Imprivata Competitors and Alternatives: 10 Clinical Access Platforms Compared

Most health systems that run Imprivata bought it years ago, often around an EHR go-live, and added modules as new needs came up. Since then, many have standardized on Microsoft Entra ID or Okta, which now overlap with parts of that stack. So a renewal means more than a price check: security teams want phishing-resistant login across every workstation, and finance teams want to know why clinical access needs several separately licensed products.

That pressure is why many teams start mapping the alternatives. Imprivata competitors are vendors that replace or reduce one or more parts of the Imprivata platform: clinical single sign-on, badge tap access to shared workstations, multifactor authentication for EPCS, shared mobile device access, or privileged access. Healthcare evaluations usually start with the first three, because they touch every clinician on every shift.

This guide maps Imprivata’s product lines to the right competitor categories, sets out evaluation criteria for clinical environments, and compares 10 Imprivata alternatives on the same terms.

Why Healthcare Organizations Evaluate Imprivata Alternatives

Module stacking and setup cost

Imprivata offers several products covering clinical SSO, authentication, mobile device access, EPCS, and privileged access. Depending on the deployment, healthcare organizations may need multiple modules to address their requirements. This can increase licensing and implementation costs as the environment expands. For organizations approaching renewal, it is worth evaluating whether all existing modules remain necessary or whether some capabilities can be addressed through their existing identity provider and a more focused clinical authentication platform.

Reported workflow issues in VDI and badge environments

User reviews on Software Advice, GetApp, TrustRadius, and G2 describe badge authentication glitches, sessions that fail to lock at badge-out, and VDI and Citrix switching lag. These issues vary by deployment and version, but they matter most in high-volume units, where every second of login delay pushes staff toward shared logins that break the audit trail.

Overlap with Microsoft Entra ID and Okta

Health systems that standardized on Entra ID or Okta now pay for SSO, MFA, and conditional access in two places. Imprivata itself integrates with Entra through Healthcare Seamless SSO, which raises a fair question at renewal: which layer does the clinical workflow need, and which layer duplicates what the identity provider already covers?

Authentication vendor sprawl

More than half of healthcare organizations run three or more authentication vendors, according to the same Imprivata survey. Each additional vendor adds enrollment work, help desk scripts, and gaps in the audit trail. Consolidation pressure pushes teams to compare platforms that cover more use cases with fewer moving parts.

How to Evaluate Imprivata Competitors for Clinical Access

Generic SSO comparisons miss the requirements that define clinical access. Use these eight criteria to compare Imprivata competitors instead:

1. Fast user switching on shared workstations: The next clinician should reach their own session in seconds, with the previous session locked or closed. See how passwordless EHR access on shared workstations works in practice.
2. Badge and reader reuse: Check support for your existing proximity card formats and RFID readers before anything else, because re-badging staff stalls projects.
3. EPCS support: Confirm DEA-aligned two-factor flows inside your EHR signing workflow, plus audit reports for compliance reviews.
4. EHR integration: Look for in-context authentication for Epic or Oracle Health, including re-authentication for medication and order workflows.
5. VDI and thin client support: Test roaming sessions on Citrix, VMware, and thin clients under real shift-change load.
6. Fit with your identity provider: Decide whether the platform should sit alongside Entra ID, Okta, or Ping, or replace parts of it.
7. Per-user audit attribution: Every action should map to a named individual, never to a shared device account. Auditable shared account login keeps that attribution intact on shared devices.
8. Offline authentication and resilience: Check whether clinicians can authenticate and access their assigned workstations during network interruptions. Evaluate local authentication capabilities, recovery mechanisms, and how access events are recorded when connectivity is restored.

Five Types of Imprivata Competitors

Not every Imprivata competitor replaces the same capabilities. Some platforms specialize in workforce identity and MFA, while others focus on clinical SSO, shared workstation authentication, or mobile device access. Understanding these differences is important because a general-purpose identity provider may not address the workflow requirements of a shared clinical workstation.

Imprivata competitors fall into five groups, and each group solves a different slice of the problem:

• Frontline passwordless platforms replace passwords on shared workstations with badge, face, and PIN factors, and work alongside your existing identity provider.
• Identity providers and MFA platforms run workforce SSO and MFA across the health system, with remote access and EPCS as common strengths.
• Clinical SSO specialists focus on proximity badge login and single sign-on into clinical applications, often in Citrix-heavy environments.
• Shared mobile device specialists manage login, checkout, and session handoff on shared phones and handhelds.
• Continuous authentication tools verify identity throughout the session using behavioral signals instead of repeated prompts.

