Paubox vs Egress
Paubox
Paubox is a HIPAA-compliant email encryption platform purpose-built for healthcare organizations. It encrypts every outbound email by default using TLS with automatic fallback to a secure portal, so recipients read messages in their normal inbox without passwords or portals. Paubox is HITRUST CSF certified and signs BAAs, making it the go-to choice for hospitals, health systems, and medical practices that need frictionless HIPAA-compliant email.
Pros
- No portal login required for recipients
- HITRUST CSF certified — highest bar for healthcare
- Zero learning curve for senders
- Purpose-built for healthcare compliance
- Includes inbound email security
Cons
- Premium pricing for smaller practices
- Less granular sender control than end-to-end solutions
- Healthcare focus may not fit all industries
- No on-premise deployment option
Pricing: From $29/user/month
Egress
Egress provides intelligent email security that combines adaptive encryption with AI-powered risk detection. Rather than applying blanket encryption rules, Egress analyzes each email's content, recipients, and context to dynamically determine the right level of protection — from automatic TLS to full end-to-end encryption. Now part of KnowBe4, Egress signs BAAs for HIPAA compliance and is widely used in healthcare, legal, and financial services.
Pros
- Intelligent risk-based encryption reduces over-encryption
- Prevents misdirected emails before they send
- Strong Outlook and Microsoft 365 integration
- Reduces user friction with adaptive policies
- Comprehensive compliance reporting
Cons
- More complex to configure than simpler solutions
- Primarily Microsoft-focused ecosystem
- Pricing not transparent
- KnowBe4 acquisition may shift product direction
Pricing: Custom pricing