The volume and sensitive nature of the data stolen from Change Healthcare in its 2024 ransomware attack have led to strict rules being established for data handling by attorneys involved in a consolidated lawsuit against United Health Group (UHG), Change Healthcare, Optum, and other UHG subsidiaries. The rules will help to ensure that the dataset is protected at all times.
The ransomware attack resulted in the theft of approximately 6 terabytes of data, including files containing the electronic protected health information of an estimated 192,700,000 individuals, including names, contact information, Social Security numbers, driver’s license numbers, insurance information, and medical information. UHG paid the BlackCat ransomware group a $22 million ransom to delete the data; however, the operators pocketed the cash and didn’t pay the affiliate, who had retained a copy. The affiliate joined another ransom group, RansomHub, which attempted to extort UHG a second time.
This was the largest-ever healthcare data breach by some distance, and triggered dozens of lawsuits, including class action lawsuits filed by patients who had their data stolen and healthcare providers seeking compensation for the financial and operational disruptions they experienced. On June 7, 2024, the Judicial Panel on Multidistrict Litigation consolidated an initial 49 lawsuits, including 19 consumer complaints and 30 healthcare provider complaints, although the number of lawsuits included in the action has grown to more than 150. The consolidated lawsuit – In Re: Change Healthcare, Inc. Customer Data Security Breach Litigation – was centralized in the U.S. District Court for the District of Minnesota.
The stolen data files are designated discovery material, and due to the sensitive nature of the data and the volume of records, heightened security practices are required to protect against unauthorized access and data theft. The rules concerning the stolen dataset were approved by the plaintiffs’ attorneys and were verified by a cybersecurity expert as being sufficient to ensure the security of the data before being sent to the judge for approval. The stipulated protective order has recently been approved by Magistrate Judge Dulce Foster.
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UHG will provide a single copy of the data on an encrypted hard drive built to a federal security standard, and must provide the key to decrypt the data separately, to ensure that in the event of loss or theft of the drive, the data cannot be accessed. The plaintiffs’ attorneys are required to encrypt the data again once they have received the hard drive, using industry-standard encryption. No copies may be made of the data, and the data cannot be saved to the shared file library used by all individuals involved in the case. The plaintiffs’ attorneys are prohibited from using the dataset to identify or locate potential class members.
The hard drive must only be used on computers that are air-gapped – disconnected from the Internet and all networks, with no Wi-Fi or Bluetooth connectivity. The computers must be newly provisioned and updated prior to use, and when the computers are used, no cables, phones, or storage devices are permitted nearby. When data access is required, only small samples may be accessed, and no more than 25 people are permitted access at any one time. All samples must be encrypted with strong encryption and a complex password set of at least 16 characters.
An audit trail must be maintained, including a detailed chain of custody of the drive and data, and the log must be provided to UHG on request. When the case ends, or if the plaintiffs’ claims are thrown out, the data must be securely destroyed within 30 days, using a government-approved data wiping method – NIST SP 800-88 – or the hard drive must be physically destroyed, and a detailed certificate of destruction obtained under penalty of perjury.
In the event of a security incident or unauthorized data access or data sharing, UHG must be notified within 48 hours. Should it turn out to be a genuine security incident, both sides are required to engage an external digital forensic firm, and if the plaintiffs are found to be at fault, they must pay the full investigation costs.
The post Strict Rules Set for Change Healthcare Dataset in Multidistrict Litigation appeared first on The HIPAA Journal.