10 Imprivata Alternatives for Healthcare Access

Each of these Imprivata competitors is assessed on the same terms: what it does, its key capabilities, its fit for healthcare and EPCS, pricing, and where it falls short.

1. OLOID

OLOID is a passwordless authentication platform built for frontline and shared-device environments. In healthcare, it covers the same ground where Imprivata built its business: shared workstations, workstations on wheels (WOWs), exam room PCs, thin clients, virtual desktops, and shared tablets. Clinicians sign in with a face scan, badge tap, mobile credential, or PIN, and move between devices without typing usernames or passwords. (OLOID).

The biggest difference from Imprivata is architectural. Imprivata Enterprise Access Management runs as its own access platform next to the health system’s identity provider. OLOID plugs into the identity provider already in place, including Okta, Microsoft Entra ID, Ping Identity, and Duo. Health systems replace the clinical access layer without standing up a second identity stack or retraining IT on a new directory.

How OLOID differs from Imprivata: OLOID modernizes the clinical authentication layer instead of replicating every component of Imprivata’s broader portfolio. Imprivata Enterprise Access Management runs as its own access platform alongside the health system’s identity provider. OLOID plugs into the identity provider already in place, including Okta, Microsoft Entra ID, Ping Identity, and Duo. Hospitals keep that identity provider and add passwordless authentication, fast user switching, and individual accountability across shared clinical workstations. They don’t have to stand up a second identity stack or retrain IT in a new directory.

Key capabilities

• Phone-free passwordless login: Face recognition, proximity badge tap, NFC, QR, and PIN, with no personal smartphone required at any step. That matters on clinical floors where phones are restricted, gloves are on, or staff rotate across units.
• Fast user switching: A badge tap or face scan unlocks Windows or virtual desktop sessions and returns each clinician to their own workflow, with every session tied to a named individual.
• Epic integration: OLOID integrated with Epic in 2025 and is listed in the Epic End-User Authentication Toolbox category on Epic Showroom. Authentication prompts trigger inside Epic signing contexts, so re-authentication happens where the clinician already works.
• Offline access and audit logs: Authentication continues when connectivity drops, and audit logs record who accessed which device and when.
• Integration with existing identity providers.

Healthcare and EPCS

OLOID’s facial authentication holds DEA certification for EPCS, and its face recognition aligns with NIST SP 800-76-2 biometric standards. Prescribers sign controlled-substance orders with badge plus face or badge plus PIN. In the hands-free desktop flow, face recognition validates the prescriber and the platform supplies the second factor through an on-camera cryptographic token, which removes hard tokens and manual code entry. Each event is written to both the OLOID and Epic logs with DEA-required metadata. The platform also supports HIPAA and 21 CFR Part 11 requirements.

Partner ecosystem

Ping Identity named OLOID its 2025 Innovation Partner of the Year for frontline healthcare authentication. In May 2026, the two companies launched a joint Verified Trust solution for the U.S. clinical workforce: Ping handles identity verification and high-assurance account recovery, while OLOID delivers Tap-and-Login across shared workstations, shared accounts, and VDI-hosted EHRs (Ping Identity).

Pricing: Quote-based, scoped to deployment size.

Where Imprivata is stronger: A larger healthcare installed base, plus adjacent modules such as privileged vendor access and patient privacy monitoring.

Best for: Health systems that want phone-free, passwordless access on shared clinical workstations and inside Epic, while keeping Okta, Entra ID, or Ping as the identity backbone.

2. Cisco Duo

Duo is Cisco’s MFA and access security platform and one of the most widely deployed second-factor tools in U.S. hospitals. It won Best in KLAS for Access Management in 2024 and placed second behind Imprivata in 2025.

Key capabilities

• MFA through Duo Push, passcodes, WebAuthn, security keys, and hardware tokens
• SSO, Duo Directory, and Trusted Endpoints device checks, with risk-based authentication and Cisco Identity Intelligence in higher tiers
• Integrations for Epic Hyperspace and Hyperdrive, Citrix, VPNs, and Microsoft 365

Healthcare and EPCS: Duo supports EPCS through Duo Push, WebAuthn, security keys, OTP hard tokens, or FIPS 140-2 validated hardware tokens. Duo reports that more than 100 customers use it with Epic to approve e-prescriptions (Duo).

