encrypted email options?
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@scottalanmiller said in encrypted email options?:
@Obsolesce said in encrypted email options?:
@Dashrender said in encrypted email options?:
@Obsolesce said in encrypted email options?:
@Dashrender said in encrypted email options?:
The use of secure email is primarily with outside persons and companies. No home user (patient) is ever going to setup PKI to get an email from us.
I only listed it because I figured someone would blast me for not listing it. It's a complete non starter in our case. It's also why I specifically mentioned the typically used with gov'ts.
Oh yeah that's a totally different case. You're only real option then if dealing with patients and all that is the one built into O365, that takes you to a portal to decrypt it.
Right - this is what we see 90% of the time. Lately though, one of our hospitals have changed to a different secure email provider - and in this case, they no longer bother with the portal as long as TLS works. This provides the simplest solution for home/patient users.
Scott and I have discussed this, and believe that it fits the requirements of HIPAA as well.Thoughts?
I'm not familiar with that method, so I can't comment on it. I've never received an encrypted email that I didn't have to go to a portal/website link, or via S/MIME.
You likely get it 90% of the time. In Zoho it's just a little "secure" flag that shows up. Normal mail is already secure, but not generally enforced. But secure email is the universal default today.
Are you talking about something else? This "Secure Email" is not what we are referring to. Zoho "secure email" is just that it uses TLS in transit and is encrypted at rest on Zoho servers. This is all transparent and is the case with every major email service.
I think what is being asked here isn't obvious to you, but that the mail itself is encrypted, not just the transport of it. Basically in a way the OME and S/MIME ensures.
You'll need to show exactly where in Zoho you turn on this feature you speak of.
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We have been using ZixMail for years and haven't had any issues to speak of. Support is responsive if you need them.
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@Obsolesce said in encrypted email options?:
Are you talking about something else? This "Secure Email" is not what we are referring to. Zoho "secure email" is just that it uses TLS in transit and is encrypted at rest on Zoho servers. This is all transparent and is the case with every major email service.
That's secure email. That it's transparent makes it even more powerful. My point has been for years - all standard email is fully secure. These gimmicks and whatever are just that. Gimmicks. They pretend regular email isn't already encrypted end to end to sell things that almost no one needs based on the public's mistaken belief that email is plain text under normal conditions.
Not only do they prey on this misconception, then they generally sell something that isn't even email. Which is fine, except their entire point of selling it is... that it is email! Every piece of the process is around trickery and preying on the confused.
Are there cases where cloud storage with a web interface is a good idea and better than email for delivering files? Absolutely. Is there ever a time that we should pretend email isn't encrypted normally or that dropbox-style systems are just email? No.
There's no reason that normal email can't just be used, it's secure. The issue that many places have is that they refuse to require this security and/or to understand IT and so feel, because of marketing, that they have to pay for something that isn't email to fix their "email", which obviously, makes no sense.
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@Obsolesce said in encrypted email options?:
I think what is being asked here isn't obvious to you, but that the mail itself is encrypted, not just the transport of it. Basically in a way the OME and S/MIME ensures.
That's not actually being asked. That's the solution that is generally proposed, but is not needed in really any situation normally. What value is there to that? HIPAA doesn't care, the users don't care, it's not to anyone's benefit. And, guess what, if you use any of these services, it's decrypted and displayed remotely. ZixMail, O365, and others do exactly the same thing and only the transport is encrypted, not the payload. I use some of these services and it's no different than Zoho mail - only its a webpage not email so it confuses people again to make it "feel" like the payload is encrypted, but it isn't.
S/MIME does that, but Zix and all standard services, do not. They just repeat the very solution we already had - TLS.
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@VoIP_n00b said in encrypted email options?:
@scottalanmiller said in encrypted email options?:
But secure email is the universal default today.
