The Impact of Ransomware on the Healthcare Industry

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HowisRansomware AffectingtheHealthcare

Inarecentsurveyofhealthcareorganizationstitled“TheStateofRansomwareinHealthcare 2022,”researchersfoundthattherewasa94%increaseinransomwareattacksonorganizations inthehealthsector In2021alone,66%ofhealthcareorganizationswerehitbyransomwareIn comparison,34%werehitin2020

Anothersurveyrevealsthat42%ofhealthcareorganizationsfacedmultipleransomwareattacks inthepreviousyear Thesesurveysclearlydepictthescopeoftheproblemforthehealthcare sector Itrevealstheinherentweaknessesinthesystemsthatattackersusetotheiradvantage Thismakesitallthemorenecessaryforthehealthcaresectortopreparebeforehandand protectsensitiveinformationandsystemsusingautomatedbackupanddisasterrecovery(DR)

Thisblogwilldiscusstheimpactofransomwareonhealthcareinstitutionsandhowhealthcare organizationscanprotectthemselvesagainstthemenaceofransomware

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WhyisHealthcareIndustryBeing Targeted?

Toprovideeffectivehealthcareservices,hospitals,clinics,andhealthcareserviceprovidersneed tostoreandretainpatientinformation,andmedicalrecordsSincethisconfidentialdataishighly soughtafterintheblackmarket,itmakeshealthcareserviceproviderstheprimetargetsof hackers.Themedicaldatasellsforalargesumonthedarkweb.

Moreover,cybercriminalsarekeenlyawareofthefactthatthehealthcareserviceindustry spendsthemajorityoftheirbudgetonservicesleavingverylittlefordataprotectionThelackof budgetmakesitchallengingforITadministratorstosetupeffectivedatasecurityand ransomwareprotection;makingthehealthcaresectorarelativelyeasiertarget.

Furthermore,themajorityofhealthcaresectorstaffneedaccesstocriticalsystemsand informationtoprovidehealthcareservicesThisincreasesthenumberofendpointsthathackers canexploittogainaccesstoprimarynetworks.

Additionally,duetothenatureofservices,healthcarestaffareoftenrushedfortimeThismakes themmoresusceptibletosocially-engineeredthreatssuchasphishingwhichcontributestoa majorityofsuccessfulransomwareattacks

Briefly,here’swhycybercriminalstargetthehealthcaresector:

Healthcareserviceprovidersstoreprotectedhealthinformation(PHI),andfinancial information

PHI,PII,andpaymentinformationis“easymoney”onthedarkweb.

Healthcareserviceprovidershavelimitedbudget,mostofwhichisfocusedonhealthcareAsa result,dataprotectionisinadequatewhichmakesthemedicalrecordstorageandarchiving infrastructureaneasiertarget.

Sinceresourcesarelimited,healthcarestaffaresusceptibletohumanerrorandproneto socially-engineeredattackswhichtakesadvantageofthefast-pacednatureoftheir operations.

RecentRansomwareAttacksonthe Healthcaresector

Afewmajorransomwareincidentsstandoutintheirseverity,scopeandcomplexity These episodescanprovidevaluableinsightsintohowransomwareisevolvingandhowthemodern cybercrimelandscapeischanging

ContiRansomwareAttackonIreland’sHSEviaPhishingEmail

In2021,HSEwastargetedbyhackerswhoaccessedhigh-levelaccountsandusedthemto exfiltratevastamountsofsensitivedata.80%oftheHSEITenvironmentwasencrypted,private informationofthousandsofindividualswasexposed,anddiagnosticsandmedicalrecords remainedinaccessibleThestaffrevertedtopenandpaper,andalltheIrishgovernmentcould dowasmonitorthedarkwebforpublisheddata HSEhadtobearhighfinancialcostsand lawsuitsfrompatientsforinterruptedservices

RansomwareAttackonYumaRegionalMedicalCenter

YRMCwasattackedinApril2022andresultedindataexposureofthousandsofindividualsAfter theransomwaredeployment,thehospitalwasforcedtoinitiatedowntimeproceduresOn investigation,itwasrevealedthattheattackerhadaccesstothenetworkforfourdaysbefore ransomwaredeploymentwithoutbeingdetected Theattackermaintainednetworkaccessfrom 21 to25 AprilandremovedfilesthatcontainedSSN,patientnames,medicalinformationand informationonhealthinsurance.

