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Issue Primer

The HCLS Compliance Crisis: Why Cloud Security Isn’t Meeting the Moment

In 2024, 276 million healthcare records were breached, roughly 83% of the US population, even as organizations spent heavily on security tools and training. Regulators are no longer satisfied with static policies or once-a-year audits. Upcoming HIPAA NPRM updates will require mandatory MFA, encryption in transit and at rest, runtime network segmentation, and continuous proof of control. Most HCLS organizations are still trying to meet those mandates with security models built for data centers, not modern multicloud workloads. This issue primer is for healthcare and life sciences security and compliance leaders who need to close that gap before the next audit.

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The HCLS Compliance Crisis: Why Cloud Security Isn’t Meeting the Moment

What's inside the issue primer

  • Why the compliance crisis is structural, not a tooling problem: east-west and inter-cloud PHI traffic flows invisibly between regulated and unregulated systems, even in organizations already certified under HITRUST or NIST CSF

  • What HIPAA NPRM actually requires now: mandatory encryption in transit, network segmentation tested regularly to isolate regulated systems, and runtime evidence of control, not just policy documentation

  • Why 78% of HCLS organizations report hybrid cloud connectivity as very or somewhat complex, and how that complexity creates the blind spots regulators are now explicitly looking for

  • How Aviatrix CNSF delivers inline AES-256 encryption, distributed workload-level firewalling, ePHI traffic visualization, and Terraform-driven policy-as-code, turning compliance from a year-end scramble into a continuous, provable state

Download the Issue Primer - Understand the HCLS compliance crisis and what runtime enforcement across your cloud environment actually requires.

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