Safeguarding Protected Health Information at Scale
HIPAA governs the creation, storage, transmission, and use of Protected Health Information (PHI) in the United States. Covered entities — providers, payers, and clearinghouses — and their business associates must implement administrative, physical, and technical safeguards to protect patient data.
The HHS Office for Civil Rights (OCR) enforces HIPAA with civil monetary penalties up to $2M per violation category per year, plus potential criminal liability for willful neglect. State attorneys general can also bring HIPAA-based actions.
CyberAlpha delivers full-stack HIPAA programs: risk analysis under §164.308, policy development, technical safeguards implementation, Business Associate Agreements, incident response, and breach notification under §164.400.
Schedule a ConsultationOCR Enforcement
Tiered civil penalties escalate from $100 to $50,000 per violation, with $2M annual caps per category.
Criminal Penalties
Willful PHI disclosures carry fines up to $250,000 and up to 10 years of imprisonment.
Patient Harm
PHI exposure can lead to identity theft, medical fraud, and direct harm to patients.
BAA Requirements
Every vendor touching PHI requires a Business Associate Agreement with joint liability implications.
The High Cost of PHI Mishandling
OCR Enforcement
Tiered civil penalties escalate from $100 to $50,000 per violation, with $2M annual caps per category.
Criminal Penalties
Willful PHI disclosures carry fines up to $250,000 and up to 10 years of imprisonment.
Patient Harm
PHI exposure can lead to identity theft, medical fraud, and direct harm to patients.
BAA Requirements
Every vendor touching PHI requires a Business Associate Agreement with joint liability implications.
Public Breach Wall
HHS publishes breaches affecting 500+ individuals on the public "Wall of Shame" website.
State Law Overlap
Many states (CA, TX, NY) impose additional healthcare privacy requirements beyond HIPAA.
Complete HIPAA Compliance Program
From §164.308 risk analysis to breach notification, we operationalize HIPAA across your environment.
What HIPAA Compliance Delivers
Regulatory Safe Harbor
Defensible compliance posture reduces the likelihood and severity of OCR enforcement actions.
Healthcare Contracts
BAA-ready posture accelerates contracts with hospitals, health systems, payers, and EHR vendors.
Patient Confidence
Demonstrable PHI protection builds patient trust and directly impacts quality scores.
Cyber Insurance Access
HIPAA compliance is a baseline requirement for healthcare-sector cyber insurance coverage.
State Law Alignment
HIPAA-grade controls generally satisfy state medical privacy statutes (CMIA, etc.).
Breach Cost Reduction
Documented safeguards materially reduce per-record breach costs and OCR settlement amounts.
Common HIPAA Compliance Gaps
No Risk Analysis
Absent or outdated §164.308(a)(1) risk analysis is the most frequent OCR finding.
Unencrypted ePHI
ePHI at rest or in transit without encryption forfeits the breach notification safe harbor.
Excessive Access
Workforce access not limited to the minimum necessary for job function violates §164.308 and §164.514.
Missing BAAs
Vendors handling PHI without executed BAAs create direct OCR exposure for the covered entity.
No Incident Procedure
Lack of documented incident response prevents compliant breach assessment and notification.
Insufficient Audit Logs
Missing audit controls on ePHI systems violate §164.312(b) and hamper breach investigations.
What You Receive
Security Risk Analysis
Formal HIPAA Security Risk Analysis report with threat/vulnerability pairings and risk ratings.
HIPAA Policy Suite
Full Privacy, Security, and Breach Notification Rule policies tailored to your organization.
BAA Library & Inventory
Templated BAAs, vendor inventory, and executed agreements for all business associates.
Training & Sanctions
Role-based HIPAA training materials, attestation records, and sanctions policy.
Breach Response Playbook
4-factor breach assessment framework, notification templates, and HHS reporting procedures.
HIPAA Compliance Attestation
Executive attestation package suitable for customer requests and due diligence reviews.
Proven HIPAA Implementation Methodology
PHI Discovery
Inventory all systems, applications, and workflows that create, receive, maintain, or transmit ePHI.
Risk Analysis
Execute formal §164.308(a)(1) risk analysis to identify and rate risks to ePHI confidentiality, integrity, and availability.
Safeguards Deployment
Implement administrative, physical, and technical safeguards required by the Security Rule.
Privacy Rule Rollout
Operationalize Privacy Rule requirements — notices, patient rights, and minimum necessary controls.
BAA & Training Program
Execute BAAs across the vendor portfolio and deliver role-based HIPAA training organization-wide.
Ongoing Monitoring
Annual risk analysis refresh, policy review, training recertification, and incident response testing.
Your Partner for Healthcare Compliance
Healthcare Specialization
Dedicated healthcare practice with experience across providers, payers, and digital health companies.
Certified Practitioners
CHPS, CIPP/US, and CISSP-certified advisors experienced in HIPAA, HITECH, and 42 CFR Part 2.
HITRUST CSF Alignment
HIPAA programs designed to accelerate HITRUST CSF certification and mapping to NIST controls.
BAA Negotiation
Experienced advisors who can negotiate balanced BAAs on both covered entity and BA sides.
Breach Response 24/7
On-call breach response to ensure compliant individual, HHS, and media notification timelines.
State Law Overlay
Harmonize HIPAA with CMIA, Texas Medical Records Privacy Act, and state-specific requirements.