QuantumRansomwareAffects657HealthcareOrgs

PFC(ProfessionalFinanceCompany)wasattackedinFeb2022,leadingtoadatabreachofover 657healthcareorganizationsTheContigroupusedcobaltstriketomovelaterallyinsidetheir networkviaCLItoolsandexfiltrateddatathatincludedfirstandlastnames,addresses,accounts receivablebalanceandinformationregardingpaymentsmadetoaccountsAccordingto AdvancedIntel,ContiseemedtohavejoinedtheQuantumransomwaregroup.Thisisnow becomingacommonmodusoperandiofmanyhigh-profilecybercrimesyndicates.

Othernotableransomwareattacksonhealthcare:

HighmarkHealth,WellDyneRx,OthersReportHealthcareDataBreaches

MissouriHospitalSystemDataBreach

Dataof198KPatientsofFloridaProviderAccessedinanEmailHack

KaiserFoundationHealthPlanEmailHackImpacts70K

McCoyVisionCenterAddedtoEyeCareLeadersBreachtally

MCGHealthReportsTheftofPatient,andMemberData

WhatistheImpactofRansomwareon HealthcareOrganizations?

AccordingtoresearchbyPonemoninstitutethatfocusedontheeffectsofransomwareon healthcareorganizations,70%oftheaffectedwereinfectedbylong-terminfectionthatresulted inprolongedperiodswithoutservicedelivery,thuseffectivelycripplingtheirhealthdelivery systems.

Around65%ofhealthcareorganizationshadtotransfertheirpatientstootherfacilitiesat exorbitantcoststokeepprovidinghealthcareAround71%oftheaffectedexperiencedmedical proceduresandtestdelays,while36%experiencedcomplications

AccordingtoastudybySophos:

Healthcareorganizationshadthesecond-highestaverageransomwarerecoverycostswith $185million,takingoneweekonaveragetorecoverfromanattack

67%ofhealthcareorganizationsareoftheviewthatcyberattacksaregettingmorecomplex andmoreorganized

Amongthoseorganizationsthatwereaffectedandpaidtheransom,only2%gotalltheirdata back.

61%ofattacksweresuccessfulinencryptingtheirvictim’sdata

However,99%ofhealthcareinstitutionsaffectedgotatleastsomeoftheirdatabackafter encryption.Butthatisnottosaythatorganizationsexpectthattheywillbeimmunefrom ransomwareinthefuturesincenearly41%ofthosewhodidn’texperiencearansomware infectionfullyexpectthattheyarelikelytohavearansomwareattackinthefuture

st th

WhatareSomeoftheKeyChallenges

ConfrontingtheHealthcareIndustry?

HealthcareorganizationsarenowfacinghighlysophisticatedRansomOpsThesearehighly targetedandcomplexransomwareoperationsinwhichattackersattempttogainaccesstothe network,infiltratedevices,breachdatabygainingaccesstohigh-levelaccounts,exfiltratehighly sensitivedata,andencryptmaximumdata.Theoperationsarecontrolledbycommandand controlcentersofmaliciousactorsandarehighlypersistent.Theseoperationsallowthreat actorstohavemaximumeffectandincentivizethemtomakemulti-milliondollardemands.

Thesecondbiggestissueisthatthehealthsectorisahighlytargetedindustryforransomware deploymentsinceattackersarefullyawareofthehealthcaresector’sintricaciesanduseitto gainmaximumleverage.

Finally,healthcareorganizationsstrugglewithdatasecuritysincetheydon’thavetheresources tokeepthemselvesuptodatewiththelatestsecuritymeasures.

HowcanHealthcareOrganizationsPrepare AgainstRansomware?

Ransomwareremainsprevalent,andthereisn’tanysectorthatisimmunefromransomware. However,healthcareorganizations,inparticular,needtodigestthefactthattheybelongtoan industrywhichisthemostlucrativeforcybercriminalsandassumethey,atonepointortheother, willbehitbyransomware.

Thenextstepistoalwaysbepreparedandadoptaproactiveapproachfordefensesagainst ransomwareratherthanlookingforawayoutafterasuccessfulinfiltration.Thiscanonlybe doneeffectivelybysettingupautomatedbackupanddisasterrecovery.Italsoneedstobe understoodthatthewholeRansomOpneedstobeneutralized.Blockingfurtheraccessto ransomwareisonething,butitdoesnotisolateyournetworksanddoesnotpreventthreat actorsfromcontinuingtomaintainnetworkaccess

Inotherwords,abackupandDRsolutionthatdoesn’tincludeisolation(air-gap),and immutabilityisn’taneffectivemeasureagainstransomwareInfact,itmayaswellbeas vulnerableasaproductioninfrastructurewithoutbackupandDR

RansomOpscangoundetectedforweeksandevenmonthsfrominitialingress,movinglaterally andestablishingcontrol.Organizationsneedtodeploysolutionsthatincludeprevention, protectionandremediation

Preventivemeasuresincludemulti-factorauthentication(MFA),firewall,air-gapping,3-2-1 backupstrategy,amongothers.

