HITRUST CSF
Certifiable framework harmonizing 60+ security standards
FedRAMP
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.
HITRUST CSF
HITRUST Common Security Framework
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
FedRAMP
Federal Risk and Authorization Management Program
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
| Aspect | HITRUST CSF | FedRAMP |
|---|---|---|
| Scope | Harmonizes 60+ frameworks across 19 domains | NIST 800-53 cloud security baselines |
| Industry | Healthcare, regulated industries, industry-agnostic | U.S. federal agencies, cloud providers |
| Nature | Voluntary certifiable framework | Mandatory U.S. government authorization |
| Testing | Authorized assessors, maturity scoring | 3PAO independent assessments |
| Penalties | Loss of certification, market access | Loss of federal contracts, delisting |
Scope
Industry
Nature
Testing
Penalties
Frequently Asked Questions
Common questions about HITRUST CSF and FedRAMP
HITRUST CSF FAQ
FedRAMP FAQ
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