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What is the Best HIPAA Compliant Email?

HIPAA compliant email for Therapists

The best HIPAA compliant email contains strong security features with ease of use and reasonable pricing. Top options include properly configured email 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 practice size, budget, and capabilities. Healthcare organizations selecting the best HIPAA compliant email solutions need platforms that integrate seamlessly with existing workflows while providing robust protection for patient communications across all devices and locations.

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.

Archive management capabilities preserve historical communications for required retention periods while maintaining searchability and security protections. Healthcare providers need email systems that can retrieve past communications quickly during audits or patient requests without compromising protection standards. Automated retention policies delete expired messages according to regulatory requirements, reducing data exposure risks over time. Version control tracks message modifications and forwarding activities, creating complete audit trails that demonstrate proper information handling. The best HIPAA compliant email platforms balance preservation requirements with operational efficiency, ensuring that providers can access necessary historical communications without maintaining unnecessary data repositories.

Popular HIPAA Compliant Email Platforms

Several email providers offer solutions well-suited to mental health professionals. Mainstream platforms provide affordable options when properly configured with appropriate security settings and covered by Business Associate Agreements. Smaller therapy practices prefer familiar platforms for their integration with other practice tools. Healthcare organizations benefit from email solutions that work with existing technology infrastructure rather than requiring complete system replacements.

Platform selection depends on practice size, technical expertise, and specific workflow requirements that vary across medical specialties. Primary care practices need different features compared to specialty clinics or multi-location healthcare systems. Solo practitioners value simplicity and minimal maintenance requirements, while larger organizations need centralized administration and consistent policy enforcement. Integration capabilities determine how well email systems connect with electronic health records, practice management software, and billing systems that support daily operations.

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.

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. Mental health providers managing adolescent patients need systems that respect parental access rights while protecting minor privacy in accordance with state laws.

Threat detection capabilities monitor email systems for unusual access patterns, suspicious login attempts, or unauthorized data export activities that might indicate security breaches. Real-time alerting notifies administrators when potential security incidents occur, enabling rapid response before patient information is compromised. Automated threat response systems can temporarily lock accounts, require password resets, or restrict access when suspicious activities are detected. Healthcare organizations implementing the best HIPAA compliant email need layered security defenses that protect against both external attacks and internal policy violations.

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.

Patient education materials help individuals understand how to use secure email systems effectively while protecting their own information. Clear instructions about recognizing legitimate healthcare emails prevent patients from falling victim to phishing attempts that impersonate medical providers. Guidance about password protection and account security empowers patients to participate actively in safeguarding their health information. Healthcare providers benefit from email platforms that include patient-facing documentation explaining security features and proper usage.

Communication preference tracking enables healthcare organizations to document which patients consent to email communications versus those preferring telephone or postal mail contact. Preference management systems ensure staff use appropriate communication channels for different patients based on documented choices. Alternative communication methods should remain available for patients who decline electronic communications or lack reliable email access, ensuring that digital communication options expand rather than limit healthcare accessibility.

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 maintenance. Group practices benefit from centralized administration that enforces consistent security policies across all providers. 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 cover both operational procedures and appropriate clinical use cases. When implementing HIPAA compliant email, practice admins should create workflow procedures that incorporate secure communication into practice routines.

Change management strategies help staff adapt to new communication technologies without resistance that could undermine security measures. Phased implementation approaches allow practices to introduce secure email gradually, starting with internal communications before expanding to patient-facing uses. Pilot programs with limited user groups identify workflow issues before organization-wide deployment. Feedback collection during implementation phases reveals usability problems that might discourage adoption or encourage workarounds that compromise security.

Staff training programs need recurring sessions rather than one-time orientations, as communication security requires ongoing attention to evolving threats and changing regulations. Scenario-based training helps staff understand appropriate email usage through realistic examples of common situations they might handle. Role-specific training addresses different security responsibilities for physicians, nurses, administrative staff, and IT personnel. Assessment procedures verify that staff comprehend security protocols before granting access to patient communication systems.

Cost Considerations For Selecting Email Services

Healthcare providers must balance security requirements with budget realities when selecting HIPAA compliant email. Pricing models vary, with some services charging per user while others offer flat-rate plans better suited to solo practitioners. 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 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.

Hidden costs emerge from email system complexity that requires specialized IT support or consultant assistance during setup and maintenance. Training expenses accumulate when staff turnover necessitates repeated onboarding for new employees unfamiliar with secure communication protocols. Compliance documentation costs include time spent maintaining audit trails, conducting security assessments, and preparing evidence for regulatory inspections. Healthcare organizations should budget for these indirect expenses when comparing email platform options.

Return on investment calculations should account for productivity improvements from efficient communication workflows, reduced compliance violation risks, and enhanced patient satisfaction with convenient digital access. Email systems that integrate with existing healthcare software reduce duplicate data entry and streamline administrative tasks, creating time savings that offset subscription costs. Improved patient engagement through convenient communication channels can increase appointment attendance, medication adherence, and referral rates that support practice growth.

