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New Reporting Features Go Deeper on Email Deliverability Statistics, Trends and Analysis

LuxSci Secure Email Reporting Statistics

We recently rolled out new email reporting features, taking deliverability depth and analysis to new levels. If you’re a current LuxSci customer and haven’t checked them out, now’s the time. If you’re new to LuxSci, learn more below, and don’t hesitate to reach out for more info – or a demo.

LuxSci secure communications solutions have always featured rich reporting on email deliverability, including volumes and percentages for emails:

  • in queue
  • opened
  • clicked
  • failed
  • secured

With our latest release, we made these powerful statistics easier to consume and analyze with an improved user interface for more efficiency and greater ease-of-use. Users can simply select the type of report they’d like and customize it using a range of filtering selections. This is great for diving deeper into your email performance to make adjustments on-the-fly, and to spot trends or opportunities for better engagement that you may have missed before.

New UI – Email Deliverability Statistics

LuxSci Secure Email Reporting Statistics

Get more granular, ID trends in real time with Split Reporting

As part of this release, we are pleased to introduce our Split Reporting feature, which empowers users to drill down on email deliverability statistics across a range of parameters, including:

  • subject
  • from address
  • recipient domains
  • marketing ID or campaign
  • custom field

For example, users can analyze email deliverability statistics by subject to determine which ones are performing best, by use case to track results by campaign, or to track performance by recipient email domains. With split reporting, users also can analyze email volumes across queued, delivered, opened, failed and clicked parameters, and determine click-through rates (CTR) to measure effectiveness and ROI of campaigns.

New Feature Example – Split Reporting by Recipient Domain

LuxSci Secure Email Split Reporting

If you’d like to learn more, reach out and connect with us today!

 

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HIPAA Security Rule Email Encryption Requirements

HIPAA Compliant Email

Your Email Platform Is Becoming Critical Healthcare Infrastructure

Most healthcare organizations view email as a utility, a necessary tool for sending messages between staff, communicating with patients, sending out newsletters, connecting workflows, and so on. Historically, IT teams focused on keeping it running, security teams worried about phishing, and compliance teams made sure sensitive emails were encrypted.

Today, however, that view is rapidly becoming outdated.

Email has evolved into one of healthcare’s most critical digital infrastructure components, and also one of it’s biggest security threats. It’s a core channel for patient engagement, care coordination, revenue cycle operations, digital marketing, remote monitoring, and increasingly, AI-powered communications. The organizations that recognize this shift are building communications platforms designed for security, performance, automation, and growth. With the new HIPAA Security Rule requiring email encryption on the horizon, those companies that don’t may find themselves constrained by systems that were never intended to support modern healthcare.

Email Is No Longer Just a Messaging Tool

Healthcare organizations now depend on email to support dozens of mission-critical workflows every day.

Patients receive appointment reminders, registration instructions, imaging results, billing notifications, Explanation of Benefits (EOBs), prescription updates, preventive care reminders, patient education, and post-discharge follow-up.  Marketing teams deliver personalized wellness campaigns and service line promotions. Clinical systems generate transactional notifications. Revenue cycle teams rely on secure digital communications to accelerate payments and reduce paper costs.

For many organizations, mission-critical patient communications flow through email every month.

When viewed collectively, email is more than a simple communications channel. It has become operational infrastructure with high levels of security needed and increasing compliance requirements.

The Stakes Continue to Rise

As healthcare becomes more digital, every communication carries greater business and clinical importance.

A delayed billing email may postpone payment. A failed appointment reminder can increase no-show rates. An undelivered care management message may impact patient outcomes. A misconfigured security policy can expose protected health information (PHI). Poor deliverability can undermine expensive patient engagement initiatives before they ever reach the inbox.

These are no longer isolated IT issues. Email can affect revenue, patient satisfaction, operational efficiency, compliance, and organizational reputation.

Today’s healthcare leaders require email infrastructure to provide the same reliability and visibility they demand from electronic health records, identity management systems, and other core infrastructure.

AI Is Raising the Bar Even Higher

There’s little doubt that artificial intelligence (AI) promises to transform patient communications.

Healthcare organizations everywhere are exploring AI-generated patient education, personalized outreach, intelligent scheduling, multilingual communications, and automated follow-up programs.

But AI also increases the importance of the underlying communications infrastructure.

Generating more personalized emails means little if organizations cannot:

  • Automatically protect PHI.
  • Apply consistent security policies.
  • Maintain complete audit trails.
  • Deliver messages reliably.
  • Integrate with EHRs, RCM and CRM platforms, and customer data platforms.
  • Demonstrate compliance during an audits.

In many ways, AI amplifies both the opportunities and the risks. Your email platform can help determine whether AI initiatives succeed or create new compliance and operational challenges.

Infrastructure Matters More Than Features

Healthcare buyers have traditionally evaluated email platforms based on individual features such as encryption, spam filtering, or secure portals.