GMail, Zoho, O365, Yahoo... all business class, and all serious consumer, and nearly all totally crappy services today are encrypted by default. It's almost exclusively "punish end users for being total idiots and never listening to anyone" systems like Cox "freebie email for cable subscribers" that there is absolutely no excuse for anyone to ever have used, let alone to still use, that once in a while don't encrypt. And really, that's the least of the problems there.
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@Dashrender well there you have it. The solution is to do nothing, because your email is already secure and encrypted LOL!
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@scottalanmiller said in encrypted email options?:
That's secure email. That it's transparent makes it even more powerful. My point has been for years - all standard email is fully secure.
Well, it doesn't prevent your email provider from reading your emails. Google and their ilk will use your emails to profile you and whomever you email. So when your doctor sends an email about your cancer treatment, you are going to start seeing ads about that on every site.
You'll get a much higher degree of security when you have real encrypted email and especially so when the email provider doesn't have your private key to decrypt. But then any web mail solution is out.
OpenPGP for instance requires both a private key and a passphrase to be able to decrypt emails. Works great with native emails clients that support OpenPGP. But I wouldn't want to be the guy supporting that for general end users.
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@Pete-S said in encrypted email options?:
@scottalanmiller said in encrypted email options?:
That's secure email. That it's transparent makes it even more powerful. My point has been for years - all standard email is fully secure.
Well, it doesn't prevent your email provider from reading your emails. Google and their ilk will use your emails to profile you and whomever you email. So when your doctor sends an email about your cancer treatment, you are going to start seeing ads about that on every site.
You'll get a much higher degree of security when you have real encrypted email and especially so when the email provider doesn't have your private key to decrypt. But then any web mail solution is out.
OpenPGP for instance requires both a private key and a passphrase to be able to decrypt emails. Works great with native emails clients that support OpenPGP. But I wouldn't want to be the guy supporting that for general end users.
Yeah, it doesn't prevent an attacker from reading emails that manage to get your email credentials.
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@Pete-S said in encrypted email options?:
@scottalanmiller said in encrypted email options?:
That's secure email. That it's transparent makes it even more powerful. My point has been for years - all standard email is fully secure.
You'll get a much higher degree of security when you have real encrypted email and especially so when the email provider doesn't have your private key to decrypt. But then any web mail solution is out.
You can do BYOK (Bring your own key) with OME.
It can use azure key vault storage. So you could even use a hardware module of your choosing that you host and connect to azure.
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OME is what we use, we have rules setup to encrypt if you put [encrypt] in the subject line.
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@Pete-S said in encrypted email options?:
@scottalanmiller said in encrypted email options?:
That's secure email. That it's transparent makes it even more powerful. My point has been for years - all standard email is fully secure.
Well, it doesn't prevent your email provider from reading your emails. Google and their ilk will use your emails to profile you and whomever you email. So when your doctor sends an email about your cancer treatment, you are going to start seeing ads about that on every site.
You'll get a much higher degree of security when you have real encrypted email and especially so when the email provider doesn't have your private key to decrypt. But then any web mail solution is out.
OpenPGP for instance requires both a private key and a passphrase to be able to decrypt emails. Works great with native emails clients that support OpenPGP. But I wouldn't want to be the guy supporting that for general end users.
Of course, but that's a choice by the end user to choose a service that they opted into to share that information.
With Zix, for example, they have your key.
PGP/GPG options are definitely way, way more secure. And they use real email to do it. But no one likes them.
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@scottalanmiller said in encrypted email options?:
@Dashrender said in encrypted email options?:
OME - this works like most other secure email solutions out in the market today (I'm looking at you Zix), email contents are sent to a webportal, an email is sent to the recipient with a link to the webportal, they create a logon to the webport for now and future use of message retrieval.
This is the most common option... when this isn't what you want. You have to understand this is NOT email. So this is the same as "not doing what we were told to do." Now 99% of the time, the job is to treat end users as confused and do what they want, not what they say, but it's also important to know when you are doing that. This is no different, except it is automated, than moving people to DropBox or NextCloud, that's all that it is. It's cloud storage with a web interface, not email.
