entities are permitted to send individuals unencrypted emails if they have advised the individual of the risk, and the individual still prefers the unencrypted email.” Some organizations use waivers to inform patients of the risks and acquire permission to send unencrypted emails.

However, we do not recommend this approach for several reasons:

Keeping track of waivers over time and recording status changes and updates is challenging.
Signed waivers do not insulate you from the consequences of a HIPAA breach.
And finally, using waivers to send unencrypted emails doesn’t eliminate your other HIPAA obligations like data retention and disposal. Using a HIPAA-compliant solution is more manageable and eliminates ambiguity.

Can patients exercise their right of access by receiving PHI via unencrypted email?

Yes, but they must be fully informed of the risks and sign waivers acknowledging them. The caveats in the previous answer apply. It’s always better to utilize an encryption tool to protect patient data.

Is Microsoft 365 or Exchange 365 encryption sufficient for marketing emails?

Microsoft 365 can be configured with Office Message Encryption (OME) to comply with HIPAA. However, the program is not well-suited to HIPAA email marketing. OME primarily relies on portal pickup encryption, in which the message is stored securely on a server and requires the recipient to log in to the portal to read the email. If you are a marketer trying to increase engagement, the portal adds a barrier to access that many will not cross. Light-PHI marketing messages are best sent using TLS encryption. TLS-encrypted messages arrive in the recipient’s inbox just like a regular email and do not require a user to log in to read the message.

In addition, Microsoft 365 is not configured to send high volumes of email. If you plan to send large marketing campaigns, you could unintentionally disrupt regular business communications by sending all the messages through the same infrastructure. You should separate your business and marketing email sending to protect your IP reputation and achieve your desired sending throughput.

What are common email marketing use cases for healthcare?

Email marketing in healthcare is not restricted to boring practice newsletters. When you utilize tools that enable the use of PHI in your targeting and personalization efforts, the sky is the limit. With consumer preferences shifting toward digital communications, marketers willing to utilize the email channel and tactics like segmentation and personalization can see better results.

Email is an excellent way to communicate with patients. A sampling of ways that healthcare marketers can use email include:

engaging patients in their healthcare journey
educating patients about their healthcare conditions and treatments
improving attendance and scheduling
retaining patients
increasing preventative procedures
collecting data on the patient experience
improving patient satisfaction

Conclusion

HIPAA can be difficult to understand, but choosing the right tools and adequately vetting your vendors makes it easy to execute HIPAA-compliant email marketing campaigns. If you are interested in learning more about LuxSci’s easy-to-use, Secure Marketing platform, please contact our sales team.

LuxSci Expands Executive Team to Scale Enterprise Growth and Operations

September 17, 2024
LuxSci

LuxSci, a leading provider of secure, HIPAA-compliant communications software, today announced new executive appointments as part of its strategy to drive future growth and further expansion into the enterprise market. Experienced B2B software executives Robert Sullebarger and Geneviève du Lac have joined the company as Head of Sales and Head of Finance, respectively – reporting to recently appointed CEO Mark Leonard. In addition, David Hillman has joined the company as Director of Engineering, reporting to Erik Kangas, Chief Technology Officer.

“LuxSci has proven its capabilities with some of the largest, most forward-looking companies in healthcare, including patient engagement platform, EHR systems, and payment providers, as well as healthcare retail and in-home care providers,” said Leonard. “Bob, Geneviève and David all bring deep leadership experience combined with a willingness to be hands-on in helping us optimize our operations and execute quickly for our customers and partners.”

Proven Sales Leader and Trusted Advisor

Bob’s career has focused on enterprise software sales and customer acquisition across both established and emerging technologies, including security & compliance, conversational AI and virtual assistant platforms, machine learning, and telecom & networking. Bob brings LuxSci more than two decades of experience in sales, marketing, and product management roles, serving as both a trusted business advisor and a technology expert for customers and partners. Most recently, he led the sales teams for AI solution providers ModuleQ and Interactions LLC, where he helped the company grow from $10 million to more than $100 million in annual revenue. He has also held leadership positions at contact center analytics provider CallMiner, and data security provider Vericept Corporation.

“LuxSci is the gold standard for HIPAA-compliant email and secure healthcare communications with a leadership position in the market,” said Sullebarger. “With healthcare portal adoption maxing out, we have a real opportunity to improve patient engagement and outcomes by opening up the email, SMS and marketing channels to bring more people into today’s healthcare conversation.”

Experienced CFO and Finance Leader

Geneviève joins LuxSci with more than 15 years of experience in CFO and Finance leadership roles. This includes building world-class Finance teams and organizations in the cybersecurity, consumer, and services industries at companies including Cypress Security, Astro Gaming and Wine Country Connect. Throughout her career Geneviève has established a proven track record of success in Finance leadership for ‘scale-up’ businesses, with focus on SaaS companies. Geneviève also brings LuxSci deep experience in implementing systems & processes aimed at building operational scalability, which will be a key part of her responsibilities at the company.

“I’m excited to be joining LuxSci as we build it into a world-class organization,” said Du Lac. “The company has achieved tremendous success to date, and we’re positioned better than ever to keep growing – and to help transform the healthcare industry with secure communications.”

Full Stack Software Architect and Data Scientist

David joins LuxSci with more than 20 years of experience across the entire spectrum of application development, data analysis and automated systems. This includes architect, engineer, developer, and consultant roles at innovative companies, such as Kapital Trading, Gogo, Monster, Livetext, and AT&T Bell Labs. David specializes in designing and building data-intensive applications that analyze large datasets and extract intelligence, as well as developing tools to empower users to interact with those resources. At LuxSci, David will play a key role in the future development of LuxSci technology, helping guide the company’s product direction and roadmap moving forward.