Those capabilities remain important, but they no longer tell the whole story.

Today’s healthcare organizations should be evaluating communications platforms the same way they evaluate any mission-critical infrastructure.

Questions increasingly include:

  • Can it support both transactional and marketing communications?
  • Does it automatically enforce security policies without relying on user decisions?
  • Can it integrate with EHRs, CRM systems, CDPs, and business applications?
  • Will it scale during peak communication periods?
  • Does it provide detailed audit logging and reporting?
  • Can it adapt as regulatory expectations evolve?
  • Does it maintain high deliverability at enterprise scale?
  • Does it support single-tenant dedicated infrastructure for high performance and increased security?

These infrastructure characteristics often determine long-term success far more than any single feature comparison.

Email and the Future Of Secure Healthcare Communications

Healthcare is steadily moving toward a world where nearly every patient interaction is digital, personalized, and data-driven.

Healthcare leaders often ask whether they need a more secure email solution. That may be the wrong question.

The better question is whether their communications infrastructure is ready for where healthcare is headed over the next decade.

If you want talk about the future of your healthcare email infrastructure, reach out today and schedule a 30-minute assessment call with our experts.

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HIPAA Security Rule Update

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

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.

Contact us today!

LuxSci G2

LuxSci Awarded 20 Badges in the G2 Summer 2026 Reports

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.

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LuxSci Secure Patient Engagement

How to Improve Patient Engagement with Secure Communications

As people demand more personalized experiences from their healthcare companies and providers, patient engagement is increasingly emerging as a top priority. With increasing demands for digital-first interactions and more connected healthcare journeys from their patients and customers, healthcare organizations must evolve their communication strategies to meet these new expectations. In fact, more than ever, today’s healthcare patients and customer expect the same efficient and personalized experiences that they have with other businesses, including retail and financial services.

In this article, we explore two key strategies for improving patient and customer engagement: employing a multi-channel approach and personalization. We’ll show you how each concept improves your communication strategy, while ensuring HIPAA compliance at the same time.

The Growing Importance of Patient Engagement

Today’s healthcare industry is undergoing significant changes – some might even call it outright disruption. With new and varied services like Telehealth, Remote Care, In-Home Care, Connected Care, Value-Based Care, and more, clear and targeted communication has never been more vital for effectively improving patient engagement and driving greater levels of participation in an individual’s healthcare journey.

Another key thing to bear in mind is that today’s patients and customers already have increasing expectations for convenient, personalized, and secure interactions with their healthcare providers. According to a report from McKinsey & Company, over 70% of patients prioritize the ability to communicate with their healthcare providers, payers and suppliers through their preferred channels. However, these preferences vary significantly across age groups, highlighting the importance of a multi-channel communication strategy; let’s explore those preferences now.

Patient Engagement Preferences by Age Group

The chart below, compiled from recent research findings, highlights the varying communication channel preferences by age group, helping healthcare companies craft their engagement strategies accordingly:

Channel
  Gen Z (18-25)
  Millennials (26-40)
  Baby Boomers (57-75)
Phone 10% 35% 55%
Email 20% 35% 45%
Text 40% 45% 15%
Patient Portals 30% 45% 25%
Face-to-Face 15% 25% 60%

 

By understanding these differences, healthcare organizations can implement and continually refine multi-channel marketing strategies that cater to the unique preferences of each demographic group. Key takeaways include:

  • Baby Boomers (57 – 75 years old) still prefer phone calls (55%) and face-to-face interactions (60%), though there is preference in email (45%) for certain types of communication, such as appointment reminders and post-care instructions.
  • Millennials (26 – 40 years old) tend to favor asynchronous methods that fit into their busy schedules, i.e., phone, text, and email. This age group is tech-savvy, with half also using patient portals for managing their healthcare options.
  • As digital natives, Gen Z patients lean heavily toward digital channels, with text messaging (40%) and patient portals (30%) as top choices. They, more than any other group, expect fast, responsive communication, which makes secure, real-time digital options essential.

Catering to patients’ communication channel preferences ensures they feel better heard and, as a result, more valued. This will result in them becoming more involved in their healthcare journey, leading to higher rates of satisfaction, being more receptive to new services or products, and, most importantly, better health outcomes.

Multi-Channel Communication: Meeting Patients Where They Are

Healthcare providers, payers and suppliers need a multi-channel strategy, that incorporates email, text, patient portals, and phone calls to match the different communication preferences of their diverse patient and customer bases.

A single-channel, or siloed, approach is far less effective, as each demographic interacts with healthcare providers in unique ways. In light of this, offering communication options across multiple channels makes it easier to reach patients – and for them to participate in their healthcare journeys on their preferred terms.

