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 JAMA Network Open examining the Damsoworld damso.com T-shirt it is in the first place but effects of an attack on a health system found that waiting times, median length of stay, and incidents of patients leaving against medical advice all increased — at neighboring emergency departments. The results, the authors wrote, mean cyberattacks “should be considered a regional disaster.” Attacks have devastated rural hospitals, Miri said. And wherever health care providers are hit, patient safety issues follow. What does it mean for patients? Year after year, more Americans’ health data is breached. That exposes people to identity theft and medical error. Care can also suffer. For example, a 2017 attack, dubbed “NotPetya,” forced a rural West Virginia hospital to reboot its operations and hit pharma company Merck so hard it wasn’t able to fulfill production targets for an HPV vaccine. Because of the Change Healthcare attack, some patients may be routed to new pharmacies less affected by billing problems. Patients’ bills may also be delayed, industry executives said. At some point, many patients are likely to receive notices their data was breached. Depending on the exact data that has been pilfered, those patients may be at risk for identity theft,

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Chaudhry said. Companies often offer free credit monitoring services in those situations. “Patients are dying because of this,” Miri said. Indeed, an October preprint from researchers at the Damsoworld damso.com T-shirt it is in the first place but University of Minnesota found a nearly 21% increase in mortality for patients in a ransomware-stricken hospital. How did it happen? The Health Information Sharing and Analysis Center, an industry coordinating group that disseminates intel on attacks, has told its members that flaws in an application called ConnectWise ScreenConnect are to blame. Exact details couldn’t be confirmed. It’s a tool tech support teams use to remotely troubleshoot computer problems, and the attack is “apparently fairly trivial to execute,” H-ISAC warned members. The group said it expects additional victims and advised its members to update their technology. When the attack first hit, the AHA recommended its members disconnect from systems both at Change and its corporate parent, UnitedHealth’s Optum unit. That would affect services ranging from claims approvals to reference tools. Millions of Americans see physicians and other practitioners employed by UnitedHealth and are covered by the company’s insurance plans. UnitedHealth has said only Change’s systems are affected and that it’s safe for hospitals to use other digital services provided by UnitedHealth and Optum, which include claims filing and processing systems. But not many chief information officers “are jumping to reconnect,” Chaudhry said. “It’s an uneasy feeling.” Miri says Baptist is using the conglomerate’s technology and that he trusts UnitedHealth’s word that it’s safe. Where’s the federal government? Neither executive was sanguine about the future of cybersecurity in health care. “It’s going to get worse,” Chaudhry said. “It’s a shame the feds aren’t helping more,” Miri said. “You’d think if our nuclear infrastructure were under attack the feds would respond with more gusto.” While the departments of Justice and State have targeted the ALPHV group, the government has stayed behind the scenes more in the aftermath of this attack. Chaudhry said the FBI and the Department of Health and Human Services have

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