Healthcare Cybersecurity

CISA Publishes Guidance on Securing Cloud Services

The U.S. Cybersecurity and Infrastructure Security Agency (CISA) has published guidance that details security and resilience best practices to adopt when utilizing cloud services. The new guidance can be followed by all organizations; however, the guidance is of particular importance for federal agencies and critical infrastructure entities. Cybercriminals and advanced persistent threat actors are increasingly targeting supply chains to attack federal government networks and critical infrastructure, and many attacks now target cloud-based environments. The latest guidance can be used by federal agencies, critical infrastructure entities, and others to secure cloud business application environments and protect information created, accessed, shared, and stored in those environments.

The guidance was developed under CISA’s Secure Cloud Business Applications (SCuBA) project, which was established and funded through the American Rescue Plan Act of 2021. The aim of the project is to develop consistent, effective, modern, and manageable security configurations that will help secure agency information assets stored within cloud environments. The first resources to be published under this project are an Extensible Visibility Reference Framework (eVRF) Guidebook that can be used to identify visibility data, mitigate threats, understand the extent to which specific products and services provide visibility data, and identify potential visibility gaps. The eVRF is accompanied by a Technical Reference Architecture (TRA) document that can be used when adopting technology for cloud deployment, solutions, secure architecture, and zero trust frameworks.

“The final eVRF and TRA provides all organizations, including federal agencies, with adaptable, flexible, and timely guidance. These resources will help organizations address cybersecurity and visibility gaps that have long hampered our collective ability to adequately understand and manage cyber risk,” said CISA Executive Assistant for Cybersecurity, Eric Goldstein.

CISA has also confirmed that it is working on new guidance that will include recommended cybersecurity configurations for specific products, which will be released over the coming months.

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Healthcare Organizations Warned of Risk of Cyberattacks via SEO Poisoning

In a recently published analyst note, the Health Sector Cybersecurity Coordination Center (HC3) draws attention to the practice of SEO poisoning – a tactic often used by malicious actors to trick individuals into disclosing sensitive information or downloading malware.

Phishing is one of the most common ways that malicious cyber actors target individuals to gain initial access to healthcare networks; however, contact may be made with healthcare employees over the Internet. SEO poisoning is a technique used to drive traffic to attacker-controlled websites where instead of distributing links to malicious websites via phishing emails or SMS/instant messaging services, search engine optimization (SEO) techniques are used to get the malicious websites to appear high in the search engine listings for key search terms. The goal is to get the websites to appear in the first few results for specific search terms. The top few results in the search engine listings attract the highest number of clicks and users tend to view the top results as the most relevant and trustworthy, and will often click without checking the URLs. Blackhat SEO tactics are used such as using high numbers of keywords in the page content and meta tags (keyword stuffing), private link networks to increase backlinks to the webpage, and artificially increasing click-through rates to trick search engine algorithms. Cloaking is also commonly used, where search engine crawlers are presented with different content than natural visits to the website via clicked links.

Malicious actors use SEO poisoning to target key search terms used by businesses or healthcare employees, and typosquatting may also be used to trick users into thinking they are on a legitimate website, such as registering domains with misspellings of brand names or substituting letters in domain names with similar-looking numbers or special characters. Typosquatting is also used to catch out careless typists – individuals who accidentally type Goole rather than Google for instance. Typosquatting may also be used to register domains similar to those used by healthcare organizations.

Security awareness training programs often concentrate on teaching employees how to identify phishing attempts, but it is also important to also cover other attack techniques such as SEO poisoning to reduce the risk of employees falling victim to these attacks. Technical measures to prevent these attacks include web filters, which act as a gateway between users and the Internet and block attempts to visit known malicious websites, analyze web content and apply filtering controls before a connection is established, and restrict access to certain categories of websites. HC3 also recommends using digital risk monitoring tools to identify typosquatting, such as tools that scan new domains that are registered to look for similarities with any brands or names.

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Study Identifies Lack of Preparedness for Ransomware Attacks in Emergency Departments

Ransomware attacks on hospitals cause major disruption to healthcare operations over several weeks. During the acute and recovery phases, access is often prevented to electronic health records and critical IT systems which can naturally have an impact on patient care. Ransomware attacks cause disruption to workflows, increase wait times, and slow patient flow, which can increase patient transfers and complication rates and negatively affect patient outcomes. Some studies suggest mortality rates increase following a ransomware attack.

