Hackers prefer medical records
Your medical information is worth 10 times more than your credit card number on the black market.
Last month, the FBI warned healthcare providers to guard against cyber attacks after one of the largest US hospital operators, Community Health Systems, said Chinese hackers had broken into its computer network and stolen the personal information of 4.5 million patients.
Security experts say cyber criminals are increasingly targeting the $3 trillion US healthcare industry, which has many companies still reliant on aging computer systems that do not use the latest security features.
"As attackers discover new methods to make money, the healthcare industry is becoming a much riper target because of the ability to sell large batches of personal data for profit," says Dave Kennedy, an expert on healthcare security and CEO of TrustedSEC LLC. "Hospitals have low security, so it's relatively easy for these hackers to get a large amount of personal data for medical fraud."
Interviews with nearly a dozen healthcare executives, cyber security investigators and fraud experts provide a detailed account of the underground market for stolen patient data.
The data for sale includes names, birth dates, policy numbers, diagnosis codes and billing information. Fraudsters use this data to create fake IDs to buy medical equipment or drugs that can be resold, or they combine a patient number with a false provider number and file made-up claims with insurers, according to experts who have investigated cyber attacks on healthcare organisations.
Medical identity theft is often not immediately identified by a patient or their provider, giving criminals years to milk such credentials. That makes medical data more valuable than credit cards, which tend to be quickly cancelled by banks once fraud is detected.
Stolen health credentials can go for $10 each, about 10 or 20 times the value of a US credit card number, according to Don Jackson, director of threat intelligence at PhishLabs, a cyber crime protection company. He obtained the data by monitoring underground exchanges where hackers sell the information.
Attacks on the rise
The percentage of healthcare organisations that have reported a criminal cyber attack has risen to 40% in 2013 from 20% in 2009, according to an annual survey by the Ponemon Institute think tank on data protection policy.
Founder Larry Ponemon, who is privy to details of attacks on healthcare firms that have not been made public, said he has seen an increase this year in both the number of cyber attacks and number of records stolen in those breaches.
Fuelling that increase is a shift to electronic medical records by a majority of US healthcare providers.
Marc Probst, CIO of Intermountain Healthcare in Salt Lake City, says his hospital system fends off thousands of attempts to penetrate its network each week. So far it is not aware of a successful attack.
"The only reason to buy that data is so they can fraudulently bill," Probst says.
Healthcare providers and insurers must publicly disclose data breaches affecting more than 500 people, but there are no laws requiring criminal prosecution. As a result, the total cost of cyber attacks on the healthcare system is difficult to pin down. Insurance industry experts say they are one of many expenses ultimately passed onto Americans as part of rising health insurance premiums.
Consumers sometimes discover their credentials have been stolen only after fraudsters use their personal medical ID to impersonate them and obtain health services. When the unpaid bills are sent on to debt collectors, they track down the fraud victims and seek payment.
Ponemon cited a case last year in which one patient learned that his records at a major hospital chain were compromised after he started receiving bills related to a heart procedure he had not undergone. The man's credentials were also used to buy a mobility scooter and several pieces of medical equipment, racking up tens of thousands of dollars in total fraud.
The government's efforts to combat Medicare fraud have focused on traditional types of scams that involve provider billing and over-billing. Fraud involving the Medicare programme for seniors and the disabled totalled more than $6 billion in the last two years, according to a database maintained by Medical Identity Fraud Alliance.
"Healthcare providers and hospitals are just some of the easiest networks to break into," says Jeff Horne, vice president at cybersecurity firm Accuvant, which is majority-owned by private equity firm Blackstone Group.
"When I've looked at hospitals, and when I've talked to other people inside of a breach, they are using very old legacy systems - Windows systems that are 10 plus years old that have not seen a patch."
KPMG partner Michael Ebert says security has been an afterthought for many medical providers - whether it is building encryption into software used to create electronic patient records or in setting budgets.
"Are you going to put money into a brand new MRI machine or laser surgery or are you going to put money into a new firewall?" he says.