Secure Texting Apps for Healthcare: Are They Safe?

Healthcare Marketing, Patient Engagement, Secure Text
LuxSci
October 17, 2024

As today’s healthcare patients demand more personalized and efficient care, secure communication tools have become a requirement for modern multi-touch engagement. With increasingly tech-savvy patients and customers, today’s providers, payers and suppliers are turning to secure texting apps for healthcare to open up new communications channels, enhance engagement, and improve overall health outcomes.

Sounds great, right? Well, secure text must not only be efficient, but also secure and compliant with strict regulations, including HIPAA (Health Insurance Portability and Accountability Act).

In this blog post, we’ll explore how secure texting can make healthcare more efficient, adding a new and commonly used channel to better connect with your patients and customers—and we’ll provide some useful tips for companies looking to bring secure text into their healthcare engagement strategies.

The Value of Secure Texting Apps for Healthcare

Healthcare providers, payers and suppliers often face the challenge of quickly sharing critical information with patients and customers, all while maintaining data privacy and securing protected health information (PHI). Traditional texting and SMS methods are inherently insecure, leaving sensitive health information vulnerable to breaches. Text messages have a number of widely known security vulnerabilities, including issues with confidentiality, only optional encryption, and inadequate authentication.

In healthcare, a data breach isn’t just a technical issue—it can lead to severe consequences, including legal penalties and the loss of patient trust, as well as harming your brand and future business. Secure texting ensures compliance with HIPAA regulations, protecting patient data and safeguarding healthcare organizations and companies from fines.

HIPAA Compliance Considerations for Secure Texting

One of the key concerns when implementing secure texting in healthcare is HIPAA compliance. HIPAA mandates strict guidelines for the handling, transmission, and storage of Protected Health Information (PHI). Any communication containing PHI must be encrypted, auditable, and only accessible by authorized users. Here are some HIPAA compliance factors to consider:

End-to-End Encryption: Ensure that your secure texting app offers end-to-end encryption. This means that the email service provider (ESP) encrypts and transmits data using the TLS security protocol, securely stores data at rest, and data is never kept on a recipient’s device, preventing interception and access by unauthorized parties.
Audit Controls: HIPAA requires organizations to maintain an audit trail of all communications. Your secure texting solution should provide a record of when messages are sent, delivered, and read, as well as details on who accessed the information.
Access Controls: Only authorized personnel should have access to sensitive patient data or PHI. Secure texting apps for healthcare should offer user authentication features such as PINs, biometrics, or two-factor authentication to ensure the identity of the user. The safest approach is to not include PHI in your text message at all, but rather direct users to a secure communications platform via text message.
Remote Wipe Functionality: In the event that a device is lost or stolen, healthcare providers must be able to remotely wipe PHI from the device to prevent unauthorized access, if needed.

Tips for Implementing Secure Texting in Healthcare

If you’re a healthcare organization considering secure texting apps, here are some practical tips to ensure a smooth implementation:

Choose the Right Platform: Not all secure texting apps are created equal. Look for platforms that are specifically designed for healthcare, as they are more likely to include features designed for HIPAA compliance. LuxSci Secure Text, for example, is built for healthcare environments, with encryption, audit trails, and other compliance tools integrated into the solution.
Train Your Staff: Technology is only as secure as the people using it. Ensure that all staff members who will use the secure texting app are trained on best practices for handling PHI and following compliance protocols. Regular training sessions and refresher courses are a must to keep everyone up to date with the latest rules and regulations.
Encourage Patient and Customer Adoption: Secure texting is a powerful tool for patient and customer engagement. Inform patients about the benefits of secure messaging and how it protects their privacy. Offer your patients and customers—especially those less likely to respond to other channels—the option to receive text messages as part of a multi-channel or omnichannel engagement approach.
Integrate with Existing Systems: A seamless workflow is crucial for the success of any new technology. Ensure that your secure texting solution can integrate with your existing Electronic Health Records (EHR) system, CDP platform, and other healthcare engagement channels and portals, so communication between providers, payers, suppliers and patients is not siloed.
Monitor and Review: After implementing secure texting, regularly review its usage and ensure compliance protocols are being followed. Monitor audit logs and address any potential security concerns promptly. Continuous improvement is key to maintaining both security and efficiency.