Research on the impact of ransomware attacks on hospitals is limited, with studies often focusing on the technical consequences of ransomware attacks rather than the impact these attacks have on hospital staff, especially in emergency care. A recent qualitative study, Hacking Acute Care: A Qualitative Study on the Health Care Impacts of Ransomware Attacks Against Hospitals, which was recently published in Annals of Emergency Medicine, sought to explore the impact on staff in more detail and identify the challenges faced by healthcare professionals and IT staff during the acute and recovery phase of hospital ransomware attacks.

The researchers explored the effect of several large ransomware attacks on hospitals between 2017 and 2022 and conducted interviews with 9 individuals at hospitals that had suffered ransomware attacks, including emergency department staff and IT professionals. The study confirmed that ransomware attacks cause significant disruption to emergency department workflows and acute care delivery, and indicate the attacks have a detrimental effect on the well-being of healthcare providers. The low number of participants was due to the “profound hesitancy” of hospitals to participate in the study; however, valuable information was obtained from the interviews that allowed the researchers to gain an insight into the impact of the attacks and make recommendations to improve preparedness and limit the adverse impacts on workflows and staff well-being.

While hospitals often have incident recovery plans, the study highlighted a lack of preparedness for ransomware attacks within emergency departments and highlighted several challenges that are encountered during the acute and recovery stage of the attacks. The lack of access to digital radiology systems following ransomware attacks made ordering and obtaining diagnostic imaging a challenge. The inability to communicate electronically meant forms had to be carried back and forth to the radiology department and medical images often had to be reviewed in person at the radiology department. Non-clinical staff members were found to serve as runners between the point of care and the radiology department, collecting and delivering imaging results, and due to the disruption, diagnostic imaging had to be reserved for the most urgent situations.

Ransomware attacks will naturally have an adverse impact on hospitals; however, that impact can be minimized with better preparedness.  The researchers recommend temporarily diverting emergency department personnel in the first few hours of an attack to reduce pressure on acute care services and to use reverse triage, where the most seriously injured patients already in the emergency department are transferred to healthcare facilities unaffected by the attack. Patient care protocols should be established for when critical systems are offline and training should be provided to employees on paper-based charting and recording of patient information, and hospitals should ensure that paper charts and diagnostic order forms are on hand for emergencies. The researchers also recommend transparency with hospital staff, patients, and partners to help mitigate cyberattack concerns.

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PoC Exploit Published for CISCO AnyConnect Secure Vulnerability

Proof-of-concept exploit code has been released for a high-severity vulnerability in AnyConnect Secure Mobility Client Software for Windows and Cisco Secure Client Software for Windows. Users that have yet to apply the patch should do so immediately to prevent exploitation. Unpatched flaws in Cisco Secure Client Software have been targeted by malicious actors in the past.

Cisco Secure Client Software is a remote access solution that allows employees to connect to the network from any location via a Virtual Private Network and is used by IT admins for endpoint management. The vulnerability is tracked as CVE-2023-20178 and has a CVSS base score of 7.8.

The vulnerability affects the client update process and can be exploited by an authenticated, local attacker to elevate privileges to SYSTEM level. The vulnerability is due to improper permissions on a temporary directory created during the update process and can be exploited by abusing a specific function of the Windows installer process. An attack exploiting the vulnerability has low complexity and requires no user interaction. The vulnerability was discovered by security researcher, Filip Dragovic, who reported the flaw to CISCO. He recently published the PoC exploit after successfully testing it on Secure Client version 5.0.01242 and AnyConnect Secure Mobility Client version 4.10.06079.

CISCO says there are no workarounds and patching is the only way to fix the vulnerability and prevent exploitation. A patch to fix the flaw was released on June 13, 2023, and, at the time of release, there had been no detected instances of exploitation. The flaw has been corrected in AnyConnect Secure Mobility Client for Windows 4.10MR7 and Cisco Secure Client for Windows 5.0MR2.

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Critical Vulnerability in VMware Aria Operations for Networks Now Actively Exploited

VMware has confirmed that a remote code execution vulnerability in the VMware Aria Operations for Networks (previously vRealize Network Insight) network analytics tool is now being exploited in the wild.  The vulnerability is tracked as CVE-2023-20887, has a CVSS severity score of 9.8, and has been fixed in the latest version of the tool.