Integrating Email with Broader Practice Security

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

Network security architecture determines how email systems connect with other healthcare applications and external networks while maintaining isolation from potential threats. Firewall configurations control which external systems can communicate with healthcare email servers, preventing unauthorized access attempts. Intrusion detection systems monitor network traffic for suspicious patterns that might indicate cyberattacks targeting patient communications. Segmented networks separate email systems from less secure applications, limiting potential damage if other systems are compromised.

Disaster recovery planning ensures that email communications can be restored quickly after system failures, natural disasters, or security incidents without losing patient information. Geographic redundancy stores email data in multiple locations, protecting against localized failures that could disrupt healthcare operations. Regular backup testing verifies that archived communications can be recovered successfully when needed. Recovery time objectives define acceptable downtime periods for email systems based on their importance to patient care activities

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Erik Kangas

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

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Most Popular LuxSci Blog Posts of 2025

As we close out 2025, healthcare communicators, IT and compliance leaders, and digital marketers face an ever-changing landscape of security threats, regulatory updates, and technology innovations. At LuxSci, we’re committed to helping you with continuous updates and guidance on the future of secure healthcare communications.

In case you missed it, or need a refresh, below are some of our most popular blog posts from 2025. Enjoy!

1. Improve Email Engagement and Marketing Results with Automated Workflows

Automated workflows are transforming how healthcare organizations engage patients and customers — enabling dynamic, event-driven campaigns that easily scale your outreach and keep you HIPAA compliant. In this post, we introduce LuxSci’s Automated Workflows capability for our Secure Marketing healthcare solution. Learn how sequence-based journeys can personalize outreach and optimize engagement with behavior-based triggers that improve campaign performance — without sacrificing data security.

Read the full post: LuxSci Enhances Secure Marketing with Automated Workflows

2. Healthcare Email Threat Readiness Strategies

Email remains a frontline channel for healthcare communications, and a prime target for cyber threats and criminals. This deep-dive into email threat readiness strategies covers essential practices like continuous monitoring, business continuity planning, and workforce training to mitigate email-borne security risks. Whether you’re responsible for clinical systems, marketing, or enterprise IT, this post provides a strategic playbook to strengthen your defenses, while maximizing your results.

Read the full post: Healthcare Email Threat Readiness Strategies

3. HIPAA Compliant Email — 20 Tips in 20 Minutes

For practical guidance you can apply right now, this on-demand webinar distills 20 key tips for HIPAA-compliant email across technical, legal, and operational domains. Whether you’re refining your infrastructure, improving deliverability, or modernizing your data security posture in 2026, this resource is a time-efficient way to elevate your compliance and security.

Read the post and watch the webinar on demand: HIPAA Compliant Email: 20 Tips in 20 Minutes

4. Is SendGrid HIPAA-Compliant? What You Should Know

Choosing the right email provider matters, especially when Protected Health Information (PHI) is at stake. In this post, we examine SendGrid’s capabilities in the context of HIPAA compliance, outline what it takes to send PHI securely, and offer guidance on evaluating third-party services for secure healthcare email and communication needs.

Read the full post: Is SendGrid HIPAA-Compliant?

5. LuxSci Shines in G2 Winter 2026 Reports

Customer feedback matters to LuxSci. In this post, we share the most recent news about LuxSci’s performance in the G2 Winter 2026 Reports, where we earned 20 badges across categories like Email Security, Encryption, Gateway, and HIPAA-Compliant Messaging. These reviews reflect not just product excellence, but trust from real users, which we work hard to build every day!

Read the full post: LuxSci Shines in G2 Winter 2026 Reports

Looking Ahead to 2026

We look forward to providing more information and insights on secure healthcare communications in the coming year, including the latest on HIPAA compliant email, PHI security, healthcare marketing, threat readiness, and personalized engagement. In the meantime, if you’re not already, follow us on LinkedIn below, and we’ll see you here in 2026!

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HIPAA compliant email

LuxSci Welcomes Angel Mazariegos as Head of Finance

LuxSci, a leader in secure healthcare communications and HIPAA compliant email, is pleased to announce the appointment of Angel Marie Mazariegos as the company’s new Head of Finance. With over 25 years of experience in financial management, accounting, and human resources, Angel will play a central role in advancing LuxSci’s operational excellence and supporting the company’s rapid growth in 2026 and beyond.

Angel brings a wealth of expertise to LuxSci, having held senior leadership positions at organizations focused on financial services, language and access services for healthcare, and human resources. In these roles, Angel has led multi-department Finance and HR teams, spearheading critical initiatives, including ERP implementations, streamlined employee onboarding, and financial process optimization.

In her role at LuxSci, Angel will oversee all aspects of the company’s finance operations, including budgeting, forecasting and reporting. Additionally, Angel will manage the company’s HR function, ensuring that LuxSci continues to foster a strong, people-driven culture based on its Secure, Trust, Responsible and Smart company values.

