Best Compliancy Group Alternatives (2026)
If you are comparing alternatives to Compliancy Group, the shortlist worth your time is short: Medcurity, Accountable, Vanta, and Drata. The right pick turns on one question that pricing pages rarely answer directly: do you need software that documents your compliance work, or do you need someone to come do part of the work with you? Most platforms in this category are software-only. That is a real choice, not a flaw, and it is the fork that should drive your decision.
Below is what each platform says about itself, the criteria that separate them, and the questions to put to any vendor before you sign.
Start with what the Security Rule requires, not with a feature list
Feature grids are easy to lose an afternoon in. The regulation is narrower than the grids suggest, and it is the thing an auditor reads.
The HIPAA Security Rule requires a Security Risk Analysis. HHS states it plainly at 45 CFR 164.308(a)(1)(ii)(A), where risk analysis is a Required implementation specification: “Conduct an accurate and thorough assessment of the potential risks and vulnerabilities to the confidentiality, integrity, and availability of electronic protected health information.”
Four things follow from the regulator’s own guidance, and they matter more than any comparison table:
- The scope is all of your ePHI, in every form. HHS is explicit that this covers “a single workstation as well as complex networks connected between multiple locations.” If you run more than one site, that sentence is about you.
- The safeguards are administrative, physical, and technical. All three. A platform that only inspects your cloud posture is looking at one of the three.
- There is no mandated frequency. HHS: “The Security Rule does not specify how frequently to perform risk analysis.” Any vendor telling you the law names a number is telling you something the regulator does not say.
- “Addressable” does not mean optional. If a specification is not reasonable and appropriate for you, HHS requires you to document why and adopt an equivalent measure where reasonable.
Hold every alternative against those four. The ones that fit your organization will separate quickly.
The alternatives worth evaluating
1. Medcurity
Healthcare-only, and built around the Security Risk Analysis rather than around a general security framework. Medcurity runs two delivery models, and both are first-class:
- Self-service. The Small Practice SRA is scoped to 1 to 20 FTEs, starting at $499 per year, and pricing scales with organization size. You buy it, you run it, you own the output. See SRA for small practices.
- Expert-led. Onsite physical safeguard assessments, walkthroughs of facilities, paper records and on-site systems, dedicated year-round advisors, and multi-site Security Risk Analysis under a single engagement. See HIPAA compliance solutions.
Pick either. Pick both. The self-service tier is not a trial for the services tier, and the services tier is not a rescue plan for the software. Medcurity has supported 1,000+ organizations since 2018, including Temple, Greater Baltimore, Yale, and WSU.
2. Compliancy Group (the incumbent you are comparing)
Compliancy Group describes The Guard as cloud-based HIPAA compliance software combining “the knowledge of HIPAA compliance experts with a simple, easily-accessible user interface,” serving as a repository for compliance documentation, assessments, open incidents, remediation plans, tasks, and employee attestation. Their published materials describe staff training, documentation storage, incident management, and vendor and Business Associate Agreement management, with each client assigned a Compliance Coach to guide implementation.
If that description still matches what you need, the honest answer is that you may not need to switch. Read our side-by-side at Medcurity vs Compliancy Group.
3. Accountable
Accountable positions itself on its own site as HIPAA-specific software, “built specifically for HIPAA,” with step-by-step guidance to train employees and reach compliance, alongside BAA management and a privacy center. Like Medcurity, it is a healthcare-first product rather than a multi-framework one.
4. Vanta
Vanta describes its HIPAA product as helping business associates meet the HIPAA Security and Breach Notification Rules with “automated evidence, guided controls, and continuous monitoring,” and describes the wider platform as automating SOC 2, HIPAA, ISO 27001, PCI, and GDPR certification. HIPAA is one framework among several.
That breadth is the point of the product. If you are a digital health vendor closing enterprise deals and you need SOC 2 and HIPAA together, a multi-framework platform is a reasonable fit.
5. Drata
Drata is a compliance automation platform covering a wide set of security frameworks, HIPAA among them, with continuous control monitoring. Capabilities in this category change often, so confirm current HIPAA-specific scope against Drata’s own documentation before you shortlist it.
