Entries Tagged "healthcare"

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Police Get Medical Records without a Warrant

More unconstrained surveillance:

Lawmakers noted the pharmacies’ policies for releasing medical records in a letter dated Tuesday to the Department of Health and Human Services (HHS) Secretary Xavier Becerra. The letter—signed by Sen. Ron Wyden (D-Ore.), Rep. Pramila Jayapal (D-Wash.), and Rep. Sara Jacobs (D-Calif.)—said their investigation pulled information from briefings with eight big prescription drug suppliers.

They include the seven largest pharmacy chains in the country: CVS Health, Walgreens Boots Alliance, Cigna, Optum Rx, Walmart Stores, Inc., The Kroger Company, and Rite Aid Corporation. The lawmakers also spoke with Amazon Pharmacy.

All eight of the pharmacies said they do not require law enforcement to have a warrant prior to sharing private and sensitive medical records, which can include the prescription drugs a person used or uses and their medical conditions. Instead, all the pharmacies hand over such information with nothing more than a subpoena, which can be issued by government agencies and does not require review or approval by a judge.

Three pharmacies—­CVS Health, The Kroger Company, and Rite Aid Corporation—­told lawmakers they didn’t even require their pharmacy staff to consult legal professionals before responding to law enforcement requests at pharmacy counters. According to the lawmakers, CVS, Kroger, and Rite Aid said that “their pharmacy staff face extreme pressure to immediately respond to law enforcement demands and, as such, the companies instruct their staff to process those requests in store.”

The rest of the pharmacies—­Amazon, Cigna, Optum Rx, Walmart, and Walgreens Boots Alliance­—at least require that law enforcement requests be reviewed by legal professionals before pharmacists respond. But, only Amazon said it had a policy of notifying customers of law enforcement demands for pharmacy records unless there were legal prohibitions to doing so, such as a gag order.

Posted on December 18, 2023 at 10:37 AMView Comments

A Digital Red Cross

The International Committee of the Red Cross wants some digital equivalent to the iconic red cross, to alert would-be hackers that they are accessing a medical network.

The emblem wouldn’t provide technical cybersecurity protection to hospitals, Red Cross infrastructure or other medical providers, but it would signal to hackers that a cyberattack on those protected networks during an armed conflict would violate international humanitarian law, experts say, Tilman Rodenhäuser, a legal adviser to the International Committee of the Red Cross, said at a panel discussion hosted by the organization on Thursday.

I can think of all sorts of problems with this idea and many reasons why it won’t work, but those also apply to the physical red cross on buildings, vehicles, and people’s clothing. So let’s try it.

EDITED TO ADD: Original reference.

Posted on November 14, 2022 at 6:38 AMView Comments

Are Fake COVID Testing Sites Harvesting Data?

Over the past few weeks, I’ve seen a bunch of writing about what seems to be fake COVID-19 testing sites. They take your name and info, and do a nose swab, but you never get test results. Speculation centered around data harvesting, but that didn’t make sense because it was far too labor intensive for that and—sorry to break it to you—your data isn’t worth all that much.

It seems to be multilevel marketing fraud instead:

The Center for COVID Control is a management company to Doctors Clinical Laboratory. It provides tests and testing supplies, software, personal protective equipment and marketing services—online and printed—to testing sites, said a person who was formerly associated with the Center for COVID Control. Some of the sites are owned independently but operate in partnership with the chain under its name and with its guidance.

[…]

Doctors Clinical Lab, the lab Center for COVID Control uses to process tests, makes money by billing patients’ insurance companies or seeking reimbursement from the federal government for testing. Insurance statements reviewed by Block Club show the lab has, in multiple instances, billed insurance companies $325 for a PCR test, $50 for a rapid test, $50 for collecting a person’s sample and $80 for a “supplemental fee.”

In turn, the testing sites are paid for providing samples to the lab to be processed, said a person formerly associated with the Center for COVID Control.

In a January video talking to testing site operators, Syed said the Center for COVID Control will no longer provide them with PCR tests, but it will continue supplying them with rapid tests at a cost of $5 per test. The companies will keep making money for the rapid tests they collect, he said.

“You guys will continue making the $28.50 you’re making for the rapid test,” Syed said in the video.

Read the article for the messy details. Or take a job and see for yourself.

EDITED TO ADD (2/13): More coverage about the fake testing sites.

Posted on January 19, 2022 at 6:10 AMView Comments

A Death Due to Ransomware

The Wall Street Journal is reporting on a baby’s death at an Alabama hospital in 2019, which they argue was a direct result of the ransomware attack the hospital was undergoing.

Amid the hack, fewer eyes were on the heart monitors—normally tracked on a large screen at the nurses’ station, in addition to inside the delivery room. Attending obstetrician Katelyn Parnell texted the nurse manager that she would have delivered the baby by caesarean section had she seen the monitor readout. “I need u to help me understand why I was not notified.” In another text, Dr. Parnell wrote: “This was preventable.”

[The mother] Ms. Kidd has sued Springhill [Medical Center], alleging information about the baby’s condition never made it to Dr. Parnell because the hack wiped away the extra layer of scrutiny the heart rate monitor would have received at the nurses’ station. If proven in court, the case will mark the first confirmed death from a ransomware attack.

What will be interesting to see is whether the courts rule that the hospital was negligent in its security, contributing to the success of the ransomware and by extension the death of the infant.

Springhill declined to name the hackers, but Allan Liska, a senior intelligence analyst at Recorded Future, said it was likely the Russianbased Ryuk gang, which was singling out hospitals at the time.

They’re certainly never going to be held accountable.

Another article.

Posted on October 1, 2021 at 9:56 AMView Comments

Finnish Data Theft and Extortion

The Finnish psychotherapy clinic Vastaamo was the victim of a data breach and theft. The criminals tried extorting money from the clinic. When that failed, they started extorting money from the patients:

Neither the company nor Finnish investigators have released many details about the nature of the breach, but reports say the attackers initially sought a payment of about 450,000 euros to protect about 40,000 patient records. The company reportedly did not pay up. Given the scale of the attack and the sensitive nature of the stolen data, the case has become a national story in Finland. Globally, attacks on health care organizations have escalated as cybercriminals look for higher-value targets.

[…]

Vastaamo said customers and employees had “personally been victims of extortion” in the case. Reports say that on Oct. 21 and Oct. 22, the cybercriminals began posting batches of about 100 patient records on the dark web and allowing people to pay about 500 euros to have their information taken down.

Posted on December 10, 2020 at 1:48 PMView Comments

Sidebar photo of Bruce Schneier by Joe MacInnis.