Ry ⭐ (h/acc)

Internet American | think big, build small | prev Enzyme, Optimizely, Medtronic

[Ry ⭐ (h/acc) @ryanstellar]

Part 3 of the $UHC - Change Health Ransomware Attack

✳️Recent developments include DOJ antitrust probe into UnitedHealth and HHS investigation into cyber attack

✳️ Impact extends to companies like McKesson and CVS, disrupting operations

✳️ Lack of clear communication from UnitedHealth prompts calls for regulatory updates and transparency

✳️ Consequences highlight fragility of healthcare system, particularly for community hospitals and providers facing financial strains

✳️ Regulatory interventions, including post-event analysis and mandatory security measures, deemed necessary to prevent future incidents

✳️ Multiple federal agencies involved in enforcement actions to address breach comprehensively

✳️ Recapped earlier episodes for audience members that missed parts 1 and 2:

ransomware attack on UnitedHealth, encrypting patient records and demanding ransom allegedly paid via Bitcoin; possibly retaliation against US government threats; disruptions in healthcare services since February 20th;

[Ry ⭐ (h/acc) @ryanstellar]

Part 2 on the UHG/Change ransomware attack.

Timeline of Events:

📅 February 19: ConnectWise discloses limited details of Screen Connect vulnerability.

📅 February 20: ConnectWise deploys hotfix, detection guidance released.

📅 February 21: First wave of ConnectWise related exploits reported in the wild, Sigma HA publishes detection rules.

📅 February 22: ConnectWise suspects non-patched versions are still vulnerable.

📅 March 03: ALPHV's bitcoin wallet drained of supposed $22M from United.

📅 March 04: "Notchy," ALPHV affiliate, airs grievances on RAMP. ALPHV makes a "good game" post. ALPHA announces sales of their ransomware suite for $5M. ALPHA site displayed with "seizure" announcement.

📅 March 05: Health tech leaders call for action to support small clinics, rather than just large hospital systems. HHS issues a statement offering support regarding the cyberattack on Change Healthcare, including the removal or relaxation of prior authorization requirements. HHS Statement Link

📅 March 06: RAMP forum mod awards "Notchy" win in grievance.

📅 March 07: United formally confirms their systems are being rebuilt, and that e-pharmacy and insurance claims processes are not yet resolved.

📅 March 8th: Optum employees report their IT systems are still being integrated, while UHG/Optum execs face criticism for shaming employees over bad IT hygiene.

📅 March 15: UnitedHealthcare and Change Healthcare announce that claim payments will be restored.
Discussion Points for Part 2:

✳️ Analysis of the ConnectWise vulnerability disclosure and response.
✳️ Impact assessment of the ConnectWise-related exploits in the wild.
✳️ Speculation on ALPHV's motives and tactics following the draining of their bitcoin wallet.
✳️ Insights into the grievances aired by "Notchy" and the response within the hacker community.
✳️ Examination of ALPHA's announcement regarding the sale of their ransomware suite and the implications for cybersecurity.
✳️ Updates on United's system rebuilding efforts and the ongoing disruptions to e-pharmacy and insurance claims processes.
✳️ Discussion on the challenges faced by Optum employees as they navigate IT system integration, coupled with the criticism faced by UHG/Optum executives for their approach to addressing IT hygiene issues among staff.
✳️ Analysis of the support offered by HHS in response to the cyberattack on Change Healthcare, including the removal or relaxation of prior authorization requirements.
Noting the rampant speculation on social media regarding terrorism and conspiracy theories about the motivations and true actors behind the cyberattack.
Highlighting the anticipated restoration of claim payments by UnitedHealthcare and Change Healthcare on March 15.

Additional Fact:

📊 Change Healthcare processes 15 billion transactions annually and supports 6,000 pharmacies, underscoring the significance of the cyberattack's impact on healthcare infrastructure.

[Ry ⭐ (h/acc) @ryanstellar]

@SubhanJaved911 @spectatorindex ok, here is a fact, there are no reliable numbers on child sexual abuse for pakistan because your culture doesn't value it enough to police it

your entire country is spiritually under developed and barbaric

[Ry ⭐ (h/acc) @ryanstellar]

oddly touching

[Ry ⭐ (h/acc) @ryanstellar]

@Borlow46433091 @SubhanJaved911 @spectatorindex you might want to consider arming

[Ry ⭐ (h/acc) @ryanstellar]

@FGCMB5689 @SubhanJaved911 @spectatorindex thanks for checking in no follower bot account

[Ry ⭐ (h/acc) @ryanstellar]

@Yaqub_00 @SubhanJaved911 @spectatorindex hi bot

[Ry ⭐ (h/acc) @ryanstellar]

What's the ETA on human brain:GPU parity?

2038?

[Elon Musk @elonmusk]

The way to think about this is:

How many super smart and dedicated people do you want to hire? And they keep getting better.

[Ry ⭐ (h/acc) @ryanstellar]

@SubhanJaved911 @spectatorindex you're in pakistan, you'll be safe

[Ry ⭐ (h/acc) @ryanstellar]

@DJZing i feel nothing when i see most of them

not sure

where after the carrera gt they all just felt like statues more than cars

[Ry ⭐ (h/acc) @ryanstellar]

Hypercars are uncool, actually

[anjelo @overfeens]

This thing was also cool to see irl but bro said he wants $550k for it actual lol

[Ry ⭐ (h/acc) @ryanstellar]

@kevinace huge precedent for real-time data into apps/telehealth/apple health etc

[Ry ⭐ (h/acc) @ryanstellar]

patient advocacy groups demanded immediate access about 15 years ago.

it's now law.

[Kevin Wimer @kevinace]

Healthcare is the only industry that drops your cancer scan results into an app at 11 PM on a Friday, then closes for the weekend.

No call. No context. Just a PDF full of words like "suspicious" and "cannot be excluded" and a little banner that says "Sleep well!"

Meanwhile billing found me in 4 hours 😐

[Ry ⭐ (h/acc) @ryanstellar]

@VirgisViews @thats_bone right on

[Ry ⭐ (h/acc) @ryanstellar]

@RnaudBertrand This is a compliment right ?

[Ry ⭐ (h/acc) @ryanstellar]

@SarahGreerSmith @thats_bone I’m very familiar with all sides of it

[Ry ⭐ (h/acc) @ryanstellar]

@HandSurgeonMD Great, let's get rid of AMA restrictions on residencies and bring physician pay in line with the OECD medians; along with debt relief transition program

[Ry ⭐ (h/acc) @ryanstellar]

@kevinace Fair enough!

This was the exact case all the institutionalist used to push back with.

So as you probably know, it has a polarizing history.

Generally I’m a patient access maximalist; but for normies this can be hard

[Ry ⭐ (h/acc) @ryanstellar]

@DoYaKnowWilma Families