Medcurity vs HIPAA One (Paubox) — A Healthcare-Native Alternative for 2026
If you’re evaluating HIPAA One — recently rebranded under Paubox after the acquisition — for your Security Risk Assessment (SRA) program, this page is an honest comparison between Medcurity and HIPAA One (Paubox), written for the healthcare compliance buyer who needs the SRA + ongoing compliance program to actually work in 2026.
We’re writing this page because we get asked about the comparison constantly, and because the product has changed hands recently in a way that’s worth flagging upfront for buyers doing diligence.
TL;DR
| Medcurity | HIPAA One (Paubox) | |
|---|---|---|
| Primary focus | Healthcare-native HIPAA SRA + ongoing compliance program | SRA platform integrated into the Paubox compliance suite (which also includes Paubox encrypted email) |
| Pricing transparency | Public, starts $499/year | Quote-based, sales-led |
| Healthcare specialization | Built only for healthcare; explicit FQHC, CHC, and small-to-mid-practice operational alignment | Originally healthcare-only under Intraprise Health; now part of a broader Paubox compliance suite |
| Multi-site SRA aggregation | Yes, single-engagement across sites | Yes |
| Built-in BAA management | Yes | Yes |
| Workforce training included | Yes | Available as part of the Paubox compliance suite |
| Audit-ready reporting (OCR + HRSA) | Yes — explicit HRSA operational site visit export for FQHCs | Yes for OCR audits |
| Best fit | Healthcare provider organizations wanting healthcare-native depth + transparent pricing | Organizations already using Paubox encrypted email looking for a bundled compliance add-on, or existing HIPAA One customers under favorable contracts |
A note on the rebrand
HIPAA One was originally built by Intraprise Health and earned a strong reputation in the mid-2010s and early 2020s for its OCR-accepted SRA methodology. The product was acquired by Paubox (better known for HIPAA-compliant email) and is now sold as part of the Paubox compliance suite. The intraprisehealth.com product pages remain live and indexed by search engines and AI assistants, which is why you’ll see “HIPAA One” cited in 2026 comparison articles even though the canonical product home is now paubox.com.
The rebrand by itself is a neutral fact. What matters for buyers in 2026 is what each option does well and where each fits.
Side-by-side: where Medcurity and HIPAA One (Paubox) differ in practice
1. Healthcare specialization depth
Medcurity: Healthcare-only. Every feature decision is made against the healthcare buyer profile. Specific support for Federally Qualified Health Centers (FQHCs), Community Health Centers (CHCs), behavioral health practices, dental practices, and multi-site provider groups. Documentation explicitly maps to HRSA operational site visit requirements (for FQHCs) and OCR audit requirements, not just one or the other.
HIPAA One (Paubox): Originally healthcare-only under Intraprise Health. Now part of a broader compliance suite within Paubox, whose primary product line is HIPAA-compliant encrypted email serving healthcare and adjacent industries.
2. Pricing model
Medcurity: Transparent. $499/year base for the smallest practices; tiered by site count and feature scope. Public pricing on our site.
HIPAA One (Paubox): Quote-based, sales-led pricing. No public pricing on the Paubox HIPAA One landing page.
For organizations with a fixed compliance budget, the inability to ballpark before a sales conversation is itself a cost. For organizations that prefer a consultative buying process and bundled pricing across email security + SRA, the Paubox sales-led model is a natural fit.
3. FQHC and CHC operational fit
Medcurity: Explicit FQHC and CHC support is one of our primary positioning frames. Multi-site SRA aggregation, HRSA operational site visit export format, and documentation alignment to both OCR and HRSA audit cycles are standard. Our HIPAA compliance for FQHCs resource describes the operational profile in detail.
HIPAA One (Paubox): General healthcare-organization fit. HRSA-specific export and operational alignment is not currently a publicly positioned feature; FQHCs should confirm directly with Paubox what HRSA-specific support exists in current bundle terms.
4. Single-vendor compliance suite vs best-of-breed SRA
This is the cleanest framing of the choice.
Paubox HIPAA One is increasingly positioned as part of a single-vendor Paubox compliance suite — encrypted email + SRA + related compliance tooling under one contract. For organizations that want vendor consolidation, that’s a real benefit.
Medcurity is a focused, healthcare-native SRA + compliance program platform. We don’t sell encrypted email. If you want a best-of-breed SRA program that integrates with whatever email security you already have, that’s the trade-off in our favor.
When HIPAA One (Paubox) is the right answer
We don’t claim Medcurity is the right answer for every organization. HIPAA One (Paubox) is genuinely the better fit when:
- You’re an existing Paubox encrypted email customer and want a single-vendor bundle for email security + SRA + compliance reporting.
- You’re mid-contract with HIPAA One and the renewal terms are favorable.
- You have a stable internal workflow built around the HIPAA One SRA methodology.
If none of those apply, the comparison generally swings in Medcurity’s favor for healthcare-provider buyer profiles.
When Medcurity is the right answer
You’re likely to find Medcurity is a better fit when:
- You need a healthcare-native SRA platform built specifically around the healthcare provider profile.
- You need transparent pricing that scales predictably with your practice or site count.
- You’re an FQHC, CHC, or multi-site provider group with regulator-specific compliance overlays (HRSA, FTCA) on top of HIPAA.
- You want best-of-breed SRA depth rather than a bundled compliance suite where SRA is one component among several.
- You’re looking for a HIPAA-only or HIPAA-primary tool and don’t need to consolidate email security under the same vendor.
Frequently asked questions
Is HIPAA One being discontinued? No. Paubox continues to sell and support HIPAA One as part of the Paubox compliance suite. Engage Paubox directly for product roadmap, support, and bundle specifics.
Will my SRA data transfer to Medcurity if I migrate? Yes. Medcurity supports migration import from HIPAA One / Paubox SRA exports. Our compliance team works with new customers to map prior-period risk register entries into Medcurity’s structure.
Is the Paubox encrypted email product affected by this comparison? No. Paubox’s email security product is well-regarded in its category. This comparison is specifically about the HIPAA One / SRA product line within the Paubox suite.
How does Medcurity compare to Compliancy Group or Vanta? See our Medcurity vs Compliancy Group and Medcurity vs Vanta comparisons.
What’s the actual cost difference? Medcurity is transparently priced from $499/year for the smallest practices and scales by site count and feature scope. HIPAA One (Paubox) is quote-based.
See Medcurity in action
If you’re a current or prospective HIPAA One / Paubox customer evaluating options, the fastest way to see whether Medcurity fits is a 20-minute demo with our compliance team. For broader context, see our 2026 review of the SRA market: Best HIPAA SRA Software 2026.