If your doctors asks you for secure email, the answer is "he's an idiot, just do this." If I ask you for secure email and you give me this, it's insubordination for intentionally avoiding the only requirement.
Exactly - You and I both know they don't want actually secure email - there is to much effort to make that work (see key discussion). They want the automated solution. But you try to explain that to most of them and they simply don't care, they just stop listening. Some might go so far as to say - you know how so and so's works? yeah I want that - which in 99% of cases is OME.
Now all that said - one local hospital system recently switched away from Zix. Their new provider verifies TLS, and if present at an allowable cypher, it just sends the message, otherwise, it portalizes it.
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@Obsolesce said in encrypted email options?:
@scottalanmiller said in encrypted email options?:
@Obsolesce said in encrypted email options?:
@Dashrender said in encrypted email options?:
@Obsolesce said in encrypted email options?:
@Dashrender said in encrypted email options?:
The use of secure email is primarily with outside persons and companies. No home user (patient) is ever going to setup PKI to get an email from us.
I only listed it because I figured someone would blast me for not listing it. It's a complete non starter in our case. It's also why I specifically mentioned the typically used with gov'ts.
Oh yeah that's a totally different case. You're only real option then if dealing with patients and all that is the one built into O365, that takes you to a portal to decrypt it.
Right - this is what we see 90% of the time. Lately though, one of our hospitals have changed to a different secure email provider - and in this case, they no longer bother with the portal as long as TLS works. This provides the simplest solution for home/patient users.
Scott and I have discussed this, and believe that it fits the requirements of HIPAA as well.Thoughts?
I'm not familiar with that method, so I can't comment on it. I've never received an encrypted email that I didn't have to go to a portal/website link, or via S/MIME.
You likely get it 90% of the time. In Zoho it's just a little "secure" flag that shows up. Normal mail is already secure, but not generally enforced. But secure email is the universal default today.
Are you talking about something else? This "Secure Email" is not what we are referring to. Zoho "secure email" is just that it uses TLS in transit and is encrypted at rest on Zoho servers. This is all transparent and is the case with every major email service.
I think what is being asked here isn't obvious to you, but that the mail itself is encrypted, not just the transport of it. Basically in a way the OME and S/MIME ensures.
You'll need to show exactly where in Zoho you turn on this feature you speak of.
Nope, you'd be mistaken - I'm not asking for truly end user to end user secure email - almost no one ever wants that. They want the HIPAA requirement - that's all. Anything more, especially if it offers even one newton of additional friction to the process, is absolutely not wanted, though if it was friction free ( and I mean zero additional friction) they they would likely be willing to have it tacked on because why not?
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@VoIP_n00b said in encrypted email options?:
@scottalanmiller said in encrypted email options?:
But secure email is the universal default today.
Yeah - I don't know what this means either.
Secure mail ?? If by Secure mail you mean - emails traveling across the internet between mail servers, and even between servers and mail clients, then sure, the default is TLS and has been for many years - though sadly, many ISPs still have legacy old shit systems that don't support it (though Cox finally pulled their heads out of their asses and now support it - BUT - they have also cut off email as a provided service with ISP access - likely because of low use and expense of managing it... so far they are continuing to support current users of the platform, but I expect that to even die at some point... -
@scottalanmiller said in encrypted email options?:
Are there cases where cloud storage with a web interface is a good idea and better than email for delivering files? Absolutely. Is there ever a time that we should pretend email isn't encrypted normally or that dropbox-style systems are just email? No.
email is secure end to end? what do you consider end to end? and again secured how, against whom? Now, as I already stated - it's likely TLS all the way from the client to the server to the other server to the client.. sure, so it's secure from the prying eyes of the internet, but not from admins on either sending or receiving systems - but I'm pretty sure that's not part of the requirement for HIPAA
Additionally I completely agree with you that there is no reason to lie to people - to "dumb down the technology" to call Zix's solution of a webportal "secure email." The problem is population education - who's job is it to educate normal users? I'm guessing you might say it's their employers - and I'll simply tell you they aren't willing to pay for that.
