Saturday, June 28, 2014

Health Care Scare: Medical Identity Theft

By Rick Fromme

Computer Security
Computer Security (Photo credit: IntelFreePress)
With July 4th fast approaching, many of us will celebrate our national holiday spending time with family and friends barbequing, hanging out together in the long summer evening, and perhaps watching fireworks.

The Fourth of July or Independence Day, as it’s officially called, commemorates the ratification and adoption of our Declaration of Independence in 1776, as the 13 original states declared their independence from the Kingdom of Great Britain. Our fledgling country had won its freedom from foreign tyranny.

Today, although we remain politically free from the yoke of any other country, the U.S. and its citizens face an ever-mounting threat on our personal freedom and identities from the continuous onslaught of cybercriminals.  These e-crooks — some independent, some as part of syndicates, and some even as foreign governments’ agencies — seek to steal our precious assets, among them, our medical care records. And despite the conveniences and efficiency that Electronic Medical Records (EMR) continue to provide, their very “cybernature” makes our most personal of private information even more vulnerable to cracking, hacking, spying and hijacking. 

With increasing frequency, cyber criminals are focusing their nefarious efforts on medical identity theft. Why? According to Larry Ponemon, founder of the Ponemon Institute, “in the world of black market information, a medical record is considered more valuable than everything else.” Released in March, Its Fourth Annual Benchmark Study on Patient Privacy & Data Security specifically focused on “new and expanded threats to the security and privacy of patient information in the U.S. health care system.”


hacking in a suite at clarion
Hacking in a suite at clarion (Photo credit: Johan Nilsson)
The report’s disturbing conclusion: Criminal attacks on health care systems have risen 100% since it first conducted its studies in 2010.  This, according to nearly a hundred different health care organizations that participated in the study. These included hospitals and clinics that were part of a health care network, integrated delivery systems, along with individual hospitals and clinics. All organizations in this research were subjected to HIPAA as a covered entity.

Credit card information has long been one of the coveted “jewels” that criminals like to get their dirty hands on. Specifically relating to health care identity theft, these ne’er-do-wells seek to obtain such information as Social Security numbers and personal health records, as this type of data is stored much longer versus credit card numbers (in most cases).

Several studies have indicated that sloppy behavior, such as health care employees losing a laptop or other mobile devices that have unencrypted data, is one of the main avenues would-be criminals use to scarf up our private medical information.  Contributing to the likelihood of this occurrence is the often times rushed nature of a health care employee’s job. So focused can a provider be in terms of taking care of patients, they inadvertently compromise their attention to security.

Breaches can also result from third-party contractors who can get their hands on public medical data. The continuing proliferation of ever more sophisticated mobile devices makes it even easier for criminals to steal data, especially when you consider 88 % of medical facilities 
permit employees to access patient data via their own mobile devices. Think about that for a moment. What percentage of these employees do you think have the necessary encryption software and other security measures in place on their tablets or smartphones?

Even visiting the hospital one time — say for a routine exam — can give six to 10 companies virtually unrestricted access to one’s medical data. This includes the hospital itself, extraneous labs, specialty providers, health insurance companies, pharmacies, medical equipment providers and other entities.


Anonymous Attack
Anonymous Attack (Photo credit: HonestReporting.com)
While the implementation of the Affordable Health Care Act (ACA or ObamaCare) has been lauded by some and cursed by others, the Ponemon study reported unequivocally that nearly 70% of its participants felt the ACA “significantly increases” or “increases” the risk to patient privacy and security. Of primary concern is the insecure exchange of patient information between health care providers and the government. FYI: Several U.S. agencies have been repeatedly hacked, including by elements of the Chinese government. Check out this blog by Internet experts, Working the Web to Win, “How Close is the US to Experiencing a Digital Pearl Harbor?” Another concern regarding the ACA was the volume of patient data existing on insecure databases, and applicants registering for the ACA on insecure websites.


Of course, health care employees are health care consumers as well. Regardless of one’s specialty, you or your family members are no doubt periodically in need of routine exams, checkups, and medical care. That means your medical records are vulnerable, too.
  
According to the Federal Trade Commission:

“A thief may use your name or health insurance numbers to see a doctor, get prescription drugs, file claims with your insurance provider, or get other care. If the thief’s health information is mixed with yours, your treatment, insurance and payment records, and credit report may be affected.

If you see signs of medical identity theft, order copies of your records and check for mistakes. You have the right to see your records and have mistakes corrected.”

It also makes the following recommendations:
Credit Card Theft
Identity Theft (Photo credit: Don Hankins)

Read your medical and insurance statements regularly and completely. They can show warning signs of identity theft. Read the Explanation of Benefits (EOB) statement or Medicare Summary Notice that your health plan sends after treatment. Check the name of the provider, the date of service, and the service provided. Do the claims paid match the care you received? If you see a mistake, contact your health provider and report the problem.

Other signs of medical identity theft:
  • A bill for medical services you didn’t receive
  • A call from a debt collector about a medical debt you don’t owe
  • Medical collection notices on your credit report that you don’t recognize
  • A notice from your health plan, saying you reached your benefit limit
  • A denial of insurance because your medical records show a condition you don’t have

In this article, I talked about the ever-growing problem of Electronic Medical Record (EMR) identity theft. I shared information compiled from a respected annual, national study that found medical record hacking and theft is growing rapidly. I also shared some of  the causes of increased medical identity theft, from the proliferation of unsecured mobile devices to the implementation of the ACA. I also offered some suggestions about what health care providers — who are also health care consumers — should do to help minimize breaches of their own and their families’medical records.  If you found this article helpful, please leave a comment and share it with your colleagues, family and friends. As always, I appreciate your comments.

Rick Fromme combines entrepreneurial enthusiasm with an insider's knowledge of the medical industry to co-found MedMasters.com. Both his drive and perspective helps provide health care professionals with a superior mechanism with which to communicate, network and market their strengths. Prior to founding MedMasters.com, Rick operated a highly successful medical device distributorship. Other milestones in his 12-year career in the medical industry include a key position at a medical device start-up company that was later sold to the Ethicon Endo division of Johnson & Johnson. You may also reach Rick by connecting with him on FacebookTwitterGoogle+LinkedIn and YouTube

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3 comments:

  1. Medical identity theft is another symptom of the epidemic of cybercrime that has been taking place worldwide. Everyone needs to take this threat seriously and take steps to protect their data.

    ReplyDelete
  2. "Be afraid ... be very afraid."

    ReplyDelete
  3. ID theft is growing at an alarming rate, however I fee nothing will abate it unless banks and other financial institutions are held more labile. This would force them ti institute greater security measures like finger print scan for online orders and ID check on all purchases at stores etc...

    ReplyDelete