Benefits of multi-channel communication include:

  • Increased Engagement: Patients and customer are more likely to respond and engage through their preferred communication method, whether that’s by text, email, portal or over the phone.
  • Improved Satisfaction: receiving timely, personalized updates makes patients feel more connected and satisfied with care.
  • Better Adherence to Care Plans: patients who receive reminders or follow-ups through their preferred channels are more likely to adhere to care plans, attend appointments, and follow medical advice.
  • Upselling and Cross-Selling Opportunities: when healthcare providers and suppliers connect with patients and customers over the channel of their choice they are more likely to reach their target audience and attract qualified prospects for new services and products, as well as upgrades to existing ones.

Take Personalization Further by Using PHI in Communications

After unprecedented numbers of people were forced to adapt to digital solutions during the COVID-19 pandemic, personalization is no longer optional or “a nice to have” – but an expectation among patients and customers. The healthcare industry is no exception to this with personalized communications greatly enhancing efficiency and driving favorable outcomes.

Securely harnessing protected health information (PHI) is critical to effective personalization across a broad range of use cases, including care management, marketing and preventative care. It’s important to appreciate, however, that personalization in healthcare engagement goes beyond merely addressing patients by their names; it includes tailoring messages, reminders, renewals, recommendations, and offers based on their medical history, treatment plans, personal characteristics (age, gender, etc.), and ongoing health needs.

Examples of PHI-driven personalization include:

  • Appointment Reminders: personalized reminders based on the patient’s treatment plan can reduce no-show rates.
  • Post-Procedure Follow-Ups: securely sending follow-up instructions and health updates specific to the patient’s condition leads to better adherence and recovery rates.
  • Targeted Preventative Care Campaigns: using patient data to create campaigns around vaccinations, screenings, annual tests, or chronic disease management helps address individual health needs.
  • Marketing campaigns: delivering targeted campaigns to highly segmented groups of patients and customers, e.g., offers for the latest in-home blood pressure monitor for patients suffering from hypertension.

However, using PHI in communications requires strict adherence to HIPAA regulations and a broad set of data security safeguards and best practices. LuxSci’s Secure Healthcare Communications Suite enables healthcare organizations to safely use PHI in digital communications, ensuring compliance for email, text, marketing and data collection forms, while providing all the required functionality for personalizing your communications to create the desired impact. 

Why Secure Healthcare Communication is Crucial

Data breaches in the healthcare industry are consistently on the rise, and, unfortunately, they show no signs of abating. In fact, between 2009 and 2023, healthcare data breaches resulted in the exposure of more than a half billion patient records.  Healthcare companies are prime targets for cyberattacks, because of the sensitivity of the data they possess and the critical importance of their services.

Consequently, the fines for healthcare companies that fail to sufficiently protect PHI and fall victim to data breaches can extend into the millions.  The reputation damage, however, can be far more costly, with it often being beyond repair.

LuxSci is the most experienced provider of HIPAA-compliant email and secure healthcare communication solutions, working with organizations of all sizes: from local and regional practices to large healthcare systems, providers and suppliers, including Athenahealth, Delta Dental, 1800 Contacts, and Rotech Healthcare.

Our comprehensive HIPAA-compliant communications platform includes:

  • HIPAA-Compliant Email: send millions of secure emails every month with our Secure High Volume Email solution, or make your Google Workspace or Microsoft 365 email HIPAA-compliant with our Secure Gateway Product
  • Secure Text Messaging: reach patients quickly and securely with appointment reminders, health updates, and other communications via text. Connect them directly into their patient portals via their desktop or mobile device —with no application installation required.
  • Secure Marketing: proactively connect with your customers with HIPAA-compliant email marketing campaigns for increased engagement, lead generation and sales.
  • Secure Forms: safely collect, store, access and analyze PHI data from patients to optimize workflows and generate insights that allow you to refine your long-term strategies.

If you’d like to learn more about how to take your patient and customer engagement to the next level, all while remaining compliant with HIPAA regulations, contact us today!

HIPAA email laws

What Are HIPAA Marketing Rules?

HIPAA marketing rules are Privacy Rule regulations that govern how healthcare organizations can use protected health information for promotional communications and patient engagement activities. These rules require written patient authorization for most marketing uses of PHI, define exceptions for treatment communications and healthcare operations, establish standards for consent documentation, and specify penalties for violations involving unauthorized marketing disclosures. Healthcare organizations must navigate complex regulatory boundaries that distinguish between permitted patient communications and marketing activities requiring special authorization. Understanding these distinctions helps organizations develop effective patient engagement strategies while avoiding costly compliance violations.

Regulatory Definition of HIPAA Marketing Rules

Marketing communications under HIPAA include any messages that encourage recipients to purchase or use products or services, with specific exceptions for face-to-face encounters and nominal value promotional gifts. This broad definition encompasses many patient communications that healthcare organizations might not traditionally consider marketing activities. Treatment communications that recommend or describe healthcare services provided by the communicating organization generally do not constitute marketing under HIPAA marketing rules. Providers can discuss additional services, alternative treatments, or care options during patient encounters without triggering marketing authorization requirements. Healthcare operations activities including care coordination, case management, and quality assessment often qualify for marketing exemptions when they promote patient health rather than organizational revenue. These communications must focus on improving care outcomes rather than encouraging service utilization.