Protectionandremediationmeasuresincludebackupanddisasterrecovery,granularfile-level recovery,directVMspinup,1-clickrestoretocloud,andmore.

StoneFlyremainsundefeatedindeployingsolutionsthatneutralizetheransomwareandminimize thechancesofinfectioninthefirstplace.

HowShouldHealthcareOrganizations

ChooseanAppropriateDataProtection Solution?

Moderndataprotectionsolutionscomeinvariousoptions,includingon-premisesystems,private cloudsolutionsandfullyorpartiallyhostedsolutions.Themostappropriatesolutionisoftena blendofalltheapproachesbasedonwhatapplicationsanddataneedtobesecured

Regardlessofwhatoptionyougowith;theserviceprovidermusthave:

Automatedairgappedbackupsisolatedfromproduction Immutablepolicy-basedstorageforbackups,medicalrecords,patientinformation,and financialdetails.

AES256-bitencryptedstoragefordatastoredon-premisesandinthecloud Abilitytoquicklyscalecompute,storage,andarchivingresourceswhennecessary GuaranteeRTPOsthatmeettheorganization’sguidelines.

HowareStoneFlySolutionsAidingthe HealthcareSector?

Fromturnkeybackupanddisasterrecoverysolutions,tostorageappliancesandcloudarchiving, StoneFlyoffersanarrayofpurpose-builtsolutionsforthehealthcaresector Theseinclude:

StoneFlyDR365V:TurnkeyVeeam-readybackupandDRappliancewithautomatedairgappingusingbuilt-innetworkandpowermanagementcontroller,andpolicy-based immutability,filelockdown,andS3objectlockdownforadvancedransomwareprotection

Availablein4,8,12,16,24,and36-bayappliances,DR365Voffersterabytestopetabytesof storagecapacityperchassisThisstoragecapacitycanfurtherbeincreasedinthreeways: scalingupbyaddingstorageexpansionunits,scalingoutbyaddingmoreDR365Vnodes,or leveragingbuilt-incloudconnectforcloudstorage,andarchiving.

Moreover,DR365VisalsoasecondaryDRsitewhichITadminscanusetoreplicatecriticalVMs, databases,andspinupapplicationsandworkloadsintheeventtheprimaryproductionisn’t available

StoneFlyDR365VIVA:Automatedair-gappednodeswithbuilt-innetworkandpower managementcontroller,andpolicy-basedimmutabilitythatcanbeaddedtoexisting production,andbackupandDRsystemsforeffectiveransomwareprotection

VeeamCloudConnect:Completebackup,replication,&restorepackagewithVeeamCloud Connect,built-inmanagementserver,&Azurecloudstoragewithintegratedair-gap, immutability,encryption,andmore

BackupandDisasterRecoveryasaService(BDRaaS):Fullymanagedandhostedbackupand DRsolutionwithfull/partialoffsiterecovery,andoptionalmanagementservices

WithStoneFlyBDRaaS,healthcareserviceproviderscangetexpertstomanagetheirransomware protectionforthem,withminimumtimeandresourceinvestments

Intheeventofaransomwareattack,StoneFlycustomerscaneasilyrestorefunctionsby leveraginginstantrecoverythroughquickfailovertooffsitecloudrepositoriesandfailbackin caseofaransomwareattackanddecreaseyourRTPOs

Conclusion

Toprovidehealthcareservices,serviceprovidersstoreandarchiveprotectionhealthinformation, patientdata,andmedicalrecords.Thissensitivedataputsthemontheradarofcybercriminals.

SincehealthcaresectorfocusesbudgetandresourcesontheirservicesratherthanITsystems,it makesthemaneasiertargetandmorevulnerabletosophisticatedransomwareattacks.A compromiseofproductionleadstodisruptionwhichinturnputslivesindanger.Asaresult, effectiveransomwareprotectionisnecessary.Andransomwareprotection,duetothecomplex natureofmalwareandcyberattacks,isincompleteandinadequatewithoutautomatedairgapping,andimmutability

Needhelpprotectingyourpatientdataandmedicalrecordstorageandarchives?Contact StoneFlyexpertstodiscussyourITsystemsandprojectstoday.

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