Improving Personalization and Engagement with Secure Texting

Beyond compliance and data protection, secure texting apps for healthcare can significantly enhance patient engagement and improve the overall healthcare experience. In fact, personalized, timely communication has been shown to improve health outcomes and boost patient satisfaction. Here’s how:

Appointment Reminders and Care Management: Send patients personalized appointment reminders, medication prompts, or follow-up instructions, reducing no-shows and improving adherence to treatment plans. For instance, sending a patient a personalized text reminder for their diabetes check-up or alerting them to the results of medical tests can improve and accelerate care management.
Product Offers, Renewals and Upgrades: Secure messaging enables healthcare providers and suppliers to reach out to patients and customers to remind them about a prescription renewal, to upgrade or offer a new product, or to drive plan renewals and new services.
Patient Education: Use secure texting to alert patients that new educational materials, such as care instructions, post-surgery protocols, or health tips tailored to the patient’s specific condition, are available. This not only empowers patients with more information but improves outcomes with better adherence to treatment plans and ongong care needs.

How LuxSci’s Secure Text Works

LuxSci Secure Text transmits its data with TLS protection, stores its information with 256-bit AES, and data is never kept on the recipient’s device. Recipients use password-based authentication to access the information and messages are securely stored in LuxSci’s databases and dedicated secure infrastructure.

LuxSci’s Secure Text does not require the sender to install or use any new applications. Leveraging LuxSci’s SecureLine encryption service, the sender:

Writes their message in either LuxSci’s WebMail email app or their preferred email program, including Google Workspace or Microsoft 365.
In the address field, the sender enters a special email address that is based the recipient’s phone number. For example, an address of 2114367789@secure.text would send the message to a US recipient whose number is 211-436-7789. Once the sender is finished, they hit the send button.
The recipient will receive a normal SMS that tells them a secure message is waiting for them. The message contains a link, which opens up their phone’s web browser:

If they have recently viewed another Secure Text message, the new message will immediately be displayed.
If the recipient has used Secure Text to view messages at an earlier date, they will need to enter their password before they can view the message.
If this is the recipient’s first Secure Text message, they will need to set up a password before they can view the message.

With LuxSci, you do not include PHI in your text messages, helping to ensure the privacy and protection of patient and customer data at all times, and eliminating the inherent security risks of text and SMS messages.

Learn More About Secure Texting Apps for Healthcare

Today’s secure texting solutions are expanding the ways healthcare organizations communicate with patients and customers. With the right solution, you can ensure compliance with regulations like HIPAA, while enhancing personalization, engagement, and health outcomes. Secure texting can improve the end-to-end healthcare journey and create a more efficient, patient-centered healthcare experience.

Are you ready to improve your patient engagement with secure text, while maintaining HIPAA compliance and securing PHI data?

Contact us today to learn more about secure texting apps, healthcare-specific use cases, and how you can implement new secure communication channels to achieve better outcomes and grow your business.

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Know the Biggest Email Threats Facing Healthcare Right Now

July 16, 2025
Pete Wermter

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

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

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

Ransomware Attacks

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

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

Email Client Misconfiguration

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

Common types of email misconfiguration include:

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

Social Engineering Attacks

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

Phishing

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

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

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

Domain Impersonation and Spoofing

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

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

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

Insider Email Threats

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

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

Business Email Compromise (BEC) Attacks

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

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

BEC attacks come in several forms, such as:

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

Supply Chain Risk

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

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

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

Download LuxSci’s Email Cyber Threat Readiness Report

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

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

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

What is the Best HIPAA Compliant Email?

July 10, 2025
Erik Kangas

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

HIPAA Compliant Email Features

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

Popular HIPAA Compliant Email Platforms

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

Security Considerations for Healthcare Communications

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

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

Client Experience and Usability Factors

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

HIPAA Compliant Email Implementation for Medical Practices

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

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

Cost Considerations For Selecting Email Services

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

Integrating Email with Broader Practice Security

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

What Are Email HIPAA Compliance Requirements?

July 2, 2025
Erik Kangas

Email HIPAA compliance is the privacy and security standards that healthcare organizations must implement when using electronic mail to transmit, store, or discuss protected health information. These requirements include encryption protocols, access controls, audit logging, and administrative safeguards that protect patient data during email communications. Healthcare providers, payers, and suppliers must understand email HIPAA compliance obligations to avoid costly violations while maintaining effective communication with patients, business partners, and other healthcare organizations. Understanding email HIPAA compliance helps organizations select appropriate email platforms, train staff on proper procedures, and implement policies that protect patient information while supporting clinical and administrative workflows.

Privacy Rule Requirements For Email HIPAA Compliance

The Privacy Rule establishes how healthcare organizations can use and disclose protected health information in email communications without violating patient privacy rights. Email HIPAA compliance permits healthcare organizations to use patient information for treatment, payment, and healthcare operations without obtaining individual patient authorization. Clinical communications between providers, billing discussions with payers, and care coordination activities fall under these permitted uses when proper safeguards are implemented.