“Angel’s blend of financial and HR leadership makes her an invaluable addition to the LuxSci executive team and a real asset for our people,” said Mark Leonard, CEO of LuxSci. “We look forward to working with Angel to build the high-performing teams that will be critical to our future growth and serving the evolving needs of our customers.”

Angel holds dual MBA degrees in Accounting and Human Resource Management from Cappella University, as well as dual BS degrees in Business Administration (Accounting and CIS Business Systems) from California State University, Los Angeles.

“I am honored to join the LuxSci team at such an exciting time for the company,” said Mazariegos. “I look forward to working with the team and helping build on LuxSci’s reputation for excellence and reliability in secure healthcare communications.”

HIPAA Compliant Email

LuxSci Shines in G2 Winter 2026 Reports, Underscoring Commitment to Product Leadership and Trusted Relationships

We’re pleased to announce that LuxSci has been recognized for excellence and leadership for HIPAA compliant email and messaging in the just-released G2 Winter 2026 Reports!

Based on verified customer reviews, LuxSci earned 20 G2 badges as part of the most recent G2 reports, including top honors such as Grid Leader, Highest User Adoption, Best Support, and Best Estimated ROI.

This recognition further validates what we’ve always believed: our customers don’t just choose a great product — they choose a great partner. At LuxSci, we build long-term, trusted relationships with our customers, anchored in product reliability, industry-leading email deliverability and performance, and the best customer support in the business.

Why G2 Matters

G2 is a globally trusted peer‑review platform that aggregates verified user feedback and real‑world usage data to rank software and service providers. G2’s seasonal reports like the Winter 2026 editions shine a spotlight on latest tools and vendors that deliver consistent value and satisfaction to real customers.

Earning 20 badges this quarter signals a strong vote of confidence from our customers and community, helping affirm that LuxSci is a leading, highly adopted secure email solutions provider.

What We Earned in Winter 2026

Among the 20 badges awarded to LuxSci across Email Security, Email Encryption, Email Gateway and HIPAA Compliant Messaging are:

  • Grid Leader
  • Highest User
  • Best Support
  • Best Estimated ROI

This broad range of accolades spanning leadership, adoption, support and return on investment underscores the reliability of our solutions and the trust our customers place in us.

Awards Reflect Our Commitment to Customer Success

Reliable. Winning Grid Leader and Highest User Adoption demonstrates that thousands of users are depending on LuxSci, securely delivering emails to today’s most popular platforms, including Gmail, Apple Mail, Yahoo Mail and AOL, to name a few.

Proven. With Best Estimated ROI, customers are saying that LuxSci delivers tangible results, whether in secure email delivery, regulatory compliance, or operational efficiency.

Long‑Term Trust. Best Support is perhaps the most telling because for us, success isn’t just about features, it’s about being there for our customers every step of the way.

Thank you to all of our customers. We remain committed to your success — today and in the future.

Want to learn more about LuxSci? Reach out and connect with us today!

HIPAA Compliant Email

Here’s What HIPAA Compliant Email Salespeople Don’t Tell You

With email security threats continuously increasing in number and sophistication, as well as healthcare companies requiring secure solutions to communicate with patients and customers, the need for HIPAA compliant email solutions has never been greater. 

However, when looking for the right secure email services provider (ESP), healthcare organizations run the risk of making inaccurate assumptions about HIPAA compliance via what they learn from prospective vendors. This is due to the tendency for sales materials for HIPAA compliant email services, such as web pages or promotional videos, to highlight the strengths of the platform, while downplaying a healthcare company’s own role and responsibilities in securing protected health information (PHI). 

With this firmly in mind, here are six key things that HIPAA compliant email salespeople don’t tell you about securing communications and achieving compliance. 

1. The Shared Responsibility Model

Firstly, HIPAA compliant email salespeople are unlikely to emphasize the idea of shared responsibility when it comes to data security. This is the idea that two entities that share access to data, e.g., a healthcare company and their ESP, have a shared responsibility to preserve the privacy of that data.

In reality, most sales pitches explain the benefits and features of the solution, as opposed to stressing that compliance truly depends on how it’s configured and used. Now, that’s not to say that a salesperson is trying to hide this fact, as they’ll probably allude to training and configuration requirements. But, they’ll be less likely to make light of this and, more broadly, how shared responsibility factors into compliance.

2. A BAA Doesn’t Automatically Make You HIPAA Compliant

A business associate agreement (BAA) is essential for HIPAA compliance, but signing one doesn’t automatically make you compliant. Your organization still has to use the email delivery solution in a way that aligns with HIPAA regulations, which involves proper configuration, training, oversight, and reporting.

The misconception among some healthcare companies that a BAA equals compliance may be perpetuated by the term “HIPAA compliant email services provider”.  This could give some the impression that the vendor is fully HIPAA compliant and, subsequently, in signing a BAA with them, the use of their services is fully compliant.