“I’m looking forward to collaborating with the outstanding team already in place at LuxSci and continuing to enhance our products to make our customers’ healthcare communications and operations both smoother and safer,” said Hillman.

In other recent news, LuxSci continues to innovate in secure healthcare communications, recently rolling out new email reporting capabilities and achieving best-in-class performance for email security.

LuxSci has been at the forefront of HIPAA-compliant communications since its inception, offering a full suite of products for secure email, marketing, text and forms. Today, LuxSci is used by nearly 2,000 customers for HIPAA-compliant communications across the healthcare industry, including athenaHealth, 1800 Contacts, Delta Dental, Lucerna Health, Hinge Health, and Rotech Healthcare.

If you’d like to learn more about how LuxSci can help you with secure healthcare communications, reach out to us today for a meeting or demo!

What Are the Most Effective Patient Engagement Solutions?

October 3, 2025
Erik Kangas

The most effective patient engagement solutions make healthcare communication clear, convenient, and secure. Strong solutions create a link between clinical teams and patients through technology that supports real conversations, reliable scheduling, and accurate follow-up. By blending data security with ease of use, these systems turn daily interactions into continuous care, helping both sides stay informed and connected under the structure of HIPAA compliance.

The growth of patient engagement solutions in healthcare

Patient engagement solutions have become imperative as healthcare moves towards collaboration and prevention. Instead of relying on phone calls or mailed reminders, providers can now reach patients instantly through encrypted portals or mobile applications. These systems allow individuals to confirm appointments, receive reminders, and access their health records whenever they need to. Patients who understand their conditions and have consistent access to care details are far less likely to miss appointments or misunderstand instructions. Clinics benefit from fewer administrative delays and more accurate information, which improves care coordination across departments.

Every reliable system combines several elements including security, usability, education, and integration. The interface should be simple enough for patients of any age to navigate without assistance. Real-time scheduling and message delivery ensure that staff can respond quickly and keep patients informed. Built-in educational libraries allow organizations to distribute accurate, plain-language information without creating separate resources. Integration with electronic health records reduces duplicate data entry and ensures that every message, test result, or treatment note appears in the same system. These features, when implemented together, make engagement a natural part of daily care instead of an additional task.

Security and compliance

Digital communication in healthcare cannot exist without strong privacy controls. Encryption keeps information unreadable to outsiders, while verified identity checks confirm that only authorized users can access messages or files. The vendor’s Business Associate Agreement sets the legal framework for how data is stored, shared, and removed. Providers should ensure that their patient engagement solutions meet the technical safeguards listed in 45 CFR 164.312 and maintain proof through independent security audits. These measures reassure patients that their information is handled with discretion and reinforce the provider’s reputation for professionalism and reliability.

Fitting technology naturally into daily workflows

The most successful systems are the ones that blend quietly into a clinic’s existing routine. Staff should not have to juggle separate platforms or repeat entries in different databases. Integration allows appointment confirmations, billing updates, and patient messages to appear instantly in one dashboard. Simple automation such as digital intake forms or reminder messages can save hours of administrative time each week. When technology works with staff rather than against them, it lightens the load on clinical teams and creates a smoother experience for patients from arrival to discharge.

Communication and education to drive participation

Education lies at the heart of engagement. A patient who understands their diagnosis or treatment plan is far more likely to stay involved. Good communication tools make that education interactive rather than static. Secure messaging gives patients the confidence to ask questions at their own pace. Providers can respond with tailored advice or share learning materials that match the patient’s literacy level or condition. These exchanges create a continuous learning environment where information flows both ways, fostering accountability and reducing unnecessary clinic visits.

Using data to improve engagement outcomes

Data generated by digital communication reveals trends that would otherwise remain hidden. By reviewing message response rates, appointment attendance, and satisfaction surveys, healthcare organizations can see what truly improves patient involvement. Patterns in this information might show that certain types of reminders work better for older patients or that specific message timing encourages faster replies. Patient engagement solutions that present this data clearly help administrators refine strategies without speculation.

Engagement technology must serve the people delivering care, as well as patients. Simple dashboards and logical task views keep workloads organized. Automation handles repetitive actions such as distributing follow-up surveys or confirming prescription refills. The result is less time spent on manual tracking and fewer communication errors between departments. Clinicians can dedicate more attention to complex cases, confident that routine communication continues in the background. When staff find the platform easy to use, adoption spreads naturally, and compliance becomes effortless rather than forced.

Choosing patient engagement solutions

Selecting the right system involves balancing capability, reliability, and growth potential. A small clinic may prioritize affordability and essential communication tools, while larger networks might need analytics, multilingual interfaces, and remote monitoring. Testing through a limited rollout helps verify usability and security before full adoption. Strong vendor partnerships matter as much as technology itself; providers should expect consistent updates, accessible support, and transparent pricing. Systems that evolve alongside clinical needs avoid obsolescence and remain valuable for many years.

Effective engagement tools change the rhythm of care by making communication an ongoing process instead of a single event. Patients gain clarity and confidence in managing their health, and providers gain insight into how treatment is followed outside the clinic. Over time, this creates a culture of collaboration built on information and trust. Patient engagement solutions that combine usability, privacy, and empathy improve not only outcomes but also the daily experience of healthcare for everyone involved.