Healthcare organizations must provide privacy notices to patients explaining how their information may be used in email communications and their rights regarding this information. Patients have the right to request restrictions on how their information is shared via email, though organizations are not always required to agree to these limitations. Email HIPAA compliance requires organizations to honor reasonable requests and provide mechanisms for patients to file complaints about email privacy practices.

Minimum necessary standards require healthcare organizations to limit email communications to the smallest amount of protected health information needed for the specific purpose. This means that diagnosis details, treatment notes, and other sensitive information should only be included when necessary for patient care or business operations. Organizations must evaluate their email practices to ensure compliance with minimum necessary requirements across different communication types.

Security Rule Standards For Email HIPAA Compliance

The Security Rule requires healthcare organizations to implement administrative, physical, and technical safeguards to protect electronic protected health information transmitted via email. Administrative safeguards include appointing security officers responsible for email systems, conducting workforce training on email privacy requirements, and establishing procedures for granting and revoking email access. These safeguards ensure that only authorized personnel can access patient information during email communications.

Technical safeguards focus on access controls, encryption, audit logging, and transmission security for email systems. Email HIPAA compliance requires user authentication systems that verify the identity of individuals accessing email containing patient information. Encryption protects email content during transmission and storage, while audit logs track who accesses patient information and when these access events occur.

Physical safeguards protect computer systems, mobile devices, and facilities where email containing patient information is accessed or stored. Organizations must implement workstation security controls, device controls for mobile email access, and media disposal procedures for devices containing patient communications. These protections prevent unauthorized individuals from accessing patient information through physical security breaches.

Regular security assessments evaluate email systems for vulnerabilities that could lead to data breaches or unauthorized disclosures. Email HIPAA compliance requires organizations to address identified weaknesses and maintain documentation of security measures. Penetration testing and vulnerability scanning help identify potential problems before they result in privacy violations.

Business Associate Requirements For Email HIPAA Compliance

Third-party email service providers that handle protected health information on behalf of healthcare organizations must operate as business associates under HIPAA regulations. Business associate agreements must specify how email providers will protect patient information, limit data use to authorized purposes, and report security incidents or unauthorized disclosures. Email HIPAA compliance requires healthcare organizations to verify that their email providers have appropriate security measures in place.

Common email business associates include cloud email providers, managed email services, and email security vendors. Each relationship requires careful evaluation of privacy and security risks along with appropriate contractual protections. Organizations must verify that business associates maintain their own HIPAA compliance programs and provide documentation of security measures.

Business associates must implement administrative, physical, and technical safeguards for email systems and ensure that subcontractors also comply with HIPAA requirements. This includes providing security training to their workforce, maintaining audit logs, and reporting security incidents to healthcare organizations. When business associate relationships end, email providers must return or destroy patient information as specified in their agreements.

Staff Training And Policy Development

Healthcare organizations must train staff on email HIPAA compliance requirements and organizational policies for handling patient information in electronic communications. Training programs should cover identification of protected health information, appropriate use of email systems, and procedures for reporting potential privacy violations. Staff members need to understand when email communications require additional security measures and how to use secure email platforms correctly.

Policy development includes establishing procedures for email encryption, recipient verification, and incident reporting when security concerns arise. Organizations should develop different policies for various types of email communications, including patient care coordination, billing discussions, and business partner communications. Regular policy updates address changing regulations and technology developments that affect email security.

Competency assessments verify that staff understand their responsibilities when handling patient information in email communications. Organizations should document training activities and maintain records of staff compliance with email privacy policies. Regular refresher training keeps staff updated on changing requirements and reinforces proper email security practices.

Monitoring And Incident Response For Email HIPAA Compliance

Healthcare organizations need ongoing monitoring programs to ensure that email practices remain compliant with HIPAA requirements and identify potential issues before they result in violations. Regular audits should examine email content for appropriate privacy protections, verify that security safeguards function correctly, and assess whether staff follow established policies. These audits help demonstrate ongoing commitment to protecting patient information.

Incident response procedures specifically address email-related security breaches or privacy violations, including notification requirements and remediation steps. Organizations must have clear procedures for investigating potential breaches involving email communications, determining whether notification is required, and implementing corrective actions to prevent future incidents. Training on incident response helps staff recognize and respond appropriately to email security issues.

Documentation requirements include maintaining records of email policies, training activities, security assessments, and compliance monitoring efforts. This documentation helps demonstrate compliance efforts during regulatory investigations and supports continuous improvement of email practices. Organizations should retain documentation for required periods and ensure records are complete and accessible when regulatory authorities request information about email HIPAA compliance practices.