A proof-of-concept exploit for the pre-authentication command injection vulnerability was published on June 13, 2023, by security researcher Sina Kheirkhah of Summoning Team. Exploitation of the flaw on unpatched systems started two days later. Researchers at the cybersecurity firm GreyNoise detected mass-scanning activity to identify unpatched systems shortly after the PoC exploit was published. The vulnerability is one of three recently discovered vulnerabilities in VMware Aria Operations for Networks, the other two being another critical flaw – CVE-2023-20888 – and an important flaw – CVE-2023-20889. VMWare released patches to fix all three flaws around two weeks ago. All three were identified by Kheirkhah and were reported to VMWare, although the exploited CVE-2023-20887 flaw had been previously discovered and reported to VMware by an anonymous security researcher.

CVE-2023-20887 can be exploited by a malicious actor with network access to VMware Aria Operations for Networks in a command injection attack that can lead to remote code execution. CVE-2023-20888 can be exploited by a malicious actor with network access to VMware Aria Operations for Networks and allows a deserialization attack, resulting in remote code execution. The third vulnerability can be exploited to perform a command injection attack resulting in information disclosure.

VMware says there are no workarounds. The only way to address the flaws is to update to a fixed version. All VMware Aria Operations Networks 6.x on-prem installations must be patched to prevent exploitation. All three flaws have been fixed in version KB92684.

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SEC Postpones Final Rule on Cyber Incident Disclosures

The Securities and Exchange Commission (SEC) was due to issue a final rule that would implement new regulatory requirements for publicly traded companies to disclose material cyber breaches in their regulatory filings within 4 days of the discovery of a breach. The decision has now been delayed until at least October 2023. A draft rule was proposed in March 2022 to improve transparency about cybersecurity incidents at publicly traded companies. The proposed rule called for publicly traded companies to ensure that investors are made aware of any material cybersecurity incidents and disclose information about cybersecurity governance, the level of board expertise in dealing with cybersecurity incidents, and the involvement of upper management in cyber risk. A new rule was also proposed for investment advisers, registered investment companies, and business development companies in February 2022 that requires them to develop, implement, and maintain written cybersecurity policies and procedures to address cybersecurity risks.

Regulatory changes to force publicly traded companies to disclose cyber incidents were seen to be necessary as many were choosing not to disclose these incidents to avoid potential lawsuits and minimize reputational harm. Only one-quarter of ransomware attacks are reported to public authorities, as the reporting of cyber incidents is voluntary. The proposed rules were subject to two comment periods, and more than 175 comments have been submitted in response to the proposed cyber rules.  The final rule was expected to be published as early as April 3, 2023; however, the SEC has now stated in a recent update to its rulemaking agenda that its new cyber rules will not be published until at least October 2023. The SEC did not provide a reason for the delay; however, there has been considerable pushback on the proposed rules.

While there has been broad support for the new cyber requirements for improving transparency, the devil is in the detail, especially the 4-day reporting requirement, which many commenters believe would hinder the ability of public companies to stop, investigate, remediate, and defend against cybersecurity incidents. The cybersecurity firm, Rapid7, warned that the 4-day disclosure deadline would mean companies that suffer security incidents would be forced to publicly disclose the incidents before they had been fully contained, and that would tip off hackers and make the companies more vulnerable and could lead to greater harm to investors. Rapid7 requested companies be allowed to delay reporting until a cyber incident has been fully remediated before being required to report the incident.

The U.S. Chamber of Commerce said the SEC is attempting to micromanage corporate cybersecurity programs and the proposed rule would not necessarily protect investors. The SEC was criticized for the 4-day reporting period as it did not give companies sufficient time to evaluate the severity of security incidents. The requirement to disclose whether the board has cybersecurity expertise was also criticized as it could lead to unwieldy and unwanted outcomes, such as giving investors a false level of confidence in the ability of a company to deal with the security incident. In its comments, the Chamber of Commerce said it would be difficult even for NIST to pinpoint what constitutes expertise or experience in cybersecurity that would earn widespread agreement among industry professionals.

