HIPAA, Ransomware, and the $9.77M Problem: Why Healthcare Needs DNS Filtering Now

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In 2024, the average healthcare data breach cost remained alarmingly high at $9.77 million per incident, despite a slight decrease from $10.93 million in 2023. Healthcare continues to lead as the most expensive industry for breaches—a position it has maintained since 2011.

Healthcare organizations are under constant threat from devastating ransomware attacks, putting patient data and healthcare operations at significant risk. Fortunately, DNS filtering offers a proactive, immediate solution. Quick, simple to deploy, and cost-effective, DNS filtering is a critical tool to strengthen cybersecurity, maintain HIPAA compliance, and defend against ransomware attacks.

The Ongoing Threat: Ransomware in Healthcare

Ransomware attacks continue to plague the healthcare industry, exploiting common vulnerabilities such as phishing emails, malvertising, and compromised websites. Many attacks utilize DNS infrastructure for critical command-and-control (C2) communications, silently embedding malware within healthcare networks.

These threats spike noticeably around critical industry reporting deadlines like Centers for Medicare and Medicaid Services  (CMS), Healthcare Effectiveness Data and Information Set (HEDIS), and National Committee for Quality Assurance (NCQA)—highlighting how attackers capitalize on times when healthcare staff attention is diverted. Securing DNS infrastructure is essential for disrupting these ransomware attacks at their earliest stage.

HIPAA Compliance: What's Required and What's at Risk

Under the HIPAA Security Rule, healthcare organizations are explicitly required to safeguard Protected Health Information (PHI) from unauthorized access and breaches. However, this has extended further than healthcare, as software vendors and insurance companies may also process and store patient PHI. This means they are also responsible for maintaining HIPAA compliance.

Ransomware incidents involving encryption or exfiltration of PHI constitute a clear HIPAA violation, carrying severe penalties including regulatory fines, lawsuits, and erosion of patient trust.

Given the staggering average breach cost of $9.77 million per incident, CISOs and compliance officers in healthcare or those servicing the healthcare industry face tremendous pressure to enforce stringent cybersecurity measures and compliance strategies.

Where Healthcare is Most Vulnerable

Healthcare organizations often face security vulnerabilities unique to their operational environments. Outdated Internet of Things (IoT) and medical devices, frequently found in clinical settings, often lack modern security protocols or timely updates, making them prime targets for cyberattacks. Additionally, unsecured guest Wi-Fi networks, common across hospitals and clinics, provide easy entry points for malicious actors due to minimal oversight or monitoring.

Legacy IT systems compound these risks, as delayed patches and updates create persistent security gaps that attackers actively exploit. Budget constraints and limited staffing resources further intensify these challenges, leaving healthcare entities particularly exposed and susceptible to ransomware incidents and HIPAA violations. Given these conditions, it's unsurprising that healthcare breaches remain among the costliest across all industries.

How DNS Filtering Supports HIPAA and Stops Ransomware

DNS filtering is a powerful cybersecurity measure that operates directly at the DNS query level, serving as a frontline defense for healthcare organizations to help prevent ransomware. By proactively securing networks, DNS filtering blocks access to known malicious domains, effectively preventing the initial delivery and download of ransomware and other malware types. Moreover, it actively interrupts any outbound DNS connections to command-and-control (C2) infrastructure, a critical step in halting active ransomware attacks before they escalate.

This proactive filtering capability significantly reduces risks associated with unauthorized access, data exfiltration, and ransomware encryption of Protected Health Information (PHI). Consequently, DNS filtering not only fortifies an organization's cybersecurity posture but directly supports ongoing HIPAA compliance under the Security Rule by providing real-time, continuous protection against evolving cyber threats.

Guest Wi-Fi and DNS Filtering: Closing an Overlooked Gap

Guest Wi-Fi networks, routinely provided in healthcare settings to accommodate patients, families, vendors, and other visitors, often represent overlooked cybersecurity vulnerabilities. Typically unmanaged and insufficiently monitored, these networks can inadvertently become significant entry points for malware and ransomware threats. Attackers regularly exploit guest networks, targeting vulnerable external devices to gain unauthorized access to critical internal systems and sensitive PHI.

DNS filtering addresses these critical gaps by enforcing safe browsing practices across guest Wi-Fi networks. This approach effectively segregates potentially malicious external traffic, ensuring it remains isolated from sensitive internal healthcare networks. Furthermore, DNS filtering minimizes the likelihood of breaches originating from external devices connecting via guest networks, significantly reducing exposure to HIPAA-related incidents.

HIPAA Compliance vs. True Security: Why You Need Both

Compliance alone is insufficient—it reflects only a point-in-time snapshot rather than providing ongoing defense. DNS filtering for healthcare delivers real-time, persistent protection that bolsters overall security posture while ensuring continual HIPAA compliance. By fostering a proactive approach to security rather than reactive checkbox compliance, DNS filtering builds resilience against cyber threats.

Best Practice Action Steps Outcome
Role-Based Filtering Policies

Define customized filtering rules for clinical, administrative, and guest users.

Reduced risk of inappropriate or harmful site access.

Network Segmentation

Separate PHI-sensitive systems from general-use network segments.

Minimizes breach impact and protects critical data.

Logging and Reporting

Implement detailed DNS logging for auditing and threat detection.

Enhances visibility, simplifies compliance audits.

Rapid Deployment and Maintenance

Select easy-to-deploy solutions with minimal maintenance.

Immediate protection, minimized operational overhead.


Implementing these practices ensures robust, layered defense that healthcare organizations can swiftly adopt and maintain.

Healthcare’s persistent $9.77 million average breach cost highlights the urgency for proactive cybersecurity measures. DNS filtering emerges as a cost-effective, HIPAA-compliant, and essential solution for protecting sensitive patient data against ransomware threats.

Book a personalized demo today and discover how DNS filtering can integrate into your organization's HIPAA strategy, securing your network and safeguarding patient information from cyber threats.

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