Authorization Requirements and Exceptions

Written patient consent forms the legal foundation for using PHI in marketing communications that fall outside regulatory exceptions. These authorizations must clearly describe what information will be used, the purpose of the marketing activity, and the patient’s right to revoke consent without affecting their healthcare treatment. Authorization content requirements mandate specific elements including description of PHI to be used, identification of persons who will receive the information, expiration dates for the authorization, and statements about the individual’s right to revoke consent. Missing elements can invalidate authorizations and create compliance violations. Compound authorization restrictions prevent healthcare organizations from combining marketing consent with other required forms such as treatment consent or insurance authorizations. Marketing authorizations must be separate documents that allow patients to make independent decisions about promotional communications.

Permitted Activities Without Authorization

Face-to-face marketing encounters between healthcare providers and patients do not require written authorization under HIPAA marketing rules, allowing natural discussion of additional services during patient visits. These conversations can include recommendations for other treatments, wellness programs, or preventive services. Promotional gifts of nominal value may be provided during face-to-face marketing communications without triggering additional consent requirements. Healthcare organizations must ensure that gift values remain reasonable and do not create inappropriate incentives that could influence patient care decisions. Communications about health-related products or services provided by the healthcare organization or its business associates may proceed without individual authorization when they support ongoing care activities. Examples include patient education materials about conditions being treated or wellness programs relevant to patient health needs.

Financial Incentive Disclosure Requirements

Remuneration disclosure obligations require enhanced authorization forms when healthcare organizations receive financial compensation for marketing activities involving PHI. These situations include pharmaceutical company sponsorship of patient communications or revenue sharing arrangements with marketing partners. Third-party payment notifications must inform patients when outside organizations are paying for marketing communications about their products or services. Authorization forms must clearly explain these financial relationships and how patient information will be shared with paying entities. Conflict of interest considerations require healthcare organizations to evaluate whether financial incentives for marketing activities could compromise patient care decisions or create inappropriate promotional pressures. These evaluations should inform authorization processes and marketing content development.

Enforcement Mechanisms and Violations

Office for Civil Rights oversight includes authority to investigate complaints about healthcare organization marketing practices and impose corrective actions for violations. OCR has increased enforcement focus on marketing violations, particularly those involving unauthorized use of PHI or inadequate patient consent. Violation categories range from technical authorization deficiencies to willful disregard of patient consent preferences. Penalties vary based on violation severity, organizational culpability, and previous compliance history, with potential sanctions reaching millions of dollars for serious violations. Individual liability extends to healthcare workers who inappropriately use or disclose PHI for the purpose of HIPAA marketing rules. Violations can result in both organizational penalties and individual criminal prosecution depending on the circumstances and intent behind the violation.

Implementation Guidelines for Healthcare Organizations

Policy development should address all aspects of marketing communications including authorization procedures, content approval processes, and staff training requirements. These policies must align with organizational marketing strategies while ensuring comprehensive regulatory compliance. Staff education programs must help healthcare personnel understand the distinction between permitted communications and marketing activities requiring authorization. Training should include examples of different communication types and decision-making processes for determining authorization requirements. Consent management systems help healthcare organizations track patient authorization status and ensure that marketing communications align with current consent preferences. Systems must process authorization changes immediately and maintain historical records for audit purposes.

Integration with Privacy Obligations

Minimum necessary standards apply to HIPAA marketing rules requiring organizations to limit PHI disclosure to information needed for the specific marketing purpose. Complete medical records should not be used for marketing unless the entire record is necessary for the authorized communication. Patient rights protection ensures that marketing activities do not interfere with individual rights to access, amend, or restrict uses of their PHI. Healthcare organizations must maintain systems that support these rights while enabling appropriate marketing communications. State law coordination requires healthcare organizations to comply with any state privacy requirements that provide stronger protections than HIPAA marketing rules. Organizations operating in multiple states should aim to prioritize the various requirements and implement policies that meet the most restrictive standards.

hands on a keyboard sending secure email

How to Secure SMTP Email Delivery with TLS

Secure email sending is a priority for organizations that communicate sensitive data externally. One of the most common ways to send secure emails is with SMTP TLS. TLS stands for Transport Layer Security and is the successor of SSL (Secure Socket Layer). TLS is one of the standard ways that computers on the internet transmit information over an encrypted channel. In general, when one computer connects to another computer and uses TLS, the following happens:

  1. Computer A connects to Computer B (no security)
  2. Computer B says “Hello” (no security)
  3. Computer A says, “Let’s talk securely over TLS” (no security)
  4. Computers A and B agree on how to do this (secure)
  5. The rest of the conversation is encrypted (secure)

In particular:

  • The conversation is encrypted
  • Computer A can verify the identity of Computer B (by examining its SSL certificate, which is required for this dialog)
  • The conversation cannot be eavesdropped upon (without Computer A knowing)
  • A third party cannot modify the conversation
  • Third parties cannot inject other information into the conversation.