But, it’s not that simple.

Simply signing a BAA obscures the real effort involved in achieving compliance. There’s no official HIPAA seal of approval, and HIPAA compliant means that the solution is capable of being configured for compliant use, which is a shared responsibility. HIPAA compliant email salespeople are unlikely to volunteer this nuance, especially if their email solution requires considerable configuration or has a steep learning curve to use it securely.

3. Not All Solutions or Features Are HIPAA Compliant

Another key detail often underplayed by vendor sales materials of HIPAA compliant email solutions is that some of their features, or even entire services, aren’t covered by their BAAs, so they can’t be used to handle PHI. 

These tools are referred to as “out of scope” and may include tools capable of integration with the email service, such as analytics or AI capabilities, but they don’t possess the cyber risk mitigation measures that align with HIPAA regulations. Perhaps the main reason for this is that many mass-market email delivery solutions, such as Microsoft 365 or Google Workspace, are designed for companies across all sectors. Consequently, while they can be HIPAA compliant, they weren’t developed from the ground up with the stringent regulatory demands of the healthcare industry in mind.

4. Solutions Are Not HIPAA Compliant “Out of The Box”

HIPAA compliant email salespeople may suggest that compliance is built into their platform, and healthcare organizations can use it to transmit PHI straight away, but this isn’t the case. Healthcare companies must still configure the email platform accordingly, as per the security requirements determined by their risk assessment, e.g., applying the right level of encryption. 

Also, if the email service is difficult to configure for HIPAA compliance or if the vendor’s configuration documentation lacks detail, that presents another obstacle to its compliant use. 

In addition to configuration, healthcare companies also have to implement access management controls and policies, establishing the extent to which each employee can access PHI in respect to their roles and responsibilities. From there, they will have to train their workforce on how to use the HIPAA compliant email solution securely, which may include those tools that fall outside the scope of your BAA with the vendor, and must not be used for the disclosure of patient data.

5. Essential Security Features Cost Extra 

Another more egregious version of an ESP not being HIPAA compliant out of the box is having features required for compliance, such as encryption or audit logging, as premium add-ons and not included in the solution’s base pricing. 

A vendor’s sales materials for its email service might list the necessary safeguards, but underemphasize the fact that only some versions of their platform are truly HIPAA compliant. Consequently, healthcare companies must confirm that the features required for HIPAA compliant email communications are included in the plan they’re purchasing. 

6. The Importance of Staff Training on HIPAA

HIPAA compliant email salespeople are often remiss in stressing the need for additional workforce training alongside the deployment of their platform. A healthcare company’s employees must be trained on how to securely use the email client, how to ID potential threats, and best practices for including PHI in email communications, as well as the regulations tied to HIPAA and data security.

This includes educating users on the differences between regular and secure email, and what they must do to safeguard patient and customer data. Fortunately, secure email solutions from providers like LuxSci enable automated email encryption, and users do not need to take any additional actions to ensure encryption when sending emails.

Additionally, in some cases, employees will need to be trained on which tools or features do not align with HIPAA guidelines and must not be used to process PHI.

LuxSci: Fully HIPAA Compliant – No Hidden Surprises

LuxSci specializes in solutions that enable companies to carry out secure, personalized, and HIPAA compliant email communications and campaigns. With more than 20 years of experience and billions of emails sent for companies including Athenahealth, 1 800 Contacts, Lucerna Health and Rotech Healthcare, we’ve acquired invaluable experience in helping healthcare organizations enhance their engagement efforts, all while adhering to HIPAA regulations. In addition, LuxSci’s secure high-volume and marketing email solutions feature HIPAA-required security controls, including encryption, audit logging, and multi-factor authentication (MFA) by default, not as optional, hidden extras.

Contact us today to learn more about how LuxSci’s secure email solutions can help increase the ROI on your patient and customer outreach efforts, while safeguarding PHI in line with HIPAA requirements.

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Best HIPAA Compliant Email Software

Is ProtonMail HIPAA Compliant?

ProtonMail can be HIPAA compliant with proper implementation and a signed Business Associate Agreement (BAA). The platform offers end-to-end encryption, secure message storage, and multiple authentication factors that align with HIPAA security requirements. Healthcare organizations must obtain ProtonMail’s BAA, implement appropriate usage policies, and ensure staff understand proper email handling practices to maintain compliance when using the service for patient communications.

ProtonMail’s Security Architecture and HIPAA Compliant Status

ProtonMail provides several security features that support HIPAA compliance requirements. End-to-end encryption protects message content from interception during transmission and prevents ProtonMail itself from accessing message contents. Zero-access encryption ensures emails remain encrypted while stored on ProtonMail’s servers. Two-factor authentication adds protection beyond passwords when accessing accounts. Message expiration allows senders to set automatic deletion timeframes for sensitive communications. The platform’s Swiss location provides additional privacy protections under Swiss law. While these technical features are the foundation for becoming HIPAA complia, tentchnology alone doesn’t create compliance without proper organizational measures and agreements.

