HIPAA

HIPAA Compliance in 2025: What IT Directors Need to Know

HIPAA
Think HIPAA compliance is just paperwork? In 2025, it’s the backbone of your cybersecurity strategy. Here’s a 5-step plan to stay ahead. 

Why HIPAA Compliance Matters Now

“We hadn’t had a breach. But the moment the audit request landed in my inbox, I knew we weren’t ready.” 

That’s how one IT director at a regional healthcare clinic put it. No crisis had hit—yet. But the scramble that followed revealed just how easy it is to fall out of compliance. Documentation was incomplete. Policies hadn’t been updated. The last risk assessment? Two years old. 

In 2025, stories like this are becoming more common. Not because IT teams are careless— but because the rules keep shifting, and the bar is rising. 

The compliance landscape isn’t static. Regulators are tightening expectations, and what passed a few years ago might now raise red flags. 

Cybercriminals aren’t just targeting large hospital systems—they’re going after regional clinics, specialty practices, and even solo providers.  According to the Office for Civil Rights (OCR), large healthcare data breaches rose 102% between 2018 and 2023. The number of individuals affected jumped by an astonishing 1002%, driven by ransomware and hacking. In 2023 alone, more than 167 million people were impacted—a record high.  

And while the HIPAA Security Rule hasn’t been formally updated in decades, that’s about to change. In 2024, the Department of Health and Human Services (HHS) released a Notice of Proposed Rulemaking (NPRM) outlining technical safeguards IT teams will be expected to implement—mandatory encryption, MFA, incident response plans, and more. 

If you’re responsible for keeping systems secure and data protected, this blog is for you. It lays out what’s changing—and what you can do now to stay ahead without drowning in regulatory noise. 

Need a second set of eyes on your environment? Let’s talk. 

What’s Changing in HIPAA Cybersecurity Compliance for 2025

HIPAA’s flexibility is shrinking. Many safeguards once labeled “addressable” may soon be “required.”  

Here’s what IT directors need to prepare for: 

HIPAA Lock
Encryption (No Exceptions): For systems storing or transmitting ePHI—both at rest and in transit. 
HIPAA Check
Mandatory Multi-factor authentication (MFA): Especially for remote access and elevated permissions. 
HIPAA File
Asset Inventories + Network Mapping: Document where ePHI lives and how it flows. 
HIPAA Alert
Incident Response + Recovery Plans: Formal processes. Restore critical systems within 72 hours. 
Bug

Vulnerability Scans + Pen Tests: Annual scans, annual tests—no
longer optional.

The NPRM signals a shift from general principles to clear, testable controls—part of a broader trend in federal cybersecurity regulation. 

A 5-Step Compliance Plan for IT Leaders

1. Refresh Your Risk Analysis—Now

If your last risk assessment is gathering dust, it’s time for a new one.

The HIPAA Security Rule requires a “thorough and accurate” risk assessment—but many organizations are still relying on outdated versions. In 2025, a current risk analysis should include:

  • An up-to-date inventory of all systems storing or processing ePHI
  • Specific risk ratings (likelihood × impact)
  • A mitigation plan for high-priority threats

Note: OCR continues to cite missing or outdated risk assessments as a top enforcement trigger.

2. Lock Down Remote Access and Admin Accounts

Implement MFA across all remote and privileged accounts. Start with admin accounts and external access points like VPNs and patient portals. 

Note: MFA is expected to be non-negotiable under the NPRM. 

3. Encrypt Data—Both in Transit and at Rest

If you haven’t enabled full-disk encryption on laptops and mobile devices, do it now. Apply the same protections to EHR systems and backups. 

Encryption reduces risk and may qualify you for a breach “safe harbor” if data is stolen—meaning you might not have to report a breach if the stolen data was fully encrypted. 

Actionable tip: Use BitLocker (Windows) or FileVault (Mac) for devices. Check your EHR and cloud backups for TLS 1.2+ and AES-256.
Decypher routinely uncovers overlooked gaps—like unencrypted email attachments or backup misconfigurations—that can turn a small error into a reportable breach. 
See How Secure is Your Digital Life? The Power of Penetration Testing & Vulnerability Scans for more on finding vulnerabilities before attackers do.

4. Test Your Incident Response Plan

Do you have a documented plan for what to do during a cyberattack? Have you tested it?

Make sure your plan includes:

  • How to isolate infected systems
  • Who to contact (legal, IT, insurance)
  • How to restore clean backups
The proposed HIPAA updates require restoration of critical systems within 72 hours. 
Decypher clients benefit from facilitated tabletop exercises—we help make sure your first test isn’t during a real attack.  

Actionable tip: Simulate likely scenarios—like ransomware or credential theft. During the drill, confirm your team knows:

  • Who leads response
  • Where checklists are stored
  • When to notify patients or regulators
For tips on strengthening staff awareness, see  Fixing Your Weakest Link: Your Employees for tips on creating a more security-conscious culture.

5. Know Where PHI Ends and Other Laws Begin

HIPAA doesn’t cover everything. Website forms, HR records, and marketing data may fall under state laws like California’s CCPA or Colorado’s CPA, which also require “reasonable security measures.” 

Actionable tip: Map your data flows beyond PHI. Ask:

  • Where do form submissions go?
  • What non-HIPAA data do we store?
  • Do we apply the same protections?
Decypher routinely helps clinics build these data maps and apply HIPAA-grade safeguards to other sensitive areas.  

Why HIPAA Compliance Is Now a Healthcare Cybersecurity Strategy

Healthcare cybersecurity used to be a back-office task. In 2025, it’s a front-line priority. 

But here’s the upside: strong HIPAA cybersecurity doesn’t just protect you from audits and lawsuits—it builds trust. 

When your systems are secure, care doesn’t stop. 

When you’re prepared, downtime is an inconvenience—not a crisis. 

When you invest in protection, patients see you as a provider who values safety in every sense. 

You don’t need to be perfect. But you do need a plan. 

Start by reviewing the HHS Security Risk Assessment Tool and the NIST HIPAA Security Rule Crosswalk. These are clear, government-backed resources to benchmark your program. 

Why HIPAA Compliance Is Now a Healthcare Cybersecurity Strategy

Download it now — free, practical, and easy to share with your leadership team. 

Ready to Move from Guesswork to Action?

Whether you need a new risk assessment, a second opinion, or hands-on support during an audit, Decypher Technologies can help. With years of experience supporting healthcare clients, we know how to turn compliance frameworks into action—without interrupting care. 

📞 855-808-6920 | Contact us here 

 

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