TLS and SSL help make the internet a more secure place. One popular way to use TLS is to secure SMTP to protect the transmission of email messages between servers.

Secure SMTP Email Delivery with TLS 

The mechanism and language by which one email server transmits email messages to another email server is called Simple Mail Transport Protocol, or SMTP. For a long time, email servers have had the option of using TLS to transparently encrypt the message transmission from one server to another.

When available, using TLS with SMTP ensures the message contents are secured during transmission between the servers. Unfortunately, not all servers support TLS! Many email providers, especially free or public ones, have historically not supported TLS. Thankfully, the trend is shifting. LuxSci found that most providers now support TLS- approximately 85% of domains tested as of July 2022.

Using TLS requires that the server administrators:

  1. purchase SSL certificates
  2. configure the email servers to use them (and keep these configurations updated)
  3. allocate additional computational resources on the email servers involved.

For TLS transmission to be used, the destination email server must offer support for TLS, and the sending computer or server must be configured to use TLS connections when possible.

The sending computer or server could be configured for:

  1. No TLS: never use it.
  2. Opportunistic TLS: use it if available; if not, send it insecurely.
  3. Forced TLS: use TLS or do not deliver the email at all.

How Secure is Email Delivery over SMTP TLS?

TLS protects the transmission of the email message contents. It does nothing to protect the security of the message before it is sent or after it arrives at its destination. For that, other encryption mechanisms may be used, such as PGP, S/MIME, or storage in a secure portal.

For sending sensitive information to customers, transmission security is the minimum standard for compliance with healthcare and financial regulations. TLS is appropriate to meet most compliance requirements and offers an excellent alternative to more robust and less user-friendly encryption methods (like PGP and S/MIME).

There are different versions of TLS- 1.0 and 1.1 use older ciphers and are not as secure, while TLS 1.2 and 1.3 use newer ciphers and are more secure. When an email is sent, the level of TLS used is as secure as can be negotiated between the sending and receiving servers. If they both support strong encryption (like AES 256), then that will be used. If not, a weaker grade of encryption may be used. The sending and receiving servers can choose the types of encryption they will support. If there is no overlap in what they support, then TLS will fail (this is rare).

What About Replies to Secure Messages?

Let’s say you send a message to someone that is securely delivered to their inbox over TLS. Then, that person replies to you. Will that reply be secure? This may be important if you are communicating sensitive information. The reply will use TLS only if:

  1. The recipient’s servers support TLS for outbound email (there is no way to test this externally).
  2. The mail servers (where the “From” or “Reply” email address is hosted) support TLS for inbound email.
  3. Both servers support overlapping TLS ciphers and protocols and can agree on a mutually acceptable means of encryption.

Unless familiar with the providers in question, it cannot be assumed that replies will use TLS. So, what should you do? Ultimately, it depends on what compliance standards you must meet, the level of risk you are willing to accept, and the types of communications you send. There are two general approaches to this question:

  1. Conservative. If replies must be secure in all cases, assuming TLS will be used is unreasonable. In this case, a more secure method should be used to encrypt the messages in transit and store them upon arrival. The recipient must log in to a secure portal to view the message and reply securely. Alternatively, PGP or S/MIME could be used for additional security.
  2. Aggressive. In some compliance situations like HIPAA, healthcare providers must ensure that ePHI is sent securely to patients. However, patients are not beholden to HIPAA and can send their information insecurely to anyone they want. If the patient’s reply is insecure, that could be okay. For these reasons, and because using TLS for email security is so easy, many do not worry about the security of email replies. However, this should be a risk factor you consider in an internal security audit. Consider nuanced policies that allow you to send less sensitive messages with TLS while sending more sensitive messages with higher security.

What are the Weaknesses of SMTP TLS?

As discussed, SMTP TLS has been around for a long time and has recently seen a great deal of adoption. However, it has some deficiencies compared to other types of email security:

  • There is no mandatory support for TLS in the email system.
  • A receiver’s support of the SMTP TLS option can be trivially removed by an active man-in-the-middle because TLS certificates are not actively verified.
  • Encryption is not used if any aspect of the TLS negotiation is undecipherable/garbled. It is very easy for a man-in-the-middle to inject garbage into the TLS handshake (which is done in clear text) and have the connection downgraded to plain text (opportunistic TLS) or have the connection fail (forced TLS).
  • Even when SMTP TLS is offered and accepted, the certificate presented during the TLS handshake is usually not checked to see if it is for the expected domain and unexpired. Most MTAs offer self-signed certificates as a pro forma. Thus, in many cases, one has an encrypted channel to an unauthenticated MTA, which can only prevent passive eavesdropping.