There's no reason that normal email can't just be used, it's secure. The issue that many places have is that they refuse to require this security and/or to understand IT and so feel, because of marketing, that they have to pay for something that isn't email to fix their "email", which obviously, makes no sense.
I have tried with the "require TLS" option in the past, and was required to turn it off because it prevented the ability for owners to email family who still used an email provider who didn't support TLS. Additionally - as mentioned above, now moving to O365, enabling this gives no feedback for 24 hours of failure with no option to shorten this timeout/failure issue.
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@scottalanmiller said in encrypted email options?:
With Zix, for example, they have your key.
yep
PGP/GPG options are definitely way, way more secure. And they use real email to do it. But no one likes them.
Right, normal users, a cashier at the grocery store, will likely never setup a GPG key, support it, etc to get medical records via email from their doctor. that's to much work.
But they will create a logon to an EMR portal and a "secure email portal" to access/retrieve messages from their doctors. Of course, generally, they will use the same password they use everywhere else, but that's not my problem.
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@Dashrender said in encrypted email options?:
@scottalanmiller said in encrypted email options?:
With Zix, for example, they have your key.
yep
PGP/GPG options are definitely way, way more secure. And they use real email to do it. But no one likes them.
Right, normal users, a cashier at the grocery store, will likely never setup a GPG key, support it, etc to get medical records via email from their doctor. that's to much work.
But they will create a logon to an EMR portal and a "secure email portal" to access/retrieve messages from their doctors. Of course, generally, they will use the same password they use everywhere else, but that's not my problem.
I know cases where communication between health care professionals and patients is done through a website that requires 2FA for the patients. It has absolutely nothing to do at all with email except that patients can get email and sms notifications. Patients can view their journals as well. I'm sure it's custom built but maybe there are COTS systems that are made for exactly this.
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@Pete-S said in encrypted email options?:
@Dashrender said in encrypted email options?:
@scottalanmiller said in encrypted email options?:
With Zix, for example, they have your key.
yep
PGP/GPG options are definitely way, way more secure. And they use real email to do it. But no one likes them.
Right, normal users, a cashier at the grocery store, will likely never setup a GPG key, support it, etc to get medical records via email from their doctor. that's to much work.
But they will create a logon to an EMR portal and a "secure email portal" to access/retrieve messages from their doctors. Of course, generally, they will use the same password they use everywhere else, but that's not my problem.
I know cases where communication between health care professionals and patients is done through a website that requires 2FA for the patients. It has absolutely nothing to do at all with email except that patients can get email and sms notifications. Patients can view their journals as well. I'm sure it's custom built but maybe there are COTS systems that are made for exactly this.
COTS?
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@Dashrender said in encrypted email options?:
@Pete-S said in encrypted email options?:
@Dashrender said in encrypted email options?:
@scottalanmiller said in encrypted email options?:
With Zix, for example, they have your key.
yep
PGP/GPG options are definitely way, way more secure. And they use real email to do it. But no one likes them.
Right, normal users, a cashier at the grocery store, will likely never setup a GPG key, support it, etc to get medical records via email from their doctor. that's to much work.
But they will create a logon to an EMR portal and a "secure email portal" to access/retrieve messages from their doctors. Of course, generally, they will use the same password they use everywhere else, but that's not my problem.
I know cases where communication between health care professionals and patients is done through a website that requires 2FA for the patients. It has absolutely nothing to do at all with email except that patients can get email and sms notifications. Patients can view their journals as well. I'm sure it's custom built but maybe there are COTS systems that are made for exactly this.
COTS?
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