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May 2023 Healthcare Data Breach Report

May 2023 was a particularly bad month for healthcare data breaches. 75 data breaches of 500 or more healthcare records were reported to the HHS’ Office for Civil Rights (OCR) in May. May – along with October 2022 – was the second-worst-ever month for healthcare data breaches, only beaten by the 95 breaches that were reported in September 2020. Month-over-month there was a 44% increase in reported data breaches and May’s total was well over the 12-month average of 58 data breaches a month.

Healthcare Data Breaches in the Past 12 Months - May 2023

May was also one of the worst-ever months in terms of the number of breached records, which increased by 330% month-over-month to an astonishing 19,044,544 breached records. Over the past 12 months, the average number of records breached each month is 6,104,761 and the median is 5,889,562 records. 46.52 of the breached records in May came from one incident, which exposed the records of almost 8.9 million individuals, and 90.45% of the breached records came from just three security incidents. More healthcare records have been breached in the first 5 months of 2023 (36,437,539 records) than in all of 2020 (29,298,012 records).

Records Breached in Healthcare Data Breaches in the Past 12 Months - May 2023

Largest Healthcare Data Breaches in May 2023

23 data breaches of 10,000 or more records were reported to OCR in May, including the two largest healthcare data breaches of 2023. The worst data breach was a LockBit ransomware attack on the HIPAA business associate Managed Care of North America (MCNA) which affected almost 8.9 million individuals. The LockBit gang stole data, threatened to publish the information on its website if the $10 million ransom was not paid, and when it wasn’t, uploaded leaked the stolen data. Almost 6 million records were stolen in a ransomware attack on PharMerica Corporation and its subsidiary BrightSpring Health Services. The Money Message ransomware group exfiltrated 4.7 terabytes of data in the attack and proceeded to upload the stolen data to its data leak site when the ransom was not paid.

A third million+ record data breach resulted in the exposure and potential theft of the protected health information of 2,550,922 Harvard Pilgrim Health Care plan members following a cyberattack on its parent Company, Point32Health, the second largest health insurer in Massachusetts. This was also a ransomware attack with data theft confirmed. Other large data breaches include a hacking incident at the Virginia-based business associate, Credit Control Corporation (345,523 records), and ransomware attacks affecting Onix Group (319,500 records), the Iowa Department of Health and Human Services (233,834 records), and Albany ENT & Allergy Services, PC (224,486 records).

Healthcare Data Breaches of 10,000 or More Records

Name of Covered Entity State Covered Entity Type Individuals Affected Cause of Breach
Managed Care of North America (MCNA) GA Business Associate 8,861,076 Ransomware attack (LockBit) – Data theft confirmed
PharMerica Corporation KY Healthcare Provider 5,815,591 Hacking Incident – data theft confirmed
Harvard Pilgrim Health Care MA Health Plan 2,550,922 Ransomware attack – Data theft confirmed
R&B Corporation of Virginia d/b/a Credit Control Corporation VA Business Associate 345,523 Hacking Incident – data theft confirmed
Onix Group PA Business Associate 319,500 Ransomware attack – Data theft confirmed
Iowa Department of Health and Human Services – Iowa Medicaid (Iowa HHS-IM) IA Health Plan 233,834 Ransomware attack (LockBit) on its business associate (MCNA Dental) – Data theft confirmed
Albany ENT & Allergy Services, PC. NY Healthcare Provider 224,486 Ransomware attack (BianLian/RansomHouse) – Data theft confirmed
Uintah Basin Healthcare UT Healthcare Provider 103,974 Hacking Incident
UI Community Home Care, a subsidiary of University of Iowa Health System IA Healthcare Provider 67,897 Cyberattack on subcontractor (ILS) of its business associate (Telligen) – data theft confirmed
University Urology NY Healthcare Provider 56,816 Hacking Incident
Illinois Department of Healthcare and Family Services, Illinois Department of Human Services IL Health Plan 50,839 Hackers compromised the state Application for Benefits Eligibility (ABE) system
New Mexico Department of Health NM Healthcare Provider 49,000 Impermissible disclosure of deceased individuals’ PHI per access request by a journalist
Pioneer Valley Ophthalmic Consultants, PC MA Healthcare Provider 36,275 Malware infection at business associates (Alta Medical Management and ECL Group, LLC)
Brightline, Inc. CA Business Associate 28,975 Hacking of Fortra GoAnywhere MFT solution
Clarke County Hospital IA Healthcare Provider 28,003 Hacking Incident
United Healthcare Services, Inc. Single Affiliated Covered Entity CT Health Plan 26,561 Hacking Incident
ASAS Health, LLC TX Healthcare Provider 25,527 Hacking Incident
iSpace, Inc. CA Business Associate 24,382 Hacking Incident – data theft confirmed
PillPack LLC NH Healthcare Provider 19,032 Credential stuffing attack allowed customer account access
Solutran MN Business Associate 17,728 Hacking incident
MedInform, Inc. OH Business Associate 14,453 Hacking Incident – data theft confirmed
Catholic Health System NY Healthcare Provider 12,759 hacking incident at business associate (Minimum Data Set Consultants) – data theft confirmed
Northwest Health – La Porte IN Healthcare Provider 10,256 Paper records were removed from locked shredding bins at an old facility