The comparison that decides it: software-only or expert-led
Rather than score vendors against each other on numbers we cannot source, here is the grid that separates them. Take it to any vendor on your list and ask them to answer it in writing.
| What to ask | Why it decides the outcome | Medcurity’s answer |
|---|---|---|
| Does anyone come on site? | The Security Rule requires physical safeguards (45 CFR 164.310). No software can inspect a locked records room, a paper chart, or a server closet. | Yes. Onsite physical safeguard assessments and facility walkthroughs, where you want them. |
| Can one engagement cover every location? | HHS scopes the analysis to networks “connected between multiple locations.” Per-site licensing turns one obligation into many projects. | Yes. Multi-site Security Risk Analysis under a single engagement. |
| Is HIPAA the product, or one framework of many? | Multi-framework tools optimize for the shared control set. Healthcare-specific obligations sit outside it. | Healthcare only, since 2018. |
| What happens in month seven? | Risk analysis is ongoing, per HHS. Support that ends at onboarding leaves the ongoing part to you. | Dedicated year-round advisors, available when you want expert help. |
| Can I run it myself if I want to? | A 4-person practice and a 40-site health system should not be sold the same delivery model. | Yes. Self-service SRA, 1 to 20 FTEs, starting at $499 per year. |
| Do I keep my data if I leave? | Your analyses are evidence. A vendor who makes them hard to take with you is telling you something. | Your Security Risk Analysis is yours, exportable. |
A vendor who answers all six clearly is a vendor worth shortlisting, whichever logo is on the answer.
Which alternative fits which organization
Three clean cases, and one that gets miscategorized constantly:
- Small practice, 1 to 20 FTEs, no dedicated compliance staff. Self-service is genuinely enough for most. Start there and add help only if you want it. If you are a single-physician practice, the free ONC/OCR SRA Tool is a legitimate starting point, and we will say so.
- Digital health vendor or business associate selling into health systems. You likely need HIPAA alongside SOC 2. A multi-framework platform earns its place.
- Multi-site clinic group, FQHC, or hospital. This is the one that gets miscategorized. Physical safeguards across many buildings, paper records, and on-site systems are the bulk of the work, and they are the part software-only tools do not reach. Expert-led is the fit.
- Business associates managing vendor risk. Look at vendor risk management and the Trust Center as part of the same decision.
Switching is less disruptive than it looks
The fear that keeps organizations on a platform they have outgrown is data loss. Your completed analyses, policies, and documentation are evidence of a good-faith effort, and HHS requires that documentation be retained, not that it live with one vendor. Export what you have, bring it with you, and pick up where you left off. We will tell you if switching mid-cycle is the wrong move for your timing.
Frequently asked questions
What are the best alternatives to Compliancy Group?
The alternatives worth evaluating in 2026 are Medcurity, Accountable, Vanta, and Drata. Medcurity and Accountable are healthcare-specific. Vanta and Drata are multi-framework compliance automation platforms that cover HIPAA alongside SOC 2, ISO 27001, and others. The deciding question is whether you need software only, or software plus people who come on site.
Does HIPAA require a specific compliance platform?
No. HIPAA requires a Security Risk Analysis under 45 CFR 164.308(a)(1)(ii)(A), and HHS states that the Security Rule “does not prescribe a specific risk analysis methodology.” No product is mandated, and no vendor can certify you as HIPAA compliant. What matters is that the analysis is accurate and thorough, covers all of your ePHI, and is documented.
How often do I have to redo my Security Risk Analysis?
HIPAA does not name a number. HHS says directly that “the Security Rule does not specify how frequently to perform risk analysis,” and that the process should be ongoing, with updates when something material changes, such as a security incident, a change in ownership, staff turnover, or new technology. Many organizations review annually because it is practical, not because the law says so.
Can software alone make my organization HIPAA compliant?
Software can carry the technical and documentation load well. The Security Rule also requires administrative and physical safeguards, and a platform cannot walk your building, look at your paper records, or check who has a key to the server closet. For a single-site practice that gap is small. Across a multi-site group, it is most of the work.
Will I lose my compliance history if I switch vendors?
You should not. Your analyses and documentation are yours, and HIPAA requires you to retain that documentation regardless of which platform produced it. Ask any vendor, current or prospective, to confirm export in writing before you commit.
Talk it through with someone who does this daily
If you want a second opinion on which model fits your organization, we are glad to give you a direct answer, including when the answer is that your current platform is fine. Start a conversation with our team.