February 2021 Healthcare Data Breach Report

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There was a 40.63% increase in reported data breaches of 500 or more healthcare records in February 2021. 45 data breaches were reported to the Department of Health and Human Services’ Office for Civil Rights by healthcare providers, health plans and their business associates in February, the majority of which were hacking incidents.

Healthcare Data Breaches Past 12 Months

After two consecutive months where more than 4 million records were breached each month there was a 72.35% fall in the number of breached records. 1,234,943 records were exposed, impermissibly disclosed, or stolen across the 45 breaches.

Healthcare Records Breached Past 12 Months

Largest Healthcare Data Breaches Reported in February 2021

Name of Covered Entity State Covered Entity Type Individuals Affected Type of Breach Cause of Breach
The Kroger Co. OH Healthcare Provider 368,100 Hacking/IT Incident Ransomware
BW Homecare Holdings, LLC (Elara Caring single affiliated covered entity) TX Healthcare Provider 100,487 Hacking/IT Incident Phishing
RF EYE PC dba Cochise Eye and Laser AZ Healthcare Provider 100,000 Hacking/IT Incident Ransomware
Gore Medical Management, LLC GA Healthcare Provider 79,100 Hacking/IT Incident Hacking incident
Summit Behavioral Healthcare TN Healthcare Provider 70,822 Unauthorized Access/Disclosure Phishing
Humana Inc KY Health Plan 62,950 Unauthorized Access/Disclosure Subcontractor shared PHI without consent
Nevada Orthopedic & Spine Center NV Healthcare Provider 50,000 Hacking/IT Incident Unconfirmed
Fisher Titus Health, Inc. OH Health Plan 49,636 Hacking/IT Incident Phishing
Covenant HealthCare MI Healthcare Provider 47,178 Hacking/IT Incident Phishing
UPMC PA Healthcare Provider 36,086 Hacking/IT Incident Phishing attack on BA
Grand River Medical Group IA Healthcare Provider 34,000 Hacking/IT Incident Phishing
AllyAlign Health, Inc. VA Health Plan 33,932 Hacking/IT Incident Ransomware
Harvard Eye Associates CA Business Associate 29,982 Hacking/IT Incident Ransomware attack on BA
Texas Spine Consultants, LLP TX Healthcare Provider 25,728 Unauthorized Access/Disclosure Unconfirmed
UPMC Health Plan PA Health Plan 19,000 Hacking/IT Incident Phishing attack on BA

Causes of February 2021 Healthcare Data Breaches

Three breaches of more than 100,000 record were reported in February. The largest healthcare data breach of the month was reported by Kroger, an Ohio-based chain of supermarkets and pharmacies. The breach was due to a CLOP ransomware attack on a vendor – Accellion – that resulted in the theft of the protected health information of 368,100 of its customers. Kroger was one of several HIPAA-covered entities to be affected by the breach.

Elara Caring, one of the nation’s largest providers of home-based care, announced that several employee email accounts containing protected health information had been accessed by unauthorized individuals as a result of responses to phishing emails. Cochise Eye and Laser was also the victim of a ransomware attack in which the protected health information of 100,000 individuals was potentially stolen.

February 2021 Healthcare Data Breaches - Causes

Phishing attacks were the most common cause of data breaches in February, with network server incidents in close second. These mostly involved hacking and the deployment of malware or ransomware. Hacking incidents accounted for 71.1% of the month’s breaches and 85.7% of all records breached in the month. The average size of a hacking breach was 30,239 records and the median breach size was 8,849 records.

There were 10 unauthorized access/disclosure incidents reported in February involving 172,799 records. The average breach size was 17,280 records and the median breach size was 2,497 records. There were 2 theft incidents and 1 reported loss incident reported involving a total of 3,773 records, all three of which involved paper records.

February 2021 Healthcare Data Breaches - Location of breached PHI

Entities Reporting Healthcare Data Breaches in February 2021

Healthcare providers were the worst affected covered entity type in February, with 35 breaches reported. There were 5 breaches reported by health plans and 5 reported by business associates of HIPAA-covered entities. A further 5 breaches were reported by the covered entity but had some business associate involvement.

Entities affected by February 2021 healthcare data breaches

Healthcare Data Breaches by State

Healthcare data breaches of 500 or more records were reported in 20 states in February 2021. The worst affected states were California and Texas with six breaches reported in each state. 5 entities in Pennsylvania reported breaches, there were 4 breaches reported in Florida and Michigan, 2 in each of North Carolina, Nevada, Ohio, Tennessee, and Virginia, and 1 in each of Arizona, Colorado, Georgia, Iowa, Kentucky, Louisiana, Minnesota, North Dakota, Utah, and Wyoming.

HIPAA Enforcement Activity in February 2021

In February, the HHS’ Office for Civil Rights announced two settlements had been reached with HIPAA-covered entities to resolve potential violations of the HIPAA Rules. Both enforcement actions were in response to complaints from patients who had not been provided with timely access to their medical records.

OCR launched a new enforcement initiative in late 2019 targeting healthcare providers who were not complying with the HIPAA Right of Access provision of the HIPAA Privacy Rule. Three