February 1, 2023

The professionals and cons of cloud have been debated for decades. But as our industry moves absent from monolithic Medicaid Administration Info Methods to modular Medicaid Business Devices, now is a great time to revisit the discussion.

States have two key selections when it arrives to the internet hosting that will serve as the basis for their method: go to the cloud, or retain an on-premises (or “on-prem”) architecture. Traditionally, security has been a massive component of the conclusion — or indecision — to migrate to the cloud because of in portion to the perceived stability rewards of possessing servers and knowledge saved in an onsite site. But the reality that a lot of of the nation’s healthcare corporations — not to mention the CIA and the Pentagon — are actively migrating and publishing to the cloud could be supporting to settle the discussion.

Shifting views

States are suitable to query the protection of cloud implementations. But when seeking at safety in the cloud, I challenge states to reframe the query from “How safe is my details in the cloud?” to “What progressive items can I do in the cloud that will make my business even far more secure?”

Let’s take a search at cloud stability in common.

One particular common argument against going to the cloud is a perceived absence of regulate. Having said that, what is dropped in management is extra than built up for in the amount of safety, means and knowledge these huge suppliers deliver to a state’s Medicaid functions.

Leveraging investments

States, at their core, are not facts center management providers, infrastructure management companies or even protection organizations. And it is starting to be increasingly tough for them to regulate those people capabilities.

Key cloud companies attract prime-tier cybersecurity talent and make investments billions of bucks into stability infrastructure. The more quickly an organization can adapt to an evolving security landscape, the additional secure it is. Cloud provides that agility, and through cloud deployment, states can gain from all the investments that providers these as Amazon, Azure and Google consistently make to harden their environments.

Guarding knowledge

States are also proper to take a look at data protection in the cloud. Federal legislation and frameworks these types of as HIPAA, Well being Details Know-how for Economic and Scientific Health (HITECH), and Health Information and facts Trust Alliance (HITRUST) require demanding safety protocols all around safeguarded health facts, with some necessitating the actual physical separation of knowledge. States also encounter demanding compliance steps mandated by the Centers for Medicare and Medicaid Services, which, fittingly, is also in the cloud.

Cloud suppliers can now isolate diverse programs and functions, as nicely as implement a assortment of controls to enhance safety. With the simply click of a button, states can opt for to use both a shared or focused server.

Of program, states could carry out their personal controls on premises, but with no the identical degree of simplicity.

With the cloud, all of this happens fundamentally at the click of a button.

Lowering complexity

What can the cloud offer in the way of differentiated techniques to stability, compliance and resiliency?

A single example is cryptographic essential rotation — the potential to transform the math that encrypts all of a state’s saved info. In the cloud, states can simply immediate the critical to rotate every day, reaching a substantially higher stage of protection with substantially larger simplicity.

From remediation to avoidance

Even more essential for states, the cloud features security and compliance capabilities that are truly out-of-the-box. For instance, states can change their concentrate away from remediation to prevention by utilizing “as code” versions — Infrastructure as Code, Compliance as Code and Security as Code — to integrate their necessities into the way they develop their solutions and procedures. By automation, they can embed controls at the very outset to protected a workload as it moves during its lifecycle, lowering expensive human mistakes and speeding up the procedure immensely.

The cloud opens the doorway to more stability abilities than at any time right before, giving a centralized, automated approach to defending delicate facts and supporting compliance efforts. Much more than that, the cloud makes it possible for states to press the innovation bubble further than the higher-amount stability that by now exists in the cloud, enabling them to weave protection and compliance into the fabric of their functions.

About the writer
Jacob Sims serves as chief know-how officer for Gainwell Systems, responsible for primary the engineering vision, approach and execution of Gainwell’s details science, superior analytics and company system. He brings substantial experience major substantial-scale health care IT companies and specializes in transformative initiatives and data-centric item cultivation.

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