Clearwater IRM|Pro® vs OneTrust Governance Platform: Side-by-Side Comparison (2026)

Clearwater IRM|Pro®

Mid-market and enterprise healthcare organizations need Clearwater IRM|Pro® if your compliance team spends more time hunting down ePHI asset inventories than actually managing risk. The platform's OCR-quality HIPAA Security Rule assessments and 405(d) Health Industry Cybersecurity Practices scoring mean you're working from the same risk baseline regulators will use in an audit, not a generic checklist. Skip this if you're looking for vulnerability scanning or threat detection; Clearwater owns the left side of risk assessment and compliance gap identification, not response.

OneTrust Governance Platform

Mid-market and enterprise compliance teams managing privacy, risk, and third-party governance across multiple jurisdictions should start here; OneTrust's shared data model eliminates the spreadsheet sprawl that kills GRC programs, and its regulatory intelligence from 40+ researchers across 300 jurisdictions keeps you ahead of localization drift. The platform covers the full NIST GV (Govern) and ID (Identify) functions, meaning you're building strategy and asset inventory in the same place rather than bolting tools together. Skip this if your org is purely IT-risk focused with no data privacy or vendor management mandate; the platform assumes you need cross-functional GRC, not a single-use detection or remediation engine.