Business Associate Agreement Availability

Healthcare organizations must obtain a Business Associate Agreement before using any service for protected health information. ProtonMail offers BAAs for users of their Professional and Enterprise plans, but not for free or Plus accounts. The agreement establishes ProtonMail’s responsibilities for protecting healthcare data according to HIPAA regulations. Organizations should review the BAA terms carefully to understand which ProtonMail features and services it covers. The agreement outlines breach notification procedures and compliance responsibilities for both parties. Without this formal agreement in place, healthcare organizations cannot legally use ProtonMail for patient information regardless of the platform’s security capabilities or other protective measures implemented.

Limitations and Compliance Challenges

Despite strong security features, ProtonMail presents several challenges for healthcare organizations seeking HIPAA compliance. When sending emails to non-ProtonMail users, end-to-end encryption requires recipients to access messages through a separate portal using shared passwords, potentially creating friction in patient communications. Access controls may not provide the granularity needed for larger healthcare organizations with complex permission requirements. Audit logging capabilities could fall short of HIPAA’s detailed tracking requirements for some implementations. Integration with existing healthcare systems might require custom development work. Organizations must evaluate these limitations against their workflow needs and compliance requirements before selecting ProtonMail as their email solution.

Implementation Requirements for Healthcare Users

Healthcare organizations using ProtonMail must implement several measures beyond basic account setup. Administrative policies should clearly define what types of patient information may be communicated via email. Staff training needs to cover proper handling of protected health information, including when encryption is required and how to verify recipient addresses. Organizations must establish procedures for securely communicating passwords when sending encrypted messages to non-ProtonMail users. Account management processes should address staff departures and role changes to maintain appropriate access controls. Documentation practices need to demonstrate compliance measures during potential regulatory reviews or audits. The completeness of these organizational measures ultimately determines whether ProtonMail functions as a HIPAA compliant solution.

Comparison with Healthcare-Focused Email Solutions

ProtonMail differs from email services specifically designed for healthcare organizations. While ProtonMail emphasizes general security and privacy, healthcare-focused providers build their services around HIPAA compliance requirements. Specialized solutions often include features like automated patient data detection, healthcare-specific DLP rules, and integration with electronic health records. Their administrative tools typically provide more detailed compliance reporting tailored to healthcare requirements. Support staff understand healthcare workflows and compliance challenges. Healthcare-specific platforms may offer simpler HIPAA compliant documentation to streamline regulatory requirements. Organizations must weigh whether ProtonMail’s general security approach or a healthcare-specialized solution better addresses their individual requirements.

Practical Usage Guidelines for Healthcare Organizations

Healthcare organizations can maximize ProtonMail’s HIPAA compliant potential through thoughtful usage practices. Creating clear distinction between communications containing protected health information and general business emails helps maintain appropriate security boundaries. Implementing standardized subject line tags identifies messages containing patient information. Establishing approved contact lists ensures protected information goes only to verified recipients. Creating email templates for common patient communications helps maintain consistency and proper security practices. Developing escalation procedures addresses situations where email might not provide appropriate security for particularly sensitive information. Regular security reviews verify that ProtonMail usage continues to meet both regulatory requirements and organizational security standards as practices evolve.

HIPAA Email Policy

How-To Guide: High Volume HIPAA Compliant Email

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

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

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

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

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

Why You Need This Guide

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

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

Here’s a preview of what’s inside:

Understanding HIPAA Compliance in Email

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

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

Strategies for High Volume Email Success

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

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

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

Built for the New Era of Healthcare Engagement

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

Download the Guide Today

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

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

Best Secure Email Hosting

What Is HIPAA Compliant Email Software?

HIPAA compliant email software is a specialized communication platform that protects electronic Protected Health Information (ePHI) through encryption, access controls, audit logging, and administrative safeguards required by the HIPAA Security Rule. The software incorporates technical, administrative, and physical safeguards to ensure that patient information transmitted via email meets federal privacy and security standards. Healthcare organizations use this software to communicate securely with patients, providers, and business partners while maintaining compliance with HIPAA regulations and avoiding costly violations. Healthcare providers need secure email solutions that balance operational efficiency with regulatory requirements. Understanding the features and capabilities of HIPAA compliant email software helps organizations select platforms that protect patient privacy while supporting clinical workflows and administrative operations.

Why Organizations Need HIPAA Compliant Email Software

Healthcare organizations need HIPAA compliant email software to meet federal security requirements while maintaining efficient communication channels. Standard email platforms lack the security controls and audit capabilities required to protect ePHI during transmission and storage. The HIPAA Security Rule mandates that covered entities implement administrative, physical, and technical safeguards to protect patient information, making specialized email software necessary for compliance. Data breach statistics highlight the risks of using non-compliant email systems. The Department of Health and Human Services Office for Civil Rights reported that email-related breaches accounted for numerous incidents affecting millions of patients in recent years. Organizations using standard email platforms face increased vulnerability to cyberattacks, unauthorized access, and accidental disclosure of patient information. HIPAA compliant email software reduces these risks through built-in security features and automated protection mechanisms.