Pricing: Published per user per month: Essentials at $3, Advantage at $6, and Premier at $9, plus a free tier for up to 10 users (Duo).

Limitations: Duo secures the second factor. It does not run the shared-workstation session itself. It handles remote access, VPN, and EPCS signing, but it doesn’t natively provide badge tap login to a shared Windows session or fast user switching between clinicians. Its Epic integration covers re-authentication workflows such as EPCS, not the first sign-in to the Epic client (Duo). Most factors also assume a personal phone or token. Hospitals running Duo usually add a separate clinical access layer for shared workstations.

Best for: Remote access and EPCS signing for clinicians who carry smartphones.

3. Microsoft Entra ID

Entra ID is Microsoft’s cloud identity platform and the default workforce directory for health systems on Microsoft 365.

Key capabilities

• Conditional Access, Microsoft Authenticator, FIDO2 security keys, and Windows Hello for Business
• Shared device mode for frontline workers on supported Android and iOS apps (Microsoft Learn)
• Shared PC configuration through Intune for Windows devices used by one person at a time

Healthcare and EPCS: Some health systems run EPCS through Microsoft Authenticator. CAMC moved EPCS and remote access from Duo to Authenticator in October 2025 (CAMC). Imprivata also extends Entra seamless SSO to shared clinical workstations through its Healthcare Seamless SSO integration.

Pricing: Entra ID P1 comes with Microsoft 365 E3 and E5, so many hospitals already own the core license.

Limitations: Entra ID supports passwordless sign-in through Windows Hello for Business, FIDO2 security keys, passkeys in Microsoft Authenticator, and certificate-based authentication. The gap is specific to shared clinical PCs. Windows Hello for Business binds credentials to the device a user enrolled on, so they don’t follow clinicians across roaming workstations. Shared device mode covers supported mobile apps, not Windows clinical workstations. FIDO2 keys can roam, but they add hardware to issue, track, and replace. Clinical shared-workstation workflows still need a specialist layer on top of Entra.

Best for: Microsoft-centric health systems that want one identity backbone and will add a clinical access layer for shared workstations.

4. Okta

Okta Workforce Identity is a vendor-neutral identity provider for SSO, MFA, and lifecycle management across large, mixed application estates. Most health systems that choose Okta use it as the identity backbone, not as a full replacement for a clinical access platform. Its shared-workstation features are narrower than what dedicated clinical access vendors offer for badge roaming, fast user switching, and in-EHR re-authentication.

Key capabilities

• SSO and lifecycle automation across a large catalog of prebuilt integrations
• Okta Verify, FastPass phishing-resistant authentication, and Okta Device Access for Windows and macOS sign-in
• A Tap and Go option for NHS environments that works with existing RFID readers, according to Okta’s UK datasheet

Healthcare and EPCS: Okta documents MFA integrations for EPCS in Epic Hyperspace and Hyperdrive (Okta). In the documented Hyperdrive flow, the user first signs in with a username and password against Active Directory, then completes Okta MFA.

Pricing: Published per-user plans, with entry pricing listed at $6 per user per month on G2.

Limitations: Okta’s own FAQ says Okta Device Access can only imperfectly support shared workstations today, and offline factors must be enrolled on each desktop (Okta). Passwords also remain part of the documented EPCS flow.

Best for: Health systems unifying SSO and lifecycle management across many apps, paired with a clinical access layer for shared workstations.

5. Evidian (Eviden, Atos Group)

Evidian is the identity and access management line of Eviden, part of the Atos Group. Its Enterprise SSO product has a long healthcare track record, especially in UK and European hospitals.

Key capabilities

• Enterprise SSO across Windows and Mac workstations, Citrix and Microsoft virtual environments, and thin or zero clients
• Multi User Desktop mode for fast user switching on shared kiosk PCs. Users unlock the shared session with an RFID badge, each user’s applications stay hidden when they step away, and every access is audited (Evidian)
• Authentication with RFID badges, smart cards (including NHS smart cards), and biometrics
• SSO for Android and iOS apps, plus Evidian Orbion, a SaaS suite that combines identity governance, access management, and privileged access

Healthcare and EPCS: Warrington and Halton Hospitals NHS Trust uses Evidian Enterprise SSO to simplify access to hospital applications for its 2,500 healthcare employees (Evidian). Evidian also runs an SSO recovery program aimed at healthcare institutions that want to cut the cost of their current SSO and authentication tools. Its healthcare base is mainly in the UK and Europe. We found no public documentation of DEA-compliant EPCS signing or Epic in-workflow re-authentication for US deployments, so US health systems should check both directly with Evidian before shortlisting it.

