Next-Generation Identity Security in Healthcare: A Passkey-Based Approach

Mahendra Krishnapatnam ()

International Journal of Computing and Engineering, 2025, vol. 7, issue 3, 23 - 33

Abstract: The healthcare industry faces escalating cybersecurity threats, particularly targeting identity and access management (IAM) systems reliant on vulnerable password-based authentication. This paper proposes a next-generation solution leveraging passkeys, based on FIDO2 and WebAuthn protocols, to establish a passwordless authentication framework. We explore the technical architecture, device-bound authentication mechanisms, interoperability challenges, and compliance with HIPAA and NIST standards. Through case study analysis and industry benchmarking, we demonstrate that passkey adoption significantly reduces phishing-related incidents by 80–90%, improves authentication speed by 40–60%, and enhances user satisfaction. We recommend phased implementation strategies, fallback authentication designs, and futureproofing through quantum-resistant cryptography and decentralized identity management. Adopting a passkey-based IAM framework can help healthcare organizations achieve stronger cybersecurity resilience, regulatory compliance, and an improved user experience for clinicians, staff, and patients.

Keywords: Passkeys; Passwordless Authentication; FIDO2; WebAuthn; Zero-Trust Security; Healthcare IAM; AI-Driven Authentication; Phishing Prevention (search for similar items in EconPapers)
Date: 2025
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