The Latest Updates to Secure SMTP TLS

Some solutions help remedy these issues—for example, SMTP Strict Transport Security. SMTP STS enables recipient servers to publish information about their SMTP TLS support in their DNS. This prevents man-in-the-middle downgrades to plain text delivery, ensures more robust TLS protocols are used, and can enable certificate validation.

In addition, users can adopt TLS 1.3. NIST recommends that government agencies develop migration plans to support TLS 1.3 by January 1, 2024. LuxSci supports both SMTP MTA-STS and TLS 1.3.

How Secure SMTP TLS Email Works with LuxSci

Inbound TLS

LuxSci’s inbound email servers support TLS for encrypted inbound email delivery from any sending email provider that also supports that. For selected organizations, LuxSci also locks down its servers to only accept email from them if delivered over TLS.

Outbound Opportunistic TLS

LuxSci’s outbound email servers will always use TLS with any server that claims to support it and with whom we can talk TLS v1.0+ using a strong cipher. The message will not be sent securely if the TLS connection to such a server fails (due to misconfiguration or no security protocols in common). Outbound opportunistic TLS encryption is automatic for all LuxSci customers, even those without SecureLine.

Forced TLS

When Forced TLS is enabled, the message is either dropped or sent with an alternate form of encryption if the recipient’s server does not support TLS. This ensures that messages will never be sent insecurely. Forced TLS is also in place for all LuxSci customers sending to banks and organizations that have requested that we globally enforce TLS to their servers.

Support for strong encryption

LuxSci’s servers will use the strongest encryption supported by the recipient’s email server. LuxSci servers will never employ an encryption cipher that uses less than 128 bits (they will fail to deliver rather than deliver via an excessively weak encryption cipher), and they will never use SSL v2 or SSL v3.

Does LuxSci Have Any Other Special TLS Features?

When using LuxSci SecureLine for outbound email encryption:

  1. SMTP MTA STS: LuxSci’s domains support SMTP MTA STS, and LuxSci’s SecureLine encryption system leverages STS information about recipient domains to improve connection security.
  2. Try TLS: Account administrators can have secure messages “try TLS first” and deliver that way. If TLS is unavailable, the messages would fall back and use more secure options like PGP, S/MIME, or Escrow. Email security is easy, seamless, and automatic when communicating internally or with others who support TLS.
  3. TLS Exclusive: This is a special LuxSci-exclusive TLS sending feature. TLS Exclusive is just like Forced TLS, except that messages that can’t connect over TLS are just dropped. This is ideal for low-importance emails that must still be compliant, like email marketing messages in healthcare. In such cases, the ease of use of TLS is more important than receiving the message.
  4. TLS Only Forwarding: Account administrators can restrict any server-side email forwarding settings in their accounts from allowing forwarding to any email addresses that do not support TLS for email delivery.
  5. Encryption Escalation: Often, TLS is suitable for most messages, but some messages need to be encrypted using something stronger. LuxSci allows users to escalate the encryption from TLS to Escrow with a click (in WebMail) or by entering particular text in the subject line (for messages sent from email programs like Outlook).
  6. Domain Monitoring: When TLS delivery is enabled for SecureLine accounts, messages will never be insecurely sent to domains that purport to be TLS-enabled, i.e., TLS delivery is enforced and no longer “opportunistic.” The system monitors these domains and updates their TLS-compliance status daily.
  7. Double Encryption: Messages sent using SecureLine and PGP or S/MIME will still use Opportunistic TLS whenever possible for message delivery. In these cases, messages are often “double encrypted.” First, they are encrypted with PGP or S/MIME and may be encrypted again during transport using TLS.
  8. No Weak TLS: Unlike many organizations, LuxSci’s TLS support for SMTP and other servers only supports those protocol levels (e.g., TLS v1.0+) and ciphers recommended by NIST for government communications and which are required for HIPAA. So, all communications with LuxSci servers will be over a compliant implementation of TLS.

For customers who can use TLS to meet security or compliance requirements, it enables seamless security and “use of email as usual.” SecureLine with Forced TLS enables clients to take advantage of this level of security whenever possible while automatically falling back to other methods when TLS is unavailable.

Of course, using Forced TLS as the sole method of encryption is optional; if your compliance needs are more substantial, you can turn off TLS-Only delivery or restrict it so that it is used only with specific recipients.

If your email use cases are complicated, LuxSci’s flexibility enables the secure sending of emails to any recipient, regardless of their email service provider’s support for TLS. Contact the LuxSci sales team to learn more about our secure SMTP TLS email sending.

LuxSci HIPAA Compliant Forms

What is a HIPAA Compliant Form?