Pricing: Quote-based, depending on the number of users, required modules, and deployment model (on-premises or SaaS).

Limitations: A smaller US healthcare footprint than Imprivata, with less documented support for EPCS and Epic in-workflow re-authentication. Many of its strengths, such as NHS smart card support, are tuned to European healthcare.

Best for: European health systems, and organizations with an existing Atos or Eviden relationship, that want clinical SSO and identity governance from one vendor.

6. HYPR

HYPR is a FIDO-certified passwordless and identity assurance platform for workforce and customer access.

Key capabilities

• HYPR Authenticate for phishing-resistant passwordless MFA with FIDO passkeys
• HYPR Affirm for identity verification during onboarding, credential resets, and help desk calls
• HYPR Adapt for risk policy and orchestration
• Integrations with Okta, Entra ID, Ping, and other identity providers (HYPR)

Healthcare and EPCS: HYPR lists shared workstations, kiosks, and offline login among its use cases. Its published healthcare references lean toward payers and consumer passkeys, such as a Fortune 50 healthcare company that deployed passkeys to over a million customers (HYPR). Confirm EPCS support directly with HYPR.

Pricing: Enterprise packaging is quote-based.

Limitations: HYPR is built for workforce passwordless authentication, where each employee signs in with a passkey on their own phone or laptop. Clinical shared workstations work differently. Many clinicians sign into the same PC each shift, often without a personal phone at hand, and they need fast session switching and re-authentication inside the EHR. HYPR’s shared-workstation login relies on mobile-initiated authentication, and its clinical workflow integrations are less documented than Imprivata’s.

Best for: Security-led programs focused on phishing resistance and identity verification across the workforce.

7. HID DigitalPersona

HID DigitalPersona is a multifactor authentication suite for Windows, Active Directory, VDI, and enterprise applications.

Key capabilities

• Fingerprint, smart card, mobile, and token authentication
• Fast user switching on shared workstations and SSO into clinical applications
• Support for virtualized desktops, plus links to user provisioning
• Audit trails aligned with HIPAA and HITECH (HID)

Healthcare and EPCS: HID positions DigitalPersona for shared clinical kiosks and a zero-touch experience. Confirm EPCS support and EHR signing integrations directly with HID. Confirm which EHRs have prebuilt SSO profiles, and whether fast user switching works at the application level or only at the Windows session.

Pricing: Quote-based, usually through resellers.

Limitations: The suite leans on fingerprint and smart card hardware. Fingerprints struggle with gloves and frequent handwashing, and in-EHR re-authentication workflows are less documented than Imprivata’s.

Best for: Windows and Active Directory-centric hospitals standardized on fingerprint readers or smart cards.

8. BlueFletch

BlueFletch is a shared mobile device platform that launched a dedicated healthcare edition in August 2025 (BlueFletch). Its core product secures shared Android phones and tablets on clinical floors. Windows workstation authentication is a separate, newer extension and not the platform’s primary focus.

Key capabilities

• Enterprise Launcher, a role-based home screen for shared Android devices
• NFC badge tap, biometric, and PIN login, with SSO through Entra ID, Okta, and Ping over SAML, OAuth, OIDC, and FIDO2
• Device finder and loss prevention tools
• Windows support through Enterprise Launcher for Desktop, and iOS support through a virtual Android workspace

Healthcare and EPCS: BlueFletch supports Epic, Cerner, and legacy clinical apps on shared devices. Its comparison sheet positions one console across Android, iOS, and Windows against Imprivata’s separate mobile products (BlueFletch). Confirm EPCS support directly with BlueFletch.

Pricing: Published per device: Healthcare from $120 per device per year and Enterprise from $59 per device per year (BlueFletch).

Limitations: BlueFletch is strongest on shared Android fleets. Windows workstation SSO through Enterprise Launcher for Desktop is newer and less proven at hospital scale, and iOS runs through a virtual Android workspace instead of natively. Hospitals evaluating it for workstations on wheels or exam room PCs should test those workflows separately.

Best for: Hospitals with large shared Android fleets on clinical floors.