Why is High Email Deliverability Essential for Healthcare Companies?

June 30, 2025
Pete Wermter

With email communication playing a critical role in the customer engagement strategies of virtually every organization, high email deliverability rates are vital to success across all industries. In the healthcare sector, however, the stakes can be far higher. An undelivered email isn’t merely an inconvenience or a lost sales opportunity; it could mean a missed appointment, a delay in a prescription refill, or a failure to get a patient critical healthcare information. Or worse, the email could end up in the hands of an unintended recipient, including bad actors and cybercriminals.

With this in mind, this post details why high email deliverability is essential for healthcare companies, as well as how your organization benefits from reliable and rapid email delivery.

Speed and Efficiency

The primary reason that high email deliverability is crucially important to healthcare organizations is to best guarantee essential communications that directly impact an individual’s healthcare journey reach them promptly. These transactional emails can include appointment reminders, prescription renewals, product order confirmations, test results, explanation of benefits notices, payment reminders, and invoices. Administrative notifications related to software or systems that a patient might use, such as a password reset for an online portal, also fall under the category of transactional emails.

When transactional emails are delayed or fail to reach people altogether, they can compromise a patient’s ability to access care, adhere to treatment plans, stay informed on key facets of their healthcare journey, and, ultimately, achieve optimal health outcomes.

When a patient fails to receive an expected email, such as a prescription confirmation, for example, it can leave them feeling confused and unsure of what to do next. For individuals who are sick, elderly, or managing chronic conditions, this can cause unnecessary stress, anxiety, and even compromise adherence to care plans.

In contrast, high email delivery rates create the opposite effect, helping patients get the communications and information they need. This increases their trust in your company and gives them a firmer sense of control over their healthcare journey.

Compliance with HIPAA Regulations

While the above point stresses the importance of reliable email delivery for the patient’s and customer’s benefit, healthcare companies also have a vested interest in ensuring communications reach the intended recipient for regulatory and patient privacy reasons.

To comply with the Health Insurance Portability and Accountability Act (HIPAA), emails that contain sensitive patient data, i.e., electronic protected health information (ePHI), must be securely delivered to the intended recipient. If, on the other hand, a communication containing ePHI fails to reach the intended recipient patient, that represents a failure in secure communications and a potential HIPAA violation for your organization.

After all, where did the patient’s data go? Was it delivered to the wrong person? Was it blocked by a spam filter and is left sitting unencrypted on a server somewhere?

If you can’t answer these questions, you could be exposed to a data breach, and it could result in a HIPAA violation, meaning your organization incurrs the associated consequences, including financial penalties and reputational damage. Conversely, deploying a fully HIPAA compliant email solution, such as LuxSci, supported by a dedicated infrastructure and designed for high email delivery enables your organization to include patient data in communications with confidence and ensure you messages land in the recipient’s inbox.

Greater Levels of Personalization and Engagement

Finally, high email deliverability rates are essential for healthcare organizations because they help drive greater levels of engagement with patients and customers. Higher email deliverability means better inbox placement, leading to more emails being opened, more links being clicked, and more conversions for your communications and campaigns.

In the case of healthcare retailers, for example, this equates to converting more prospects into customers and, consequently, maximizing the ROI of email marketing campaigns, in some cases with up to 80% better results.

While healthcare marketers, understandably, focus most of their efforts on crafting attention-grabbing headlines, personalizing the message content, and the email’s design elements, these factors are rendered irrelevant if the message fails to reach the recipient in the first place! When you take this into account, high email deliverability is a crucial component in optimizing the ROI of email communications and campaigns, and an all too often overlooked component at that.

Get Your Copy LuxSci’s Achieving High Email Deliverability Best Practices Paper

To learn more about the importance and value of high email deliverability for healthcare companies, download your copy of LuxSci’s latest Best Practices Paper: How to Achieve High Email Deliverability in Healthcare. You’ll discover:

How to opitmize performance for the different types of healthcare emails.
Powerful strategies for increasing your company’s email deliverability rates.
How small increases in email deliverability can have considerable effects on your marketing ROI

Grab your copy of the report here, and learn how to enhance your email deliverability rates today.

What are the Infrastructure Requirements For HIPAA Compliant Email?

April 3, 2025
Pete Wermter

Healthcare providers, payers, and suppliers increasingly rely on email communication for a wide variety of purposes pertaining to their patients’ and customer’s healthcare journeys. However, ensuring email messaging is both effective and HIPAA compliant requires the right infrastructure, including dedicated environments, high throughput and low latency, end-to-end encryption, scalability and compliance monitoring.

