HIPAA Security Rule update

    Compare · Versus Accountable HQ · 2027

    Self-serve and priced for small teams. Security is periodic.

    Accountable HQ publishes its prices, includes a Trust Center and HIPAA badge on every plan, and checks security twice a year on its top plan. Live Compliance watches every workstation continuously on Professional and up, and a named compliance team is on every plan.

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    Pick Accountable HQ if

    You want to run compliance yourself, your team is small, two vulnerability scans and one penetration test a year are enough, and you do not need a compliance team until the top plan.

    Pick Live Compliance if

    You want continuous security operations on Professional and up rather than periodic checks, a named compliance team from the first plan, a Staff Portal for the workforce, and a written guarantee, including when you already have an MSP or IT provider.

    Checked against accountablehq.com on 10 September 2026.

    Choosing for 2027

    Accountable HQ alternatives for 2027.

    For 2027, choose Live Compliance over Accountable HQ when you want continuous workstation monitoring on Professional and up and a named compliance team on every plan, including when you already have an MSP.

    The January 6, 2025 HIPAA Security Rule update is still a proposal, and the Unified Agenda lists final action for July 2027. That July 2027 date is the Unified Agenda timetable for RIN 0945-AA22. The proposal is not in force. An audit examines the Security Rule in force today. (Source: 90 FR 898; Unified Agenda, RIN 0945-AA22.) Checked on 10 September 2026. Live Compliance works with the MSP or IT provider you already have. It does not replace them.

    This is general educational information, not legal advice. Accurate as of October 26, 2026. Regulations change. Verify current requirements at hhs.gov/hipaa or with your compliance counsel. Sources: 90 FR 898 and the Unified Agenda, RIN 0945-AA22. Last updated: October 26, 2026.

    Side by side

    Ten things a buyer checks, two platforms.

    The same ten rows as the four-platform comparison, words in the cells instead of checkmarks, read from Accountable HQ’s own pages on the date underneath.

    What a buyer checksLive ComplianceAccountable HQ
    Published price$399, $895, or $1,450 a month plus $8.33 per employee, published$169 to $679 a month billed annually, published; 15 to 20 seats included
    Who it fitsPractices, systems, and business associates that want documentation, training, and the security layer in one platform, including organizations that already have an MSP or IT providerSmall teams that want to run compliance themselves, with security testing on the top plan
    Compliance team includedIncluded, and namedIncluded, Pro only, as dedicated support
    Built-in SIEM and continuous vulnerability monitoringIncluded, Professional and upNo SIEM; two scans and one penetration test a year on Pro
    Dark web monitoringIncluded, every planIncluded, Plus and up, as breached-credential alerts
    Training and phishing simulationIncluded, every plan: the HIPAA, OSHA, and fraud, waste, and abuse training an audit asks for, plus phishing simulationIncluded, every plan; phishing simulation on Plus and up
    Encrypted email, organization-wideIncluded, Professional and upSeparate vendor
    Credential and license trackingIncluded, Professional and up, with renewal alertsNot listed
    Provider credentialing and payer enrollmentNot listedNot listed
    Public badge and Trust CenterIncluded, every planIncluded, every plan

    Read from accountablehq.com’s own pricing and feature pages on 10 September 2026, with third-party reviews as a cross-check. “Not listed” means Accountable HQ’s public materials did not show it when we checked. Accountable HQ prices are its annual rate; seats past the included 15 or 20 cost $9 to $19 a month each. Feature sets change; confirm current offerings with Accountable HQ. Live Compliance is not affiliated with Accountable HQ, and product names are trademarks of their owners.

    All four platforms side by side

    Where we separate

    Watched continuously, not checked twice a year.

    Accountable HQ runs two vulnerability scans and one penetration test a year on its top plan. Live Compliance runs Enterprise SIEM and continuous vulnerability monitoring on every workstation on Professional and up, with dark web monitoring and phishing simulation on every plan and organization-wide encrypted email on Professional and up. For a 20-employee practice: SIEM, phishing simulation, dark web monitoring, encrypted email, eSignature, and asset management licensed separately run $873 to $1,244 a month.

    Enterprise SIEM, Detect & Respond, Encrypted Email, Asset Manager, and the Credential Tracker are on Professional and up. No add-on modules.

    $399, $895, or $1,450 a month

    plus $8.33 per employee per month, billed annually. For a 20-employee practice: Professional is $1,061.60 a month. Every price published.

    See the plans
    Security operations screen listing every workstation with its last scan time and a vulnerabilities table with remediation actions.

    Every workstation, every day, not twice a year

    Straight answers

    Accountable HQ and Live Compliance, in plain words.

    Accountable HQ is a self-serve HIPAA compliance platform with published pricing and periodic security testing on its top plan. Live Compliance runs the same documentation and training, with phishing simulation and dark web monitoring on every plan, Enterprise SIEM and encrypted email on Professional and up, and a named compliance team on every plan, including when you already have an MSP.

    The ten rows above are the facts. These answers are for the questions buyers ask before they read them.

    • Two platforms
    • Checked September 2026
    • 500+ organizations
    • Since 2010
    • 100% audit success rate

    Accountable HQ publishes three plans: Basic HIPAA at $169 a month, Plus at $254, and Pro at $679, billed annually, or $199, $299, and $799 month to month. Basic and Plus include 15 employees and Pro includes 20; each seat beyond that is $9, $15, or $19 a month. Live Compliance is $399, $895, or $1,450 a month plus $8.33 per employee per month, billed annually, with no add-on fees.

    Every plan includes policies, a security risk assessment, HIPAA and security awareness training, incident response, vendor and BAA management, an audit log, and a Trust Center with a HIPAA badge. Plus adds phishing simulation, breached-credential alerts, exclusion screening, and a compliance hotline. Pro adds dedicated compliance support, two vulnerability scans, and one penetration test a year. Live Compliance includes an anonymous hotline and exclusion checks on hire and every month, on every plan.

    Yes, if the practice wants to run compliance itself. It is self-serve, publishes its prices, and starts with a seven-day trial. What it does not include is a compliance team below the Pro plan, continuous security monitoring, encrypted email, OSHA training, or credential and license tracking. Live Compliance Essentials covers the same documentation with a named team, OSHA training, and a Staff Portal for the workforce.

    Accountable HQ fits a small team that wants to run compliance itself, with security testing twice a year on its top plan. Compliancy Group is a documentation and training platform with a support team, and advisors as an add-on; it still leaves the security operations an audit examines outside the record. Live Compliance fits practices, systems, and business associates that want documentation and training in one platform, with phishing simulation and dark web monitoring on every plan, SIEM and encrypted email on Professional and up, and a named team on every plan, including when an MSP is already in place.

    Accountable HQ includes breached-credential alerts on Plus and Pro, which watch data-breach dumps for your organization's email addresses and passwords. Live Compliance includes dark web monitoring on every plan and, on Professional and up, an Enterprise SIEM with continuous vulnerability monitoring, so the watch covers every workstation rather than credentials alone.

    Yes. Policies, training records, agreements, and risk assessment data import, and a specialist sets the pace around what you already have. The guarantee covers the transition: audit-ready in 60 days, or we keep working at no additional cost until you are.

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    500+
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    100%
    audit success rate
    2010
    protecting healthcare since