A HIPAA compliant form refers to any document or electronic form used to collect, access, or store protected health information (PHI), while also meeting the privacy and security requirements outlined by the Health Insurance Portability and Accountability Act (HIPAA). In healthcare today, patient data is one of the most valuable assets that any provider, payer or supplier can possess. As well as being highly valuable, however, the nature of patient data also makes it highly sensitive. That’s where HIPAA compliant forms come in. HIPAA is designed to safeguard patient data and protect health information (PHI) from unauthorized access, disclosure, and use.

With the rise of digital interactions in the healthcare industry, one of the best ways to capture and manage sensitive data is through secure forms. Whether onboarding new patients, scheduling appointments, gathering patient feedback, conducting surveys, or carrying out marketing campaigns, securely collecting patient information and business intelligence via HIPAA compliant forms can provide huge opportunities for improved efficiency and a better overall patient or customer experience.

In this article, we’ll explore the essential role secure forms play in collecting patient data, why healthcare companies should use HIPAA compliant forms to capture PHI, and subsequently, how to create secure and compliant forms for use in your everyday healthcare operations.

Why HIPAA Compliant Forms are Crucial for Healthcare?

A secure form (or secure web form) is a type of online form designed to collect, transmit, and store data and business intelligence, while maintaining strict security standards, including compliance with HIPAA regulations. Secure forms typically incorporate encryption and authentication protocols to ensure data is protected from unauthorized access during submission and storage.

In the context of healthcare, secure forms are specifically designed to capture PHI, which includes a patient’s name, address, medical history, diagnoses, treatment plans and other personal details related to their health.

Healthcare organizations, such as hospitals, doctors’ offices, clinics, in-home care services, retail healthcare, testing services and laboratories, health plan administrators, insurers, and medical equipment providers all deal with patient data on a daily basis. The sensitive and important nature of this data makes it a prime target for cybercriminals, who seek to use it for financial gain or other malicious purposes, including disrupting critical infrastructure and business operations, identity theft, and more.

Accounting for this, when scheduling appointments, onboarding new patients, or conducting surveys, for example, healthcare companies must use secure forms that adhere to HIPAA guidelines to ensure patient data is properly secured.

These include:

  • Data is encrypted in transit, when being collected from the form and transferred to storage, and at rest, where the patient data will reside, i.e. in a database.
  • Only authorized users, i.e., employees with good reason to handle PHI, have access to patient data.
  • Authorized users are also properly authenticated, to ensure they are who they claim to be, i.e., credentials haven’t been stolen, a session hasn’t been hijacked, etc.

Conversely, using unsecured forms to collect PHI could result in the data being compromised in a breach—and your organization suffering the associated consequences. As well as the financial penalties of a security breach, such as fines and compensation paid to the affected parties, more significantly, you’ll incur a dent in your reputation of your business and a loss of patient trust. 

Key Applications for Secure Forms in Healthcare

Now that we’ve covered why HIPAA compliant forms are vital for healthcare organizations, let’s look at some of the most effective ways they can be utilized.

1. New Patient Onboarding and Registration

Gathering basic information, such as their medical history, insurance details, and personal information, is a fundamental part of onboarding new patients. Secure forms allow patients to submit their sensitive data through a safe, encrypted platform, mitigating the risk of data exposure considerably and reducing or eliminating the need for human intervention in the process.

Additionally, automated form submissions, using data from electronic health record (EHR) systems and other integrated tools save time for healthcare providers and patients, offering a streamlined registration experience and improved workflows.

2. Appointment Scheduling

Secure forms offer an efficient way for patients to schedule their appointments, reducing time, effort, and administrative overhead by eliminating the need for a phone call or back-and-forth email conversation through automated scheduling. When integrated properly, the completion of a secure form can trigger appointment confirmation and reminder emails to reduce missed appointments. Allowing patients to book appointments in this way drastically reduces the amount of friction involved, making it far easier for patients to comply and making sure they don’t miss appointments. 

3. Patient and Customer Surveys

Feedback from patients plays a crucial role in improving healthcare services and experiences, allowing companies to pinpoint areas for refinement. Requesting feedback is also highly beneficial for a company’s long-term relationship with a patient or customers, as it demonstrates they value their opinion and want to incorporate it into their ongoing commitment to excellent service and efficient healthcare journeys; this makes patients more inclined to trust them, strengthening their connection and overall engagement.

Whether for patient satisfaction surveys or follow-up care assessments, secure forms offer a compliant means of collecting valuable feedback without jeopardizing PHI.

4. Email Communications and Marketing Campaigns

Email marketing in healthcare can be a tricky endeavor, especially when it comes to getting patients to opt-in and for classifying and handling PHI.

By using secure forms, healthcare organizations can gather consent from patients for email communications and marketing campaigns. Secure forms ensure that any sensitive patient data (i.e., preferences for specific treatments or communications) is submitted safely and stored in compliance with privacy regulations.

