A study of security leaders from the healthcare and manufacturing industries found that while there is an almost universal desire to deploy modern microsegmentation, more than 90% of respondents said they had protected fewer than 80% of critical systems, despite almost half admitting to falling victim to lateral movement attacks in the past year. In healthcare, fewer than 6% of respondents said that their organization had implemented microsegmentation across 80% or more of their critical systems.
Microsegmentation is a cybersecurity technique that divides networks into small, distinct, and isolated zones to secure workloads, applications, or devices. Traditional network segmentation, such as Virtual Local Area Networks (VLANs), creates broad segmented zones, whereas microsegmentation applies security policies at the individual workload or application level. Microsegmentation allows organizations to implement East-West traffic control within their data center, rather than only North-South traffic controls for identifying traffic leaving the network. It provides deep visibility into network traffic flows, including which applications are communicating with each other. Healthcare organizations can enable strict isolation and monitoring of systems that handle sensitive data such as protected health information (PHI), which can simplify HIPAA Security Rule compliance.
Microsegmentation protects internal workloads from applications without authorized access, and can be applied to on-premises and hybrid environments. It reduces the attack surface and greatly limits the potential for lateral movement. In the event of compromise, attackers are contained within a microsegment, limiting the harm they can cause and the data they can access.
The study was conducted on 352 healthcare and manufacturing security leaders by Omdia, on behalf of the network segmentation specialists Elisity. The survey revealed 99% of respondents were implementing or planning to implement microsegmentation, with 57% of respondents ranking microsegmentation as their main initiative to prevent lateral movement; however, they were slow to fully implement it. Only 9% of respondents had implemented it across 80% or more of critical systems, and just 6% in healthcare. While Microsegmentation ranked first among planned priorities, it ranked close to the bottom 24% among currently deployed zero-trust architectures.
There have been challenges with implementing microsegmentation in the past; however, modern identity-based microsegmentation is a different beast, as it requires no agents, no hardware changes, and no VLAN recognition. Instead, the policy is enforced directly on network switches. “Microsegmentation has matured, but many organizations still carry the scars of earlier, complex approaches. What’s changed is the architecture. Identity-based microsegmentation lets teams enforce precise policy on the switches they already run, so security becomes an enabler rather than a gate,” James Winebrenner, CEO, Elisity, said.
Most organizations still rely on VLANs, ACLs, and agent-based tools, which require constant rework and leave East-West exposure wide open, and progress with implementation has been slow. First-generation tools built around network location rather than identity have slowed real progress to a crawl, as agent-based and firewall-centric designs couldn’t uniformly cover IT, IoT, OT, or IoMT. According to Elisity, “These approaches had outdated or unsupported software (56%), high maintenance costs and hardware limitations (50%), and frequent failures or performance issues (43%).”
There have been challenges implementing microsegmentation in healthcare, especially with integrating SIEM, EDR, and SOAR. Respondents said visiting clinicians (74%) and clinical staff (72%) require the most granular policy attention, given the mix of managed and unmanaged devices moving through clinical environments. Many respondents lacked awareness of the ease and speed at which modern identity-based solutions can be deployed. Only 22% of respondents had hands-on experience of implementing microsegmentation, and most teams were still running legacy methods.
There is a clear desire to implement microsegmentation, and awareness of modern-identity-based microsegmentation is improving. “Our data shows the shift is on. Enterprises intend to deploy microsegmentation, and many now see modern solutions as easier and more effective,” said Hollie Hennessy, Principal Analyst, Omdia, who points out that with modern solutions, the timeline for implementation has shortened from years to weeks.
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