The Health Insurance Portability and Accountability Act’s (HIPAA) regulations mandate a series of data security and privacy requirements to safeguard the electronic protected health information (ePHI) contained in emails, which is a good place to start. At the same time, however, healthcare organizations must also consider deliverability best practices to ensure their messages successfully reach the intended recipients.

With all this in mind, this post discusses the infrastructure requirements for HIPAA compliant email. We’ll explore the differences between transactional and marketing emails, as well as infrastructure and compliance considerations for each.

What Are Transactional Emails?

Transactional emails are messages that correspond to a previous interaction between a healthcare organization and an individual. A patient or customer will trigger the delivery of a transactional email by taking a specific action – with the transaction email being confirmation of the action.

Examples of transactional emails include:

Explanation of Benefits
Billing statements
Invoices
Appointment confirmations and reminders
Order updates and shipping notifications
Password resets and security notifications
Plan renewal confirmation
Payment failure notifications
In-home care communications

Healthcare companies can also use transactional emails to communicate relevant instructions, next steps, or follow-up actions.

What Are Marketing Emails?

Marketing emails contain content designed to influence the recipient into taking a particular action, usch as ordering a new product or sign up for a new service. Subsequently, they often contain informational materials intended to educate the individual so they can make a more informed decision.

Examples of marketing emails include:

New product or service launches
Promotional offers
Loyalty reward notifications
Customer reviews and testimonials
Educational materials or campaigns
Preventative care outreach
Event Invitations
Re-engagement messages (e.g., “We Miss You!..”)

With the proper data safeguards and the effective use of ePHI, marketing emails can be personalized to be made more relevant to the recipient. This then allows patients or customers to be segmented into subgroups according to particular commonalities, e.g., age, gender, lifestyle factors, medical conditions, etc.

Opt-in Rules for HIPAA-Compliant Email Communication

One significant difference between marketing and transactional emails is that recipients must explicitly opt-in to receive marketing emails.

HIPAA requires explicit patient consent for marketing emails if they contain ePHI, requiring individuals to opt-in to receive email marketing communications from a healthcare organization. Neglecting to allow people to opt-in to your marketing communications leaves your company open to the consequences of HIPAA non-compliance, which include financial penalties and reputational damage.

Conversely, healthcare organizations aren’t required to obtain opt-ins to send transactional emails, but these communications are still subject to other HIPAA regulations, such as encryption and audit logging.

Additionally, marketing emails must comply with the CAN-SPAM Act: US legislation that governs commercial email communication and protects individuals from deceptive sales and marketing practices. The CAN-SPAM Act requires healthcare organizations to provide an opt-out mechanism in the event they no longer wish to receive marketing emails. Subsequently, you must always allow individuals to opt out of marketing emails to stay compliant.

Email Infrastructure Requirements For HIPPA-Compliance

As the vast majority of healthcare organizations need to send marketing and transactional emails, they must have the appropriate infrastructure to facilitate the optimal delivery of both types of emails. Consequently, for HIPAA compliant email, they need to establish the appropriate infrastructure configurations for each, according to their differing purposes, sending patterns, and compliance considerations.

Let’s look at the infrastructure requirements for each email type in turn, before looking at considerations that pertain to both types of email.

Key Transactional Email Infrastructure Considerations

Transactional emails are sent to a sole patient or customer, with the information therein only intended for that specific individual. Additionally, they can be highly time-sensitive: for example, a password reset or similar emails related to logins and service use must be immediate, while order confirmations need to be delivered ASAP to reassure clients of a company’s reliability and trustworthiness.

Accounting for this, the infrastructure requirements for transactional emails include:

High Speed and Low Latency: servers that are optimized for high IOPS (input/output operations per second) and minimal processing delays to ensure near-instant delivery
Dedicated IPs: this helps healthcare companies maintain a strong sender reputation to avoid blacklisting, being labelled as spam, etc. This is crucial for reliable, fast delivery.
High Availability and Redundancy: this includes load balancers, failover servers, and geographically distributed data centers to ensure comprehensive disaster recovery and more robust business continuity protocols.

Key Marketing Email Infrastructure Considerations

In contrast to transactional messages, marketing emails must often be sent out in high volumes, which could be as many as hundreds of thousands or millions per month. As a result, marketing email campaigns have different computational demands, i.e., CPU and storage, than transactional messages intended for a single person.