End-to-End Security for Form Data

An essential requirement of secure forms used by healthcare providers, payers, and suppliers is that they provide end-to-end security, i.e., protecting form data throughout its entire lifecycle—from submission to storage to access. Here are the measures required to ensure end-to-end security for PHI captured by web forms.

1. Secure Transmission

As alluded to earlier, when a patient submits data through a form, it must be encrypted while being transmitted from the form, i.e., the place of capture, to where it will be stored. Using Secure Socket Layer (SSL) or Transport Layer Security (TLS) encryption ensures that sensitive data, such as PHI, is protected from interception by malicious actors.

2. Secure Storage

Similarly, after submission, form data must be stored securely in an encrypted database to ensure HIPAA compliance. Subsequently, in the event the database is breached and the PHI exfiltrated, it will be undecipherable to cybercriminals, protecting the data from exposure.

3. Access Control and User Authentication

Organizations must ensure that only authorized personnel can access sensitive patient data, according to their responsibilities regarding PHI. In addition to this, healthcare organizations must implement strong authentication mechanisms, such as multi-factor authentication (MFA) and robust password practices, to facilitate user authentication. These mitigation measures are interconnected as they help better secure data even if a hacker gets their hands on an authorized employee’s login details.

4. Audit Logs

Additionally, companies must maintain audit, or activity, logs to carefully track who accessed PHI, when, where they accessed it from, and why, i.e., how they acted upon the data. This helps identify suspicious or malicious behavior and, in the event of a breach, pinpoint its origin and contain its spread. Audit logs can also reveal which employees have too many access privileges, enabling healthcare organizations to tighten up their access control policies.

Best Practices for Secure Forms

Finally, here are some best practices to align with when employing the use of secure forms to collect patient data.

1. Use a Secure Form Builder

Choose a solution, such as LuxSci, that specializes in secure, HIPAA compliant forms. This ensures that all data collection, transmission, and storage are adequately encrypted and that compliance standards are met.

2. Enable Encryption

Always use encryption protocols, such as SSL or TLS, to protect data in transit, as well as encrypted databases, to store data. This ensures that data, especially sensitive PHI, remains encrypted according to HIPAA regulations.

3. Implement Role-Based Access

Ensure that access to sensitive data collected from forms is restricted based on roles within your organization. Only those who need the data to perform their jobs should have access, i.e., role-based access control (RBAC).

4. Keep Forms Simple

Avoid overwhelming patients and customers with too many fields or questions and focus on collecting the essential data necessary for the task at hand. This increases the likelihood the form will be filled out correctly and you’ll capture all necessary PHI.

5. Test Your Forms

Regularly test your forms for user experience, security vulnerabilities and functionality issues. Vulnerabilities in your forms could lead to data breaches or compliance violations, so regularly probing your forms for weaknesses, and acquiring up-to-date data intelligence to discover emerging threats, ensures they remain secure.

Why LuxSci’s Secure Forms Stand Out

LuxSci offers a fully HIPAA compliant Secure Forms solution, designed specifically with the security needs of healthcare organizations in mind. This includes:

  • End-to-End Security: Data is protected through advanced encryption protocols during transmission and storage, ensuring patient data remains confidential.
  • Customization: Forms can be easily created and customized to collect a wide range of patient and customer information, including PHI, appointment details, feedback, and consent for communications.
  • Seamless Integration: The LuxSci Secure Forms solution integrates with existing healthcare systems that store PHI to enable streamlined workflows and centralized data management.
  • Audit Trails: LuxSci provides comprehensive audit logging to track every action taken on the data, offering accountability and transparency in accordance with HIPPA guidelines.

Want to learn more about how LuxSci’s Secure Forms will help you achieve HIPAA-compliant patient data collection? Contact us today to talk with our expert team.

 HIPAA Compliant Forms FAQs

1. What is the difference between a secure form and a regular form?

A secure form uses encryption and security protocols to ensure that data is protected during transmission and storage. Regular forms don’t necessarily offer these risk mitigation measures, making them far more vulnerable to data breaches, especially in healthcare.

2. Is LuxSci’s Secure Forms solution HIPAA-compliant?

Yes, LuxSci’s Secure Forms are fully HIPAA-compliant, ensuring the privacy and security of Protected Health Information (PHI).

3. How does encryption work in secure forms?

Encryption transforms data into unreadable code during transmission and at rest, so only authorized recipients with the decryption key can access the original data, ensuring that sensitive information remains confidential—even in the event of a breach.

4. Can secure forms be integrated with other healthcare systems?

Yes, LuxSci Secure Forms integrate seamlessly with other healthcare systems, platforms and applications, including customer data platforms (CDPs), electronic health records (EHR) systems, and revenue cycle management (RCM) platforms, making it easier to manage collected data—and, better still, keep it secured.

5. Why is end-to-end security important for healthcare forms?

End-to-end security ensures that patient data remains protected throughout the entire process—from submission to storage to subsequent access. This reduces the risk of data breaches and ensures HIPAA compliance.