9. Twosense

Twosense is a continuous authentication platform for hospitals that verifies identity through behavioral biometrics.

Key capabilities

• A software agent that learns each user’s typing rhythm, mouse movement, and interaction patterns
• Continuous access evaluation that triggers step-up or session termination when behavior changes
• No badges, phones, or cameras required, and integration with existing identity providers

Healthcare and EPCS: Twosense reports a deployment covering 17,000 users and 173 critical applications at a major U.S. hospital system, with an 89% reduction in failed logins and a 79% drop in identity-related help desk tickets (Twosense). These figures are vendor-reported. Confirm EPCS support directly with Twosense.

Pricing: Quote-based.

Limitations: Twosense works after login. It keeps verifying the user during the session and cuts repeat prompts, but most hospitals still need a badge, biometric, or password login at session start. In practice, it sits on top of an existing clinical access layer instead of replacing it. Continuous authentication is also a newer category with limited independent benchmarks.

Best for: Hospitals that already have a login solution and want fewer re-authentication prompts during the session.

10. Identity Automation (HealthCast)

Identity Automation acquired HealthCast, a long-standing clinical SSO vendor, in 2018, and Jamf acquired Identity Automation in March 2025.

Key capabilities

• RapidIdentity suite covering lifecycle management, access governance, MFA, SSO, and privileged access
• QwickAccess proximity badge access to local Windows desktops and VDI, including IGEL endpoints
• ExactAccess SSO into clinical applications, with integrations for Epic, Cerner, and Meditech

Healthcare and EPCS: KuppingerCole lists DEA-compliant MFA, EPCS and SSO auditing, tap-and-go badge access, and patient identity verification among RapidIdentity’s healthcare capabilities (KuppingerCole).

Pricing: Quote-based.

Limitations: A smaller healthcare footprint than Imprivata, and fewer modern passwordless factors such as face authentication.

Best for: Health systems that want clinical SSO and identity governance in one suite.

Imprivata Alternatives Comparison Table

The table below compares Imprivata competitors on category, authentication methods, EPCS support, and identity provider fit.

When Staying With Imprivata Makes Sense

Organizations should also consider the operational effort involved in migrating badge infrastructure, reconfiguring clinical application integrations, retraining staff, and validating audit continuity. A replacement should demonstrate measurable improvements in authentication speed, clinician experience, security, and total cost of ownership before a migration is justified.

How to Choose the Right Imprivata Alternative

The right choice among Imprivata competitors starts with the problem the renewal needs to solve. If remote access and EPCS drive the decision, an MFA platform such as Duo or your existing identity provider may cover it. If shared workstations, badge reuse, and Epic workflows drive it, look at frontline passwordless platforms that keep your identity provider in place.

That second path is where OLOID fits: it adds badge, face, and PIN authentication to shared clinical workstations, supports EPCS inside Epic, and works with Okta, Entra ID, and Ping, so health systems can replace the clinical access layer without rebuilding identity from scratch. Whichever direction you take, pilot on one high-volume unit, measure login time and per-user attribution, and let those numbers settle the decision.

FAQs

1. Who are Imprivata’s main competitors?

For clinical access, the main Imprivata competitors are frontline passwordless platforms and identity providers such as Microsoft Entra ID and Okta, MFA platforms such as Cisco Duo, and specialists such as HID DigitalPersona, BlueFletch, and Twosense. For privileged access, the main competitors are CyberArk, BeyondTrust, and Delinea.

2. What is Imprivata used for?

Hospitals use Imprivata for clinical single sign-on, badge tap access to shared workstations, fast user switching, EPCS two-factor authentication, shared mobile device access, and privileged access management.

3. Is Okta an alternative to Imprivata?

Partly. Okta covers workforce SSO and MFA across many applications, but its own documentation says shared workstation support is still imperfect. Many health systems pair an identity provider like Okta with a clinical access layer.

4. Who owns Imprivata?

Private equity firm Thoma Bravo took Imprivata private in 2016 in a deal valued at about $544 million. In 2026, Thoma Bravo began selling a stake in the company as part of a recapitalization, according to Semafor.

5. Can you replace Imprivata without re-badging staff?

Often, yes. Some alternatives support existing proximity card formats and RFID readers, allowing organizations to retain their existing badges. However, compatibility depends on the card technology, reader infrastructure, and authentication platform. Validate these requirements through a technical assessment and pilot before committing to a migration.