Subsequently, the infrastructure requirements for marketing emails include:

High Volume and Scalability: marketing messages require a larger throughput to facilitate the bulk delivery of email. Additionally, servers should scale easily to accommodate increasingly larger campaigns without suffering bottlenecks.
Queueing and Throttling: marketing email infrastructure must prevent sending surges that could trigger spam filters or overload recipient servers, which often results in blacklisting.
Dedicated vs. Shared Infrastructure: it’s important to consider whether to opt for private versus shared infrastructure, depending on the size of your organization and the scale of your campaigns. Large senders often use dedicated IPs for better control, while smaller companies or campaigns might use shared pools with strict sender reputation management.

Key Infrastructure Considerations for Both Types of Email

Lastly, there are infrastructure requirements that apply to both types of email that will help facilitate their fast and reliable delivery, respectively. These include:

Separate Infrastructure: consider hosting your transactional and marketing emails on separate servers. This benefits transactional emails in particular, as there are several factors inherent to marketing email campaigns, such as bounced emails and being flagged as spam, that affect an email IP’s reputation. Separate infrastructure maintains the integrity of a healthcare company’s IP address for transactional emails, ensuring they are delivered unimpeded.
Encryption: the ePHI in all email communications must be encrypted in transit, i.e., when sent to individuals, and at rest, i.e., when stored in a database. This helps safeguard the patient data within the message, regardless of its nature.
HIPAA Compliance Monitoring: remaining aware of what ePHI is included in email communications. This keeps data exposure to a minimum and mitigates the unintentional inclusion of patient data in email communications.
Logging and Auditing: this not only allows you to track email activity, but you also can measure the efficacy of your email communications, who accessed ePHI, and what they did with it. This is an essential part of HIPAA compliance and will be subject to tighter regulation when the updates to HIPAA’s Security Rule come into effect in late 2025.

HIPAA-Complaint Email Solutions From LuxSci

LuxSci offers HIPAA compliant email solutions designed to optimize the reliability and deliverability of both transactional and marketing emails.

LuxSci’s Secure High Volume Email solution offers:

Dedicated, high-performance infrastructure to ensure fast and reliable delivery.
Scalable infrastructure for high-volume email campaigns, ensuring reliability even as sent emails venture into the hundreds of thousands or millions.
Dedicated IPs and reputation management tools to prevent blacklisting and deliverability issues.
Logging, tracking, and audit trails for HIPAA compliance and security monitoring.

LuxSci’s Secure Email Marketing platform provides:

Hypersegmentation for personalized patient and customer engagement.
Detailed tracking and reporting capabilities for performance monitoring and compliance auditing.
Automated campaign scheduling for reduced administrative overhead.
Opt-in and list management tools to ensure compliance with HIPAA and CAN-SPAM.

Discover how our solutions can meet your evolving email infrastructure requirements today.

Is Wix HIPAA Compliant?

December 18, 2024
Erik Kangas

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

Wix Platform Limitations for Healthcare

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

Business Associate Agreement Status

Healthcare organizations require Business Associate Agreements (BAAs) from any service provider handling protected health information. Wix does not offer BAAs for its website building platform or hosting services, making it legally impossible to use Wix for websites collecting or displaying patient information, regardless of added security measures. Wix’s terms of service do not address healthcare compliance or regulatory requirements, as the company focuses on general business and personal websites rather than regulated industries with strict data protection needs. Healthcare providers may assume website builders automatically support healthcare regulatory requirements without checking BAA availability.

Form Collection and Data Storage

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

Acceptable Uses for Healthcare Organizations

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

Secure Alternatives for Healthcare Websites

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

Website Compliance Assessment

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

Integrating HIPAA Compliant Email with EHR Systems

April 23, 2025
Pete Wermter

With digital healthcare here to stay, today’s providers, payers and suppliers are making increasing use of Electronic Health Record (EHR) systems for more connected care – and better health outcomes.

However, while EHR systems help increase the speed and efficiency at which care can be delivered to patients, healthcare companies must still consider the security of electronic protected health information (ePHI) throughout the process, especially when it comes to communicating sensitive data with patients, customers, and other organizations.

Fortunately, integrating an EHR system with a HIPAA compliant email service provider (ESP), like LuxSci, offers a secure way to engage with your patients, while leveraging – and protecting – the wealth of information within EHR systems to personalize communications.

In this post, we discuss the benefits of integrating EHR systems with a HIPAA compliant email platform, as well as several use cases made possible by bringing these two powerful solutions together.

What is an EHR System?