Cost considerations also drive the adoption of compliant email software. HIPAA violations can result in fines ranging from $137 to over $2 million per incident, depending on the severity and scope of the breach. The financial impact of data breaches ranges from regulatory fines to include legal costs, remediation expenses, and reputation damage. Investing in HIPAA compliant email software helps organizations avoid these costs while showing commitment to patient privacy and regulatory compliance.

Features of the Best HIPAA Compliant Email Software

Access control features form the foundation of HIPAA compliant email software by ensuring that only authorized users can access patient information. The software implements user identification through individual login credentials, role-based access permissions, and automatic session termination after periods of inactivity. Multi-factor authentication adds further security by requiring users to provide multiple forms of verification before accessing the system. Encryption capabilities protect ePHI both in transit and at rest within the email system. HIPAA compliant email software uses advanced encryption standards to convert readable patient information into coded format that unauthorized parties cannot decrypt. The software encrypts messages during transmission between email servers and maintains encryption when storing messages in the system. End-to-end encryption ensures that only intended recipients can view the content of healthcare communications.

Audit logging functionality tracks all system activity to create detailed records of who accessed patient information, when access occurred, and what actions were performed. The software generates audit trails that include login attempts, message delivery events, encryption status, and user permissions changes. Healthcare organizations can review these logs to identify potential security incidents, investigate unauthorized access attempts, and demonstrate compliance during regulatory inspections.

Data backup and recovery features protect against information loss while maintaining HIPAA compliance throughout the process. The software automatically creates secure backups of email communications and stores them in encrypted format. Recovery procedures ensure that patient information can be restored quickly after system failures while maintaining all security protections. Backup systems include geographic redundancy to protect against natural disasters and other catastrophic events.

HIPAA Compliant Email Software & BA Requirements

Business Associate Agreements (BAAs) create legal frameworks that define how email software vendors protect patient information on behalf of healthcare organizations. HIPAA compliant email software providers willingly sign BAAs and accept responsibility for implementing appropriate safeguards to protect ePHI. The agreements specify security requirements, breach notification procedures, and audit rights that allow healthcare organizations to verify vendor compliance with HIPAA regulations.

Vendor compliance certifications provide additional assurance that email software meets industry security standards. Many HIPAA compliant email software providers undergo third-party security audits and obtain certifications such as SOC 2 Type II, HITRUST CSF, or ISO 27001. These certifications validate that the vendor has implemented appropriate controls to protect customer data and maintain compliance with applicable regulations.

Data processing and storage practices within the best HIPAA compliant email software align with HIPAA requirements for protecting patient information. Vendors implement data segregation to ensure that each healthcare organization’s information remains separate and secure. The software includes features for data retention management, allowing organizations to comply with legal requirements for maintaining patient records while securely disposing of information when retention periods expire.

Incident response procedures within the software help healthcare organizations meet HIPAA breach notification requirements. The system monitors for potential security incidents and provides automated alerts when suspicious activity is detected. When breaches occur, the software facilitates rapid investigation and documentation of the incident, helping organizations meet the 60-day notification requirement for reporting breaches to the Office for Civil Rights.

Support of Administrative Features

Policy management tools within HIPAA compliant email software help healthcare organizations implement and enforce email security policies. The software allows administrators to configure automatic encryption rules, data loss prevention policies, and message retention schedules. Users receive automated notifications when attempting to send emails that may contain patient information without proper encryption or to unauthorized recipients.

User training and awareness features help healthcare organizations educate staff about proper email security practices. The software can include training modules, security reminders, and policy acknowledgment requirements. Some platforms integrate with learning management systems to track training completion and ensure that all users understand their responsibilities for protecting patient information.

Workflow integration capabilities allow HIPAA compliant email software to work seamlessly with existing healthcare systems and processes. The software can integrate with electronic health record systems, practice management platforms, and other healthcare applications. Integration reduces the complexity of sending secure communications and helps ensure that patient information flows securely between different systems within the organization.

Reporting and analytics features provide healthcare organizations with insights into email security practices and compliance status. The software generates reports on encryption usage, policy violations, and user behavior patterns. Healthcare administrators can use this information to identify training needs, adjust security policies, and demonstrate compliance efforts to regulators and auditors.

Evaluating HIPAA Compliant Email Software

Security assessment criteria help healthcare organizations evaluate whether email software meets their specific compliance requirements. Organizations examine encryption methods, access control mechanisms, audit logging capabilities, and data protection features. The evaluation process includes reviewing vendor security documentation, conducting security questionnaires, and assessing the software’s ability to integrate with existing security infrastructure.

