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Healthcare Technology

HIPAA-ready access without bastion hosts

Arclight Health replaced shared jump boxes with identity-based, time-limited access to clinical databases and Kubernetes clusters — passing HIPAA review on the first attempt.

6

bastion hosts eliminated

15 min

production access grant time

100%

connections tied to verified identity

challenge

Challenge

Arclight Health operates a telehealth platform with PHI stored across Postgres clusters, Redis caches, and EKS workloads in two regions. Engineers reached production through shared bastion hosts with long-lived SSH keys that rotated quarterly at best. Access reviews were manual spreadsheets, and the compliance team had no way to prove who touched patient data during an incident investigation.

solution

Solution

Kimox integrated with Arclight's Okta tenant to provision just-in-time SSH and database access. Engineers request production access through an approval workflow; credentials expire automatically when the session ends. Session audit logs capture every connection event, and optional session recording satisfies the strictest interpretation of HIPAA access controls.

results

Results

Arclight retired all six bastion hosts within a month. Mean time to grant production access dropped from 48 hours to under 15 minutes for pre-approved on-call engineers. The platform passed its HIPAA technical safeguard review with audit trails that mapped every database connection to a verified identity.

Our compliance team used to dread access reviews. Now they pull a Kimox report and they're done in an afternoon.

James Okonkwo

Head of Engineering

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