Causes of May 2023 Healthcare Data Breaches

The vast majority of the month’s data breaches were hacking/IT incidents, many of which were ransomware attacks and data theft/extortion attempts. 81.33% of the month’s data breaches (61 incidents) were hacking/IT incidents and those incidents accounted for 99.54% of all breached records. The protected health information of 18,956,101 individuals was exposed or stolen in those incidents. The average data breach size was 310,756 records and the median breach size was 3,833 records. There were 11 data breaches reported as unauthorized access/disclosure incidents, which affected 82,236 individuals. The average breach size was 7,476 records and the median breach size was 1,809 records. Two theft incidents were reported involving a total of 5,632 records and there was one incident involving the improper disposal of 575 paper records.

Causes of May 2023 Healthcare Data Breaches

Unsurprisingly given the large number of hacking incidents, 57 data breaches involved electronic protected health information stored on network servers. There were also 9 data breaches involving electronic protected health information in email accounts.

Location of Breached PHI in May 2023 Healthcare Data Breaches

Where Did the Breaches Occur?

When data breaches occur at business associates of HIPAA-regulated entities, they are either reported by the business associate, the HIPAA-regulated entity, or a combination of the two, depending on the terms of their business associate agreements. In May, 36 breaches were reported by healthcare providers, 25 by business associates, and 14 by health plans; however, those figures do not accurately reflect where the data breaches occurred. The pie charts below show where the data breaches occurred rather than the entity that reported the data breach, along with the number of records that were exposed or impermissibly disclosed in those data breaches.

May 2023 Healthcare Data Breaches - HIPAA-regulated Entities

Records Breached at HIPAA-regulated entities - May 2023

Geographical Distribution of Healthcare Data Breaches

Data breaches of 500 or more records were reported by HIPAA-regulated entities in 30 states. While Massachusetts tops the list with 15 data breaches reported, 13 of those breaches were the same incident. Alvaria, Inc. submitted a separate breach report to OCR for each of its affected healthcare clients. As such, California and New York were the worst affected states with 7 breaches each.

State Number of Reported Data Breaches
Massachusetts 15
California & New York 7
Connecticut, Iowa & Ohio 4
Illinois, New Jersey & Philadelphia 3
Alaska, Indiana, Missouri & Texas 2
Arizona, Arkansas, Georgia, Kansas, Kentucky, Michigan, Minnesota, New Hampshire, New Mexico, Oklahoma, South Dakota, Tennessee, Utah, Virginia, Washington, West Virginia & Wisconsin 1

Click here to view more detailed healthcare data breach statistics.

HIPAA Enforcement Activity in May 2023

After two months with no HIPAA enforcement actions, there was a flurry of enforcement activity in May over HIPAA compliance failures. Two financial penalties were imposed by OCR to resolve HIPAA violations, two enforcement actions were announced by state attorneys general, and the Federal Trade Commission (FTC) announced an enforcement action against a non-HIPAA-regulated entity for the impermissible disclosure of consumer health information.

In May, OCR announced its 44th financial penalty under its HIPAA Right of Access enforcement initiative, which was launched in the fall of 2019. David Mente, MA, LPC, a Pittsburgh-based counselor, was fined $15,000 for failing to provide a father with the medical records of his minor children, despite the father making two requests for the records and OCR providing technical assistance after the first complaint was filed.

