HIPAA One Alternatives: How to Compare SRA Vendors in 2026
HIPAA One, now part of Intraprise Health, is a capable Security Risk Analysis platform, and for large health systems with many sub-entities it is a reasonable default. Organizations most often look for an alternative for one of two reasons: the enterprise feature set is more than a community hospital or a single-site clinic needs, and Intraprise publishes no pricing, so the cost of finding out is a sales cycle.
This page compares the realistic alternatives by the type of organization buying, and says plainly where HIPAA One or another vendor is the better answer.
Quick answer, by organization type
| Your organization | The strongest fit | Why |
|---|---|---|
| Large IDN or multi-state health system | Clearwater | Their own site leads with “Hospitals and Health Systems: Large organizations have unique complexities, many network entry points, and much at stake.” Enterprise is their stated focus. |
| Health system with many sub-entities under one corporate program | HIPAA One / Intraprise Health | Named parent-child assessment tooling built for rolling one corporate assessment down across sites. |
| Community hospital, critical access hospital, or rural hospital | Medcurity | Full safeguard coverage at every site with advisors included year-round, priced against a hospital of that size rather than an enterprise footprint. |
| FQHC or community health center, single or multi-site | Medcurity | Multiple delivery sites assessed under one engagement, with in-person physical safeguard review. |
| Clinic or practice under roughly 20 staff | Medcurity | Self-serve Security Risk Analysis starting at $499/year. |
| Solo practitioner, one or two people | The free HHS SRA Tool | HHS and ONC publish a downloadable Security Risk Assessment Tool at no cost. At that size it is genuinely enough, and paying for software is not the better answer. |
What HIPAA One is, in their own words
Intraprise Health acquired HIPAA One in January 2021 and still markets it as a named product line. Intraprise Health itself has since been acquired by Health Catalyst, and the site now carries that branding.
Their description of the product: “HIPAA One is a cloud-based software suite that guides healthcare organizations of all sizes through their annual HIPAA assessments, eliminates spreadsheets and the need for sampling, provides comprehensive compliance training, and helps you remediate risk faster.”
The HIPAA One line covers Security Risk Assessments, Privacy and Breach Risk Assessments, workforce training, and a Business Associate Manager. Intraprise also sells third-party risk management, integrated risk management, a NIST platform, and services including vCISO program management and HITRUST certification support.
Where HIPAA One is genuinely the stronger choice
Stated plainly, because a comparison that never concedes anything is not worth reading.
Deep multi-entity assessment mechanics. Their hospital page describes using “Dynamic Templates” to “leverage your corporate-level HIPAA program assessment to perform practice and site-level assessments at scale,” and elsewhere describes “parent-child synchronization features to complete a single assessment and use it to pre-populate assessments across multiple sub-entities.” If your structure is a corporate compliance program governing dozens of owned practices, that is a real and specific fit.
A formal HITRUST assessor credential. Intraprise describes itself as one of the longest tenured HITRUST Certified Assessors. If HITRUST certification is on your roadmap, buying the SRA from a firm that can also carry you through certification consolidates two vendors into one.
A longer track record and a larger parent company. Intraprise publishes customer-scale claims well beyond what a smaller vendor can show, and since the Health Catalyst acquisition it sits inside a much larger healthcare data organization. Those are their own figures about themselves rather than independently audited counts, but the scale difference is real.
A productized onsite option. They offer a validated engagement type described as a “Remote and/or On-Site Assessor-Managed Risk Assessment” with “physical walk-through guidance.” Onsite review is not a Medcurity exclusive and this page will not pretend otherwise.
The four questions that separate these vendors
Feature grids blur together. These four questions do not.
1. Does one engagement cover every site, or do you buy per location?
For an FQHC with eleven delivery sites or a health system with four campuses, this is the largest single cost variable. Ask for the answer in writing, with the site count you have today. Both Intraprise and Medcurity support multi-site work, so the useful question is not whether it is possible but what it costs at your number of locations.