Usability considerations play a crucial role in software selection because complex systems can lead to user resistance and workaround behaviors that compromise security. Healthcare organizations evaluate user interface design, mobile device support, and integration with existing workflows. The software needs to provide security without creating barriers that prevent healthcare workers from communicating effectively with patients and colleagues.

Scalability requirements vary based on organization size and growth projections. Healthcare organizations assess whether the email software can accommodate current user counts and expand to meet future needs. Evaluation criteria include storage capacity, user licensing models, and performance under increasing email volumes. The software architecture needs to maintain security and compliance capabilities as the organization grows.

Cost analysis encompasses both direct software expenses and indirect implementation costs. Healthcare organizations compare subscription fees, setup costs, training expenses, and ongoing maintenance requirements. The evaluation includes calculating return on investment based on avoided compliance violations, reduced security incidents, and improved operational efficiency.

Implementation Challenges

User adoption challenges arise when healthcare staff resist changing from familiar email systems to new HIPAA compliant platforms. Staff members may perceive the new software as more complex or time-consuming than their current email applications. Organizations address adoption challenges through change management programs, hands-on training sessions, and clear communication about the benefits of secure email communications.

Integration complexity can create technical difficulties when connecting HIPAA compliant email software with existing healthcare systems. Different software platforms may use incompatible data formats, authentication methods, or communication protocols. Organizations need to plan integration projects carefully and may require technical assistance from vendors or third-party consultants to ensure seamless connectivity.

Migration planning involves transferring existing email communications and configurations to the new HIPAA compliant platform. Healthcare organizations need to develop procedures for moving historical email data while maintaining security protections throughout the migration process. The transition period requires careful coordination to avoid disrupting patient care or administrative operations.

Performance optimization is highly important as healthcare organizations implement HIPAA compliant email software across large user bases. Email volumes in healthcare settings can be substantial, particularly in hospital systems or large medical practices. Organizations need to monitor system performance and work with vendors to optimize configurations that maintain both security and responsiveness under peak usage conditions.

Best Secure Email Hosting

Healthcare Email Threat Readiness Strategies

Are you up to date on the latest email security threats?

In this post, we share details from our just-released Email Cyber Threat Readiness Report, exploring the most effective ways to strengthen your healthcare organization’s email cyber threat readiness in 2025.

Let’s go!

Conduct Regular Risk Assessments 

To strengthen your company’s email security posture, you must first identify vulnerabilities in your infrastructure that malicious actors could exploit. Frequent risk assessments will highlight the security gaps in your email infrastructure and allow you to implement the appropriate strategies to mitigate threats.

A comprehensive email risk assessment should include:

  • Assessment of email encryption practices.
  • Review of email authentication protocols, i.e., SPF, DKIM, DMARC.
  • Evaluation of access control policies and practices.
  • Assessment of malware detection capabilities.
  • Audit of third-party integrations.
  • Testing of employee email threat awareness through simulated attacks to determine threat readiness and training needs.
  • Review of incident response and business continuity plans, especially, in this case, in regard to email-based threats.

A risk assessment may also involve the use of vulnerability scanning tools, which scan your email infrastructure looking for conditions that match those stored in a database of known security flaws, or Common Vulnerabilities and Exposures (CVEs). Alternatively, healthcare companies often employ the services of ethical, or ‘white hat’, hackers who carry out penetration tests, in which they purposely attempt to breach your email security measures to pinpoint its flaws.

​​Implement Email Authentication Protocols

As touched on above, enabling and correctly configuring the right email authentication protocols is an essential mitigation measure against phishing and BEC attacks, domain spoofing and impersonation, and other increasingly common email threats. Just as importantly, it allows recipient email servers to verify that a message is authentic and originated from your servers, which reduces the risk of your domain being blacklisted and your emails being directed to spam folders instead of the intended recipient’s inbox.

The three main email authentication protocols are:

  • DomainKeys Identified Mail (DKIM): adds a cryptographic signature to outgoing emails, allowing the recipient’s server to verify that the email was not altered in transit. 
  • Sender Policy Framework (SPF): allows domain owners to specify which servers are authorized to send emails on their behalf, mitigating domain spoofing and other forms of impersonation.
  • Domain-based Message Authentication, Reporting & Conformance (DMARC): builds on SPF and DKIM by establishing policies for handling unauthorized emails. It instructs the recipient email server to monitor, quarantine, or reject emails that fail authentication checks. 

Establish Robust Access Control Policies

Implementing comprehensive access control policies reduces the chances of ePHI exposure by restricting its access to individuals authorized to handle it. Additionally, access privileges shouldn’t be equal and should be granted based on the employee’s job requirements, i.e., role-based access control (RBAC).

Zero Trust Architecture (ZTA), in contrast, is a rapidly emerging, and more secure, alternative to RBAC. ZTA’s core principles are “least privilege”, i.e., only granting the minimum necessary access rights, and “never trust, always verify”, i.e., continually asking for the user to confirm their identity as the conditions of their session change, e.g., their location, the resources they request access to, etc. 

