Ransomware Will Make Your Healthcare Organization Sick

ransonware in healthcare

Ransomware is a major attack vector in healthcare organizations. While most enterprise data is sensitive, healthcare data is exceptionally so. This information is vital to patients’ health and safety; and healthcare organizations are often considered part of a nation’s critical infrastructure. A ransomware attack against these organizations can have severe, even deadly, consequences. 

What is Ransomware?

Attackers penetrate the networks and systems of healthcare organizations with malware via a variety of techniques and tactics, such as leveraging social engineering, stolen credentials, network vulnerabilities and other initial access vectors. 

A ransomware attack is when attackers encrypt or restrict access to a healthcare organization’s systems or data and demand a payment to regain access. Malware is used to encrypt or block access to mission-critical data until the attacked organization has transferred funds, the ransom, usually cryptocurrency, to the attackers. (Of course, once the healthcare organization has paid the ransom, they may still not get their data back from the attacker, or the threat actor returns access to the data while simultaneously selling it on the dark web to gain more profit.) 

Why Healthcare Organizations Are Prime Targets 

Healthcare organizations are targeted for four main reasons:  

  • Medical facilities are part of a country’s critical infrastructure 
  • Cybersecurity in healthcare organizations is often underfunded, and employee awareness of cyber threats is often low 
  • Rich data troves with sensitive PII (Personally Identifiable Information) 
  • Access to intellectual property 

Medical facilities, including hospitals, clinics and public health organizations, etc., are considered critical infrastructure because they provide essential services, especially during emergencies. 

If hacked, hospitals need to return to action immediately. They don’t have time to waste fighting the threat; they need to get back online quickly to provide treatment and save lives. 

Budget priorities also come into play when it comes to ransomware attacks in healthcare. Healthcare organizations often prioritize patient-facing advances, and focus less on hospital infrastructure, especially cybersecurity protection. A hospital may have the latest and greatest $2 million MRI machine, but the information security officer may need to get approvals from three levels of management to start a proof of concept with a new external threat intelligence platform. Furthermore, many hospital IT systems are outdated, with mainframes still in play, leading to multiple, easily accessible channels of attack. 

Medical facilities are rich in data, including medical records, credit card and banking information, insurance information and other types of PII information. They may even have direct access to the insurance providers’ systems, giving threat actors even more incentive to focus their ransomware attacks on healthcare facilities. 

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Some medical sites serve as research facilities, which means their data may include proprietary intellectual property, research findings, vaccine stats and more. Nation-state actors may request that their affiliated ransomware gangs capture this data for their use, beyond just the “traditional” ransomware activity. 

Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization (WHO), has spoken frequently about the danger of ransomware in healthcare. He emphasizes the fact that even if the healthcare organization does pay the ransom, the ransomware gangs may not hold to their end of the bargain by not decrypting the data and continuing to attack the same organization in the future. 

Attacks on healthcare facilities have a significant impact on individuals and the healthcare organization as a whole. They can create significant risks to patient safety, including delaying surgeries, misdiagnoses, and preventing access to critical treatments, like radiation therapy or blood transfusions. Furthermore, ransomware attacks on healthcare facilities can compromise data privacy, may lead to loss of patient trust, and expose the facilities to lawsuits and reputational damage. 

Ransomware gangs remain the driving force behind these attacks, constantly shifting tactics and rebranding to stay ahead of defenses. As the data below shows, certain gangs are especially active in targeting healthcare organizations, underscoring just how persistent and organized these criminal operations have become. 

most active ransomware gangs attacking healthcare sector

Ransomware and Healthcare Cybersecurity Regulations 

Recent attacks on hospitals and clinics are driving significant policy changes. In 2024, a ransomware attack against UK’s Synnovis, a pathology partnership between the UK’s National Health Service and SYNLAB, disrupted patient treatments and resulted in a patient’s death, because critical testing could not be done in time. 

To address these incidents and prevent future attacks, the EU’s NIS2 Directive focuses on healthcare as critical infrastructure. It requires secure access to IT systems; strong control of security systems; and increased cybersecurity awareness training, with a focus on compliance and enforcement. The goals are to better protect patient data and prevent health service disruption. 

Another EU regulation, the Digital Operations Resilience Act (DORA), focuses on strengthening resilience and reducing the vulnerabilities of critical entities, such as healthcare facilities. 

The United States has updated HIPAA and is providing clearer guidance from the Federal Trade Commission, along with mandatory breach reporting, to further secure the healthcare sector. The HIPAA Security Rule requires that specific security measures be implemented to prevent ransomware attacks, including implementing procedures to guard against and detect malicious software, stronger training, and implementing a security management process. 

In increasing numbers of countries worldwide, significant financial penalties for noncompliance may be levied against organizations for failing to implement appropriate measures to prevent attacks or for failing to report incidents to authorities. 

How LUMINAR Protects Healthcare Organizations Against Ransomware 

While the cliché is that knowledge is power, truly, only applied knowledge is power. That holds true for healthcare organizations using LUMINAR, which consistently, continuously and accurately delivers external threat intelligence. 

LUMINAR reveals the specific threats that might affect a healthcare organization including actionable insights regarding the attack groups and campaigns targeting their country and the healthcare industry. It delivers AI-based analysis leveraging proprietary resources, commercially available feeds, and traditional cyber research spanning the deep, dark and surface web. LUMINAR’s continuous threat monitoring keeps healthcare organizations one step ahead of the threat actors. 

A single, unified solution, LUMINAR includes digital risk protection (DRP), external attack surface management (ASM), and cyber threat intelligence (CTI) capabilities. It immediately delivers value after a mere five minutes of onboarding. Moreover, actionable data from LUMINAR integrates seamlessly with various SIEM (security information and event management) and SOAR (security orchestration, automation and response) systems allowing multi-layered cyber defense. 

LUMINAR ensures that healthcare organizations never miss critical threat signals, including ransomware gangs’ data leaks sites on the dark web, with its 24/7 monitoring. The platform’s up-to-date Indicators of Compromise (IOCs) reveals the latest ransomware variants, enabling rapid detection and response. Meanwhile, the in-depth threat actor profiling provides detailed analysis of ransomware groups’ tactics, techniques, and procedures (TTPs), targeted industries, and geographic focus, along with visibility into past attacks. 

Conclusion: Preventing Ransomware in Healthcare

With insights into the tactics, techniques and procedures (TTPs) used by ransomware gangs and other cybercriminals, their indicators of compromise (IOCs), as well as early detection of cyberthreats, it’s easier for healthcare organizations to take a proactive approach to cybersecurity.  

With a clear understanding of which of their assets and resources are vulnerable, it’s easier to protect them. Ransomware falls under the “when” category instead of “if” for healthcare organizations. Preventative measures are critical to a healthy cybersecurity environment and healthy patients. 

Learn how LUMINAR can protect your organization from ransomware attacks.

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Tanya Gottdiener , Threat Intelligence Product Analyst

Tanya is a Threat Intelligence Product Analyst for the LUMINAR Threat Intelligence team. Tanya is responsible for analyzing trends in the Deep and Dark Web as well as researching APT, cybercrime and hacktivist attacks worldwide. She holds an M.A. in International Relations and Affairs from the Hebrew University and studied Mandarin at Sichuan University.
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