Standards Comparison

    HITRUST CSF

    Voluntary
    2022

    Certifiable framework harmonizing 60+ security standards

    VS

    FedRAMP

    Mandatory
    2011

    U.S. government program standardizing cloud security authorization.

    Quick Verdict

    HITRUST CSF delivers voluntary, certifiable assurance harmonizing 60+ standards for healthcare and regulated sectors, while FedRAMP mandates NIST-based cloud authorization for U.S. federal agencies. Organizations adopt HITRUST for multi-framework efficiency; FedRAMP unlocks government contracts.

    Information Security

    HITRUST CSF

    HITRUST Common Security Framework

    Cost
    €€€€
    Complexity
    Medium
    Implementation Time
    12-18 months

    Key Features

    • Harmonizes 60+ frameworks into certifiable control library
    • Risk-tailored scoping via organizational factors and MyCSF
    • Five-level maturity model from policy to managed
    • Tiered assessments: e1 essentials, i1 implemented, r2 risk-based
    • Inheritance from cloud providers reduces duplication
    Cloud Security

    FedRAMP

    Federal Risk and Authorization Management Program

    Cost
    €€€
    Complexity
    Medium
    Implementation Time
    12-18 months

    Key Features

    • Assess once, use many times reusability across agencies
    • NIST 800-53 controls at Low, Moderate, High impact levels
    • Independent 3PAO assessments for rigorous validation
    • Continuous monitoring with monthly vulnerability reporting
    • FedRAMP Marketplace for authorized CSP listings

    Detailed Analysis

    A comprehensive look at the specific requirements, scope, and impact of each standard.

    HITRUST CSF Details

    What It Is

    HITRUST Common Security Framework (CSF) is a certifiable, threat-adaptive control framework that consolidates requirements from 60+ authoritative sources including HIPAA, NIST SP 800-53, ISO 27001, PCI DSS, and GDPR. Its risk-based methodology tailors controls through structured scoping of organizational, system, and regulatory factors.

    Key Components

    • 19 assessment domains spanning governance, protective controls, and resilience.
    • Hierarchical library: 14 categories, 49 objectives, ~156 specifications.
    • **Five-level maturity modelpolicy (15%), procedure (20%), implemented (40%), measured (10%), managed (15%).
    • **Tiered assurancee1 (44 controls), i1 (182 requirements), r2 (tailored, 2-year validity); powered by MyCSF platform.

    Why Organizations Use It

    • Rationalizes multi-regulatory compliance (assess once, report many).
    • Delivers validated third-party assurance for stakeholders.
    • Enhances maturity, reduces breaches (99.4% breach-free certified environments).
    • Supports market access, insurance benefits, TPRM efficiency.

    Implementation Overview

    Phased approach: scoping/gap analysis, remediation, validated assessment by Authorized External Assessors, HITRUST QA. Ideal for healthcare/regulatory sectors; requires evidence management, ~90-day operationalization. Multi-quarter effort for r2 certification.

    FedRAMP Details

    What It Is

    FedRAMP (Federal Risk and Authorization Management Program) is a U.S. government-wide framework standardizing security assessment, authorization, and continuous monitoring for cloud services used by federal agencies. Its risk-based approach leverages NIST SP 800-53 controls across Low, Moderate, and High impact levels, enabling "assess once, use many times."

    Key Components

    • NIST 800-53 Rev 5 baselines: ~156 (Low), ~323 (Moderate), ~410 (High) controls, plus LI-SaaS for low-risk SaaS.
    • Core artifacts: SSP, SAR, POA&M, continuous monitoring plans.
    • Built on FIPS 199 categorization; uses 3PAOs for independent assessments.
    • Compliance via Agency or Program Authorizations, listed in FedRAMP Marketplace.

    Why Organizations Use It

    • Unlocks federal contracts (e.g., $20M+ potential).
    • Meets OMB/FISMA mandates for cloud providers.
    • Reduces risk duplication; builds stakeholder trust.
    • Competitive edge as security badge for commercial sales.

    Implementation Overview

    • Phased: preparation, 3PAO assessment, authorization, monitoring.
    • Targets cloud providers for federal work; suits mid-to-large CSPs.
    • Requires 3PAO audits, extensive documentation; 12-18 months typical.

    Key Differences

    Scope

    HITRUST CSF
    Harmonizes 60+ frameworks across 19 domains
    FedRAMP
    NIST 800-53 cloud security baselines

    Industry

    HITRUST CSF
    Healthcare, regulated industries, industry-agnostic
    FedRAMP
    U.S. federal agencies, cloud providers

    Nature

    HITRUST CSF
    Voluntary certifiable framework
    FedRAMP
    Mandatory U.S. government authorization

    Testing

    HITRUST CSF
    Authorized assessors, maturity scoring
    FedRAMP
    3PAO independent assessments

    Penalties

    HITRUST CSF
    Loss of certification, market access
    FedRAMP
    Loss of federal contracts, delisting

    Frequently Asked Questions

    Common questions about HITRUST CSF and FedRAMP

    HITRUST CSF FAQ

    FedRAMP FAQ

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