Enable User Authentication Measures

Because a user’s login credentials can be compromised, through a phishing attack or session hijacking, for instance, access control, though vital, only protects ePHI to an extent. Subsequently, you must require a user to prove their identity, through a variety of authentication measures – with a common method being multi-factor authentication (MFA).

Recommended by HIPAA, MFA requires users to verify their identity in two or more ways, which could include:

  • Something they know (e.g., one-time password (OTP), security questions)
  • Something they have (e.g., a keycard or security token)
  • Something they are (i.e., biometrics: retinal scans, fingerprints, etc.). 

What’s more, it’s important to note that the need to enable MFA will be emphasized to a greater degree when the proposed changes to the HIPAA Security Rule go into effect in late 2025.

Identify and Manage Supply Chain Risk

While on the subject of access control, one of the most significant security concerns faced by healthcare organizations is that several third-party organizations, such as vendors and supply chain partners, have access to the patient data under their care to various degrees. As a result, cybercriminals don’t have to breach your email security measures to access ePHI – they could get their hands on your patients’ data through your vendors.

Consequently, third-party risk management must be a fundamental part of every healthcare organization‘s email threat mitigation strategy.  This requires you to ensure that each vendor you work with has strong email security measures in place. In light of this, a HIPAA requirement is to have a business associate agreement (BAA) in place with each third party, or business associate, so you both formally establish your responsibilities in securing ePHI. 

Set Up Encryption for Data In Transit and At Rest

Encrypting the patient data contained in email communication is a HIPAA regulation, as it prevents its exposure in the event of its interception by a cybercriminal. You should encrypt ePHI both in transit, i.e., when being included in emails, and at rest, i.e., when stored in a database.

Encryption standards sufficient for HIPAA compliance include:

  • TLS (1.2 +): a commonly-used encryption protocol that secures email in transit; popular due to being ‘invisible’, i.e., simple to use.
  • AES-256: a powerful encryption standard primarily used to safeguard stored data, e.g., emails stored in databases or archives.
  • PGP: uses public and private key pairs to encrypt and digitally sign emails for end-to-end security.
  • S/MIME: encrypts and signs emails using digital certificates issued by trusted authorities.

Develop a Patch Management Strategy

One of the most common means of infiltrating company networks, or attack vectors, is exploiting known security vulnerabilities in applications and hardware. Vendors release updates and patches to fix these vulnerabilities, so it’s crucial to establish a routine for regularly updating and patching email delivery platforms and the systems and infrastructure that underpin them.


Additionally, vendors periodically stop supporting particular versions of their applications or hardware, leaving them more susceptible to security breaches. With this in mind, you must track which elements of your IT ecosystem are nearing their end-of-support (EOS) date and replace them with suitable, HIPAA-compliant alternatives.

Implement Continuous Monitoring Protocols

Continuously monitoring your IT infrastructure is crucial for remaining aware of suspicious activity in your email traffic and potential security breaches. Without continuous monitoring, cybercriminals have a prime opportunity to infiltrate your network between periodic risk assessments. 

Worse, they can remain undetected for longer periods, allowing them to move laterally within your network and access your most critical data and systems. Conversely, continuous monitoring solutions employ anomaly detection to identify suspicious behavior, unusual login locations, etc. 

Develop Business Continuity and Disaster Recovery Plans

The unfortunate combination of organizations being so reliant upon email communication, email threats being so prevalent, and the healthcare sector being a consistent target for cyber attacks makes a data breach a near inevitability rather than a mere possibility. 

Consequently, it’s imperative to develop business continuity and disaster recovery protocols so you can resume normal operations as soon as possible in the event of a cyber attack. An essential part of a disaster recovery plan is making regular data backups, minimizing the impact on the service provided to patients and customers.

Implement Email Threat Awareness Training for Employees

Healthcare organizations must invest in email threat awareness training for their employees, so they can recognize the variety of email-based cyber attacks they’re likely to face and can play a role in their mitigation.

Email threat awareness training should include:

  • The different email-based cyber threats (e.g., phishing), how they work, and how to avoid them, including AI-powered threats.
  • Who to inform of suspicious activity, i.e., incident response procedures.
  • Your disaster recovery protocols.
  • Cyber attack simulations, e.g., a phishing attack or malware download.

While educating your employees will increase their email threat readiness, failing to equip them with the knowledge and skills to recognize email-based attacks could undermine your other mitigation efforts. 

Download LuxSci’s Email Cyber Threat Readiness Report

To gain further insight into the most effective email threat readiness strategies and how to better defend your healthcare organization from the ever-evolving threat landscape, download your copy of LuxSci’s Email Cyber Threat Readiness Report for 2025

You’ll also learn about the top email threats facing healthcare organizations in 2025, as well as how the upcoming changes to the HIPAA Security Rule may further impact your company’s cybersecurity and compliance strategies.

Grab your copy of the report here and reach out to us today if you want to learn more.