An EHR system is a platform used by healthcare companies to store and manage their patient’s digital data, including PHI. In providing a digital repository for a patient’s medical history, including diagnoses, prescribed medication, lab results, and other data related to their healthcare journey, EHR systems enable organizations to access, update, and share patient data more quickly and efficiently.

As EHR systems have steadily replaced paper-based records, namely, after the HITECH Act was enacted in 2009, which incentivized EHR adoption, healthcare companies are better able to access and share PHI across different environments, greatly enhancing the coordination and cooperation of providers, payers, and suppliers.

Why Should You Integrate EHR Systems with a HIPAA Compliant Email Platform?

Let’s discuss the key benefits of integrating your EHR Systems with a HIPAA compliant email platform:

Secure ePHI Transmission

When the sensitive data in EHR systems is sent out to patients and other healthcare providers and organizations, it must be encrypted, as per HIPAA regulations to safeguard it from exposure. That way, even in the event of a security breach, it will be unreadable to malicious actors, preserving the privacy of patients and customers. In light of this, HIPAA compliant email delivery platforms emphasize strong encryption capabilities to ensure sensitive patient data is always encrypted during transmission.

LuxSci’s SecureLine encryption technology employs automatic, flexible encryption, which applies the appropriate encryption standard depending on the recipient’s email security posture and infrastructure, making sure emails are always encrypted in transit.

HIPAA Compliant Patient Engagement Campaigns

Healthcare organizations are often reluctant to include the patient data stored in their EHR systems for fear of accidental exposure – and violating HIPAA regulations as a result. In addition to encryption, LuxSci provides other HIPAA-mandated security features, such as access control capabilities, to maintain precise control over who can access patient data, and audit logging, to track access to ePHI. Perhaps most importantly, LuxSci provides you with a Business Associate Agreement (BAA): a legal document, and key pre-requisite for HIPAA compliance, that clearly establishes its responsibilities in safeguarding the ePHI that originates in your EHR systems.

With these security capabilities in place, healthcare providers can confidently incorporate patient and customer data from their EHR systems into their outreach efforts, using ePHI to personalize emails accordingly to maximize engagement and improve communications.

Automated Secure EHR-Driven Communication

EHR systems facilitate automated healthcare workflows, including for clinical or administrative events that require effective communications, such as appointment scheduling, a patient diagnosis, or test results becoming available, automatically triggering follow-up actions, including updating patient care plans, generating invoices, sending outbound emails. In addition to facilitating consistency and coordination between the various companies involved in a patient’s healthcare journey, it reduces the amount of required manual work, lowering each organization’s administrative overhead.

LuxSci’s suite of HIPAA compliant, secure communications tools aid in the enhanced efficiency and productivity of EHR systems by streamlining digital communication across multiple channels. LuxSci Secure High Volume Email can automatically send personalized, HIPAA-compliant messages triggered by EHR events. Similarly, LuxSci Secure Text allows companies to notify patients via SMS, as per the situation or patient preferences. LuxSci’s Secure Forms, meanwhile, simplifies onboarding and consent processes by pre-filling web forms with EHR data, eliminating the need for manual input paperwork and manual entry.

Common Email and EHR Integration Use Cases

Integrating your EHR system with a HIPAA compliant email solution, like LuxSci, opens the door for a wide variety of enhanced patient engagement opportunities. Let’s explore some of the most valuable use cases for EHR integration below.

Appointment Confirmations and Reminders: companies can create EHR-driven workflows that send out an email confirmation as soon as an appointment is scheduled. Similarly, automated email reminders and text messages can be scheduled to go out a set number of days before the patient’s appointment, lowering the chance of a no-show.
Pre-Visit Instructions: when appropriate, tailored preparation instructions can be scheduled to be sent out by email before the appointment, according to the nature of the appointment and other relevant patient data.
Follow-Up Care Guidance: by the same token, an EHR event can be set up to send out personalized after-care advice, sourced from care plans or notes stored in the EHR system.
Test Results: an email or text can be triggered as soon as a patient’s lab results become available; this could be in the form of an alert to contact their provider to collect the results or a summary alongside a secure link to a portal for full access.
Preventive Screening Reminders: EHR data can be used to identify patients due for screenings, immunizations, or chronic care follow-ups.
Preventative Care: sending patients advice and recommendations relevant to their condition, based on ePHI stored in their healthcare provider’s EHR.
Early Detection Self-Assessments: EHR-driven emails can be used to send patients personalized risk assessments designed to detect early warning signs of conditions such as diabetes or cancer, based on ePHI like age, lifestyle factors, or family history.
Feedback Collection: healthcare organizations can schedule feedback to be collected from patients, e.g., surveys, questionnaires, etc, to measure patient satisfaction and identify key areas of improvement.