Between January 2020 and June 2023, OCR imposed 61 financial penalties on HIPAA-regulated entities to resolve potential violations of the HIPAA Rules, 69% of which were for HIPAA Right of Access violations.  We are now starting to see more financial penalties imposed for other violations. May’s other HIPAA settlement involved a financial penalty of $350,000 for MedEvolve Inc., a Little Rock, AR-based business associate that provides practice management, revenue cycle management, and practice analytics software to HIPAA-regulated entities. MedEvolve had misconfigured an FTP server which exposed the electronic protected health information of 230,572 individuals. OCR investigated and determined that in addition to the impermissible disclosure, MedEvolve had failed to conduct a comprehensive, accurate, and organization-wide risk analysis and had not entered into a business associate agreement with a subcontractor.

The New York Attorney General agreed to a settlement to resolve violations of HIPAA and state laws that were discovered during an investigation of Professional Business Systems Inc, which does business as Practicefirst Medical Management Solutions and PBS Medcode Corp. The medical management company was investigated after reporting a ransomware attack and data breach that impacted 1.2 million individuals. The hackers gained access to its network by exploiting a vulnerability that had not been patched, despite the patch being available for 22 months. Practicefirst was determined to have violated HIPAA and state laws through patch management failures, security testing failures, and not implementing encryption. The case was settled for $550,000.

A multi-state investigation of the vision care provider, EyeMed Vision Care, over a 2.1 million-record data breach was settled with the state attorneys general in Oregon, New Jersey, Florida, and Pennsylvania. A hacker gained access to an employee email account that contained approximately 6 years of personal and medical information including names, contact information, dates of birth, and Social Security numbers. The investigation revealed there had been several data security failures, including a lack of administrative, technical, and physical safeguards, in violation of HIPAA and state laws. The case was settled for $2.5 million.

The FTC has started actively policing the FTC Act and Health Breach Notification Rule and announced its third enforcement action of the year in May. Easy Healthcare, the developer and distributor of the Premom Ovulation Tracker (Premom) app, was alleged to have shared the health data of app users with third parties without user consent, in violation of the FTC Act, and failed to issue notifications, in violation of the Health Breach Notification Rule. Easy Healthcare agreed to settle the case and paid a $200,000 financial penalty.

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TimisoaraHackerTeam Ransomware Group Linked to Recent Attack on U.S. Cancer Center

An alarm has been sounded about a relatively unknown threat group called TimisoaraHackerTeam following a recent attack on a U.S. medical facility. TimisoaraHackerTeam is believed to be a financially motivated threat group, which in contrast to many cybercriminal and ransomware groups, has no qualms about attacking the healthcare and public health (HPH) sector and appears to actively target HPH sector organizations, mainly conducting attacks on large organizations. The group was first identified in July 2018 but has largely stayed under the radar.

According to the Healthcare Sector Cybersecurity Coordination Center (HC3), which issued the alert on June 16, the group has resurfaced and conducted a June 2023 ransomware attack on a U.S. cancer center which rendered its digital services unavailable, put the protected health information of patients at risk, and significantly reduced the ability of the medical center to provide treatment for patients.

The group has exploited known vulnerabilities to gain initial access to HPH sector networks, then escalates privileges, moves laterally, and encrypts files. The group uses Microsoft’s native disk encryption tool, BitLocker, along with Jetico’s BestCrypt, rather than custom ransomware. This allows the group to encrypt files without being detected by security solutions. Previous attacks that have been loosely attributed to TimisoaraHackerTeam include an attack on a French hospital in April 2021 which involved similar living-off-the-land tactics, and an attack on Hillel Yaffe Medical Center in Israel, which resulted in the cancellation of non-elective procedures and forced the medical center to switch to alternative systems to continue to provide patient care.

According to the cybersecurity firm Varonis, the attack on Hillel Yaffe Medical Center in Israel is thought to have involved the exploitation of a known and unpatched vulnerability in the Pulse Secure VPN, with the hackers then using living-off-the-land techniques for the next stages of the attack to evade security solutions. Varonis says reports of attacks by TimisoaraHackerTeam mostly date to 2018, and while it is possible that the group has resurfaced, the DeepBlueMagic threat group may be an evolution of TimisoaraHackerTeam or DeepBlueMagic may have simply adopted the same tactics as TimisoaraHackerTeam. The same tactics have also been used by hackers in China, with those attacks attributed to an Advanced Persistent Threat Group that is tracked as APT41, although it is unclear to what extent, if any, these threat actors are linked.

