Healthcare · HIPAA-regulated practices + billing companies
Straitwatch runs a named 24/7 SOC for HIPAA-regulated medical + dental practices and small billing companies — the artefacts OCR samples for, the on-call coverage a four-person practice cannot staff, and the named detection engineer behind every alert — packaged into a flat monthly monitored bill sized for the regulated SMB.
stwp.healthcare / vertical signals
HIPAA audit readiness
OCR does not warn before the inquiry.
Ransomware on patient records
A weekend incident, no on-call coverage.
After-hours coverage gap
Overnight, the alert queue goes dark.
Credential-stuffing on the EHR portal
Reused passwords, no detection, no named owner.
The four pains a HIPAA-regulated practice cannot close alone
The four scenarios below are the ones that book a small practice or billing company into an evidence gap at audit time. Each one pairs the patient-side reality with the artefact Straitwatch produces so the OCR inquiry has somewhere to land.
OCR does not warn before the inquiry.
When an OCR investigator writes, the question is not "do you have a SIEM?" but "show me the access log, the audit-control trail, the response timeline and the named analyst who owned it." Practices guess because the artefact was never written down before the ask.
A weekend incident, no on-call coverage.
A small practice does not staff a 24/7 SOC. When encryptors hit the file server at 11 pm, no one is watching, no one triggers the playbook, and the §164.404 disclosure clock starts before anyone is on a call.
Overnight, the alert queue goes dark.
Billing teams run during the day. After 6 pm, weekends, and holidays, a phishing-driven credential compromise or a brute-force burst on the EHR portal runs unchecked — and the practice auditor finds the gap in the timeline.
Reused passwords, no detection, no named owner.
Front-desk staff reuse the same password across SaaS apps. When a list lands, the attacker logs into the EHR portal with a real user. Identity-aware tooling sees it; a "did we close that ticket?" note does not — and PHI walks out the door.
How Straitwatch fits a HIPAA-regulated practice
The four pain points above map to three named deliverables. Each one is written, attributable to a SOC engineer, and ready for the auditor or the eligible-entity reviewer before the inquiry ships.
EDR, identity, network, cloud, and email telemetry is tabbed for a named shift analyst 24/7. The Monday note lands in your queue with a list of what was triaged, what was closed, and what escalated — not a stack of unowned alerts.
AI surfaces the top ~1% of inbound signals; a named detection engineer validates, escalates, or closes each one. The containment decision and the detection-to-containment timeline land written, attributable to a real analyst — the named record the practice auditor will ask for.
Detection logs, incident records, access evidence, and response timelines written in your framework cadence. The quarterly evidence pull is dated, the named engagement lead signs it, and the §164.404 breach-notification clock starts from a record you already own.
Every deliverable lands in writing — no “check the wiki” handoff.
The four signals above map to three named deliverables — 24/7 monitoring, a named detection engineer, and the §164.312 evidence library. Tell us what the practice or billing company handles today and we’ll size Straitwatch to the audit window, the eligible-entity review, or both.