Change Healthcare says it has notified roughly 100 million People that their private, monetary and healthcare information might have been stolen in a February 2024 ransomware assault that precipitated the most important ever recognized knowledge breach of protected well being info.

Picture: Tamer Tuncay, Shutterstock.com.
A ransomware assault at Change Healthcare within the third week of February shortly spawned disruptions throughout the U.S. healthcare system that reverberated for months, because of the corporate’s central function in processing funds and prescriptions on behalf of hundreds of organizations.
In April, Change estimated the breach would have an effect on a “substantial proportion of individuals in America.” On Oct 22, the healthcare large notified the U.S. Division of Well being and Human Assets (HHS) that “roughly 100 million notices have been despatched concerning this breach.”
A notification letter from Change Healthcare mentioned the breach concerned the theft of:
-Well being Knowledge: Medical document #s, docs, diagnoses, medicines, check outcomes, photographs, care and therapy;
-Billing Information: Information together with fee playing cards, monetary and banking information;
-Private Knowledge: Social Safety quantity; driver’s license or state ID quantity;
-Insurance coverage Knowledge: Well being plans/insurance policies, insurance coverage firms, member/group ID numbers, and Medicaid-Medicare-government payor ID numbers.
The HIPAA Journal reviews that within the 9 months ending on September 30, 2024, Change’s dad or mum agency United Well being Group had incurred $1.521 billion in direct breach response prices, and $2.457 billion in complete cyberattack impacts.
These prices embrace $22 million the corporate admitted to paying their extortionists — a ransomware group referred to as BlackCat and ALPHV — in alternate for a promise to destroy the stolen healthcare knowledge.
That ransom fee went sideways when the affiliate who gave BlackCat entry to Change’s community mentioned the crime gang had cheated them out of their share of the ransom. All the BlackCat ransomware operation shut down after that, absconding with the entire cash nonetheless owed to associates who have been employed to put in their ransomware.
A couple of days after BlackCat imploded, the identical stolen healthcare knowledge was provided on the market by a competing ransomware affiliate group referred to as RansomHub.
“Affected insurance coverage suppliers can contact us to stop leaking of their very own knowledge and [remove it] from the sale,” RansomHub’s sufferer shaming weblog introduced on April 16. “Change Well being and United Well being processing of delicate knowledge for all of those firms is simply one thing unbelievable. For many US people on the market doubting us, we in all probability have your private knowledge.”
It stays unclear if RansomHub ever offered the stolen healthcare knowledge. The chief info safety officer for a big tutorial healthcare system affected by the breach informed KrebsOnSecurity they participated in a name with the FBI and have been informed a 3rd social gathering accomplice managed to recuperate no less than 4 terabytes of information that was exfiltrated from Change by the cybercriminal group. The FBI declined to remark.
Change Healthcare’s breach notification letter affords recipients two years of credit score monitoring and id theft safety companies from an organization referred to as IDX. Within the part of the missive titled “Why did this occur?,” Change shared solely that “a cybercriminal accessed our pc system with out our permission.”
However in June 2024 testimony to the Senate Finance Committee, it emerged that the intruders had stolen or bought credentials for a Citrix portal used for distant entry, and that no multi-factor authentication was required for that account.
Final month, Sens. Mark Warner (D-Va.) and Ron Wyden (D-Ore.) launched a invoice that will require HHS to develop and implement a set of robust minimal cybersecurity requirements for healthcare suppliers, well being plans, clearinghouses and companies associates. The measure additionally would take away the present cap on fines below the Well being Insurance coverage Portability and Accountability Act, which severely limits the monetary penalties HHS can concern in opposition to suppliers.
Based on the HIPAA Journal, the most important penalty imposed so far for a HIPAA violation was the paltry $16 million high-quality in opposition to the insurer Anthem Inc., which suffered a knowledge breach in 2015 affecting 78.8 million people. Anthem reported revenues of round $80 billion in 2015.

A put up concerning the Change breach from RansomHub on April 8, 2024. Picture: Darkbeast, ke-la.com.
There’s little that victims of this breach can do concerning the compromise of their healthcare information. Nevertheless, as a result of the information uncovered contains greater than sufficient info for id thieves to do their factor, it will be prudent to position a safety freeze in your credit score file and on that of your loved ones members in case you haven’t already.
The perfect mechanism for stopping id thieves from creating new accounts in your title is to freeze your credit score file with Equifax, Experian, and TransUnion. This course of is now free for all People, and easily blocks potential collectors from viewing your credit score file. Dad and mom and guardians can now additionally freeze the credit score recordsdata for his or her youngsters or dependents.
Since only a few collectors are prepared to grant new traces of credit score with out with the ability to decide how dangerous it’s to take action, freezing your credit score file with the Large Three is a good way to stymie all kinds of ID theft shenanigans. Having a freeze in place does nothing to stop you from utilizing current traces of credit score chances are you’ll have already got, akin to bank cards, mortgage and financial institution accounts. When and in case you ever do want to permit entry to your credit score file — akin to when making use of for a mortgage or new bank card — you’ll need to carry or quickly thaw the freeze upfront with a number of of the bureaus.
All three bureaus enable customers to position a freeze electronically after creating an account, however all of them attempt to steer customers away from enacting a freeze. As an alternative, the bureaus are hoping customers will go for their confusingly named “credit score lock” companies, which accomplish the identical outcome however enable the bureaus to proceed promoting entry to your file to pick out companions.
In the event you haven’t performed so shortly, now can be a superb time to evaluation your credit score file for any mischief or errors. By legislation, everyone seems to be entitled to one free credit score report each 12 months from every of the three credit score reporting businesses. However the Federal Commerce Fee notes that the large three bureaus have completely prolonged a program enacted in 2020 that allows you to test your credit score report at every of the businesses as soon as per week at no cost.