In addition to exploiting Pulse Secure VPN vulnerabilities, TimisoaraHackerTeam has targeted vulnerabilities in Microsoft Exchange Server and Fortinet firewalls and uses poorly configured Remote Desktop Protocol to move laterally within networks. The recent attack on the cancer center serves as a warning that the group is still active, and that network defenders should take steps to improve monitoring and protect their networks from attacks. Further details on the group and its tactics, techniques, and procedures can be found in the HC3 HPH Sector Cybersecurity Notification.

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Progress Software Warns of New MOVEit Zero-Day Vulnerability – Immediate Action Required

Progress Software has issued a warning about another vulnerability in its MOVEit Transfer file transfer software, an exploit for which is in the public domain. The announcement comes as the Clop ransomware group starts to name companies that were attacked by exploiting a separate zero-day bug in May, and CISA confirms the victims include several federal agencies.

The CVE for the latest vulnerability is still pending and there is no CVSS severity score at present; however, this is a critical vulnerability and a Proof-of-Concept (PoC) exploit for the new zero-day flaw has been shared by a security researcher on Twitter, although at the time of release, code execution is not believed to have been achieved. The attacks by the Clop gang demonstrate that MOVEit vulnerabilities can be weaponized and exploited in mass attacks, so mitigations should be implemented immediately and patches applied as soon they are released.

MOVEit Transfer Zero Day Mitigations and Fixes

According to Progress Software, all users must take action to address the latest MOVEit zero day bug. The steps that need to be taken are dependent on whether patches have been applied to fix the zero-day bug (CVE-2023-34362) that was exploited by Clop and patched on May 31, 2023, and a second critical SQL injection vulnerability – CVE-2023-35036 – a patch for which was released on June 9. The May 31 and June 9 patches and remediation steps should be followed first, if they have not been already, then the June 15, 2023, patch can be applied to fix the third zero-day (CVE pending).

If it is not possible to immediately apply the June 15, 2023, patch, users should disable all HTTP and HTTPs traffic to the MOVEit Transfer environment immediately (ports 80 and 443) to prevent unauthorized access. HTTP and HTTPs traffic should not be re-enabled until the June 15, 2023, patch has been applied. While this mitigation will prevent users from being able to log into their accounts via the web user interface, transfers will still be available since the SFTP and FTP/s protocols will continue to work, and admins will still be able to access MOVEit Transfer by connecting to the Windows server via remote desktop, and then navigating to https://localhost/

Details on patching all three vulnerabilities and the mitigation steps are detailed in the latest Progress Software alert.

Progress Software said, “We have taken HTTPs traffic down for MOVEit Cloud in light of the newly published vulnerability and are asking all MOVEit Transfer customers to immediately take down their HTTP and HTTPs traffic to safeguard their environments while the patch is finalized.”

Clop Starts Publishing Victims’ Names on Dark Web Data Leak Site

The Clop gang claimed responsibility for the attacks which exploited the May 2023 vulnerability (CVE-2023-34362), and while the victim count is not known, several hundred companies are understood to have been affected. Clop provided a deadline of June 14, 2023, for payment of the ransom demands, after which the group claimed it would start releasing the stolen data. On Wednesday, names started to be published on its data leak site which include the oil and gas company Shell, the University of Georgia (UGA) and University System of Georgia (USG), UnitedHealthcare Student Resources (UHSR), Putnam Investments, Heidelberger Druck, and Landal Greenpark. Several other companies have confirmed that they were affected although they have yet to be listed on the data leak site. Those companies include Zellis, Boots, Aer Lingus, and the BBC.

CISA Confirms Federal Agencies Impacted

The Cybersecurity and Infrastructure Security Agency (CISA) has confirmed that several federal agencies were attacked by the Clop gang by exploiting the May 2023 vulnerability and that it is providing support to the agencies that have suffered intrusions. Eric Goldstein, CISA executive assistant director for cybersecurity, confirmed to CNN that it is currently trying to understand the impact of those intrusions. CISA Director, Jen Easterly, said the May 2023 attacks were opportunistic in nature and were not targeted at government agencies, and while Clop is a Russian ransomware group, the attacks are not believed to be connected to the Russian government. “Although we are very concerned about this campaign, this is not a campaign like SolarWinds that poses a systemic risk,” said Easterly. Government agencies known to have been affected include the Energy Department, which confirmed that two entities within the Department have been compromised.

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