2. Is anyone walking the buildings?
The Security Rule’s physical safeguards, at 45 CFR §164.310, cover facility access controls, workstation security, and device and media handling. A questionnaire records what staff believe is true about a building. An in-person review records what is true. If a vendor’s physical safeguard coverage is a form, that is worth knowing before the OCR request arrives, not after.
3. Is expert help included, or is it a separate engagement?
This is the sharpest line between the two platforms. Intraprise sells year-round security leadership as a named, separate service, vCISO Security Program Management, purchased alongside the software. Medcurity includes advisor access through the year with the Security Risk Analysis. Both models are legitimate. They produce very different invoices, and the difference does not show up in a feature comparison.
4. Can you find out what it costs without a sales cycle?
Intraprise Health publishes no pricing on its site. Every path is a demo request or a consultation booking. Medcurity publishes an entry price: the self-serve Security Risk Analysis starts at $499/year for organizations up to 20 staff, and pricing scales with organization size from there. For a compliance officer who has to bring a number to a budget meeting before they are allowed to run a procurement, that difference decides which vendor gets evaluated at all.
Where Medcurity fits, and where it does not
The fit is community hospitals, critical access and rural hospitals, FQHCs and community health centers, and clinics and practice groups. Multiple sites roll up under a single engagement, physical safeguard reviews under §164.310 can be done in person at your facilities, and advisors stay available through the year rather than at renewal. Pricing starts at $499/year and scales with organization size, so a critical access hospital and a multi-site health center are each quoted against their own footprint.
Two places to choose someone else, and we would tell you so on a call. A large IDN or multi-state system with an established enterprise GRC program should look at Clearwater, whose own positioning is built for that organization. A solo practitioner should download the free HHS SRA Tool and spend the money elsewhere.
A note on the 2026 Security Rule, because vendors are selling against it
The updated HIPAA Security Rule is a proposed rule. It has not been finalized, and no vendor can tell you what the final text will require. Treat any claim that new requirements are already in force with care, and ask what the vendor will do if the final rule differs from the proposal.
What is true today is that risk analysis is already a required implementation specification under 45 CFR §164.308(a)(1)(ii)(A). HHS does not set a specific calendar frequency for it. Annual review is the widely accepted practice, and it is what MIPS attestation asks providers to confirm, so an organization keeping its Security Risk Analysis current every year is on solid ground regardless of how the proposal lands.
Frequently asked questions
Is HIPAA One still a separate product?
Yes. Intraprise Health acquired HIPAA One in January 2021 and still markets it as a named product line with its own product pages. Intraprise Health has since been acquired by Health Catalyst.
How much does HIPAA One cost?
Intraprise Health does not publish pricing. Cost is quoted through a demo or consultation. Third-party directory listings for the product are not reliable on price and should not be used for budgeting.
Do I need a separate Security Risk Analysis for each of our locations?
Not necessarily. The requirement is an accurate and thorough assessment of risk across your whole organization, so every site has to be in scope, but that does not mean buying a separate assessment per building. Both Intraprise and Medcurity support assessments that consolidate across sites. Ask each vendor to quote against your real location count.
Does HIPAA compliance software cover physical safeguards on its own?
No. Software can hold the documentation and track the findings, but §164.310 covers facility access, workstation placement, and how paper and media are handled, and someone has to look at the building. Ask whether onsite review is included, available for an added fee, or handled entirely by questionnaire.
Which vendor is best for an FQHC?
For a community health center with multiple delivery sites, look for assessments that roll up under one engagement, in-person physical safeguard review, and support that is available through the year rather than only at assessment time. Medcurity is built for that shape of organization.
Is the free HHS tool good enough?
For a solo or two-person practice, often yes. It is a real tool published by HHS and ONC at no cost. It becomes limiting when you have multiple sites, meaningful vendor and Business Associate volume, or a workforce whose training and access reviews have to be tracked.
Choosing well
The best vendor for a four-campus health system is not the best vendor for an eleven-site health center or a twelve-person clinic, and a comparison that names one winner for all of them is not describing your problem. Scope the assessment against your real site count, decide whether anyone needs to walk your buildings, and find out whether expert help is included or invoiced separately.
If you want that scoped against your organization rather than a category, start a conversation with our team. We will tell you if a different vendor is the better fit.