Discover the Power of EHR Integration with LuxSci

Integrating HIPAA compliant communications solutions like LuxSci with EHR systems empowers healthcare companies to craft more timely, efficient and consistent digital healthcare communications and workflows. This personalized approach to patient and customer engagement enables efficient, effective and above all, compliant communications strategies that improve individual engagement, providing better health outcomes and a higher quality of life.

Want to learn more? Contact us today!

What is a HIPAA Compliant Email?

October 11, 2024
Erik Kangas

A HIPAA compliant email incorporates encryption, access controls, audit capabilities, and secure archiving to protect electronic protected health information during transmission and storage. Regular email services like Gmail or Yahoo Mail do not meet HIPAA requirements without enhanced security measures. Healthcare organizations must implement secure email platforms or security add-ons, establish proper usage policies, and obtain Business Associate Agreements from service providers to maintain HIPAA compliant email communications.

HIPAA Compliant Email Encryption Requirements

HIPAA compliant email services must encrypt messages containing protected health information during transmission and storage. Transport Layer Security (TLS) encryption protects messages while traveling between email servers, preventing interception by unauthorized parties. End-to-end encryption provides stronger protection by encrypting message content so only intended recipients can read it. Message-level encryption allows sending protected information to recipients who might not have secure email systems. Healthcare organizations implement gateway encryption solutions that automatically encrypt messages containing patient information. Without these encryption protocols, sensitive healthcare data remains vulnerable to access by unauthorized individuals during transmission across networks or while stored on servers.

Secure Access Control Mechanisms

Controlling who can access email accounts is an important aspect of maintaining HIPAA compliant email systems. Multi-factor authentication requires users to verify their identity through methods beyond passwords. Account lockout policies temporarily disable access after multiple failed login attempts. Password complexity requirements ensure users create strong credentials that resist guessing or cracking attempts. Session timeout features automatically log users out after periods of inactivity. Role-based access controls limit which staff members can send, receive, or view emails containing protected health information. When properly implemented, these access restrictions create multiple layers of protection that reduce the risk of unauthorized email access.

Audit and Monitoring Functions

HIPAA compliant email platforms include logging and monitoring capabilities that track message handling. Email systems record message sending, receiving, and access activities with user identification and timestamps. These logs create audit trails demonstrating who accessed what information and when these actions occurred. Email security gateways monitor outgoing messages for potential policy violations or unencrypted protected health information. Organizations review these logs to identify unusual patterns or potential security issues. Monitoring tools can alert administrators about suspicious email activities that might indicate compromised accounts. Regular auditing allows healthcare organizations to demonstrate compliance during regulatory reviews while providing essential information for investigating any potential security incidents.

HIPAA Compliant Email Retention and Archiving

Healthcare organizations must maintain HIPAA compliant email archives that preserve messages according to retention requirements. Email archiving solutions capture and securely store all messages, including those deleted from user inboxes. These archives maintain the encryption, access controls, and audit capabilities needed for protected health information. Retention policies determine how long different types of messages must be preserved based on regulatory and organizational requirements. Legal hold features prevent deletion of messages relevant to investigations or litigation. Archive search capabilities allow retrieving specific messages when needed for patient care or compliance verification. The combination of secure storage and retrieval functionality ensures healthcare communications remain available when needed while maintaining appropriate protections throughout the message lifecycle.

Business Associate Agreements

Healthcare organizations must obtain Business Associate Agreements from providers of HIPAA compliant email services. These agreements establish the email provider’s responsibilities for protecting healthcare information under HIPAA regulations. The BAA outlines security measures, breach notification procedures, and compliance documentation requirements. Organizations should verify exactly which components of the email service fall under BAA coverage, as some features might be excluded. Email providers offer standardized BAAs as part of their healthcare-focused services. Without properly executed agreements, healthcare organizations remain legally responsible for any compliance failures or data breaches occurring through their email service providers, potentially resulting in regulatory penalties.

Staff Training and Usage Policies

Technology alone cannot guarantee HIPAA compliant email without proper user behavior. Organizations must establish clear policies governing appropriate email usage for protected health information. Staff training covers what information can be included in emails, when encryption must be used, and how to verify message security before sending. Many healthcare systems implement visual indicators that help users identify when they’re composing secure versus standard emails. Regular reminders help maintain awareness as email threats and regulations evolve. Healthcare organizations require staff acknowledgment of email policies to document training completion. Even the most sophisticated email security technology can be undermined by simple human errors, making training and clear usage guidelines fundamental to maintaining compliant communications.