
In February 2024, UnitedHealth subsidiary Change Healthcare suffered a massive ransomware attack, leading to widespread disruption to the US healthcare system. This disruption prevented doctors and pharmacies from filing claims and pharmacies from accepting discount prescription cards, causing patients to pay full price for medications.
It was later discovered that the BlackCat ransomware gang, also known as ALPHV, was behind the attack. The threat actors used stolen credentials to breach the company’s Citrix remote access service, which did not have multi-factor authentication enabled. After breaching the network, the threat actors stole 6 TB of data and encrypted computers, causing the company to shut down IT systems and its online platforms for billing, claims, and prescription fulfillment.
In October 2024, UnitedHealth reported to the US Department of Health and Human Services Office for Civil Rights that the attack affected 100 million people. However, on January 24, 2025, UnitedHealth confirmed that the figure has nearly doubled to 190 million, which is 56% of the US population.
The Securities and Exchange Commission (SEC) Cybersecurity Disclosure rules require that public companies disclose material cybersecurity incidents within four business days of becoming alerted to them.
Despite these rules, companies have managed to take extensive time in investigating and addressing critical aspects of their breaches. In fact, it took Change Healthcare four months to notify customers of its incident, nine months to admit that 100 million people were affected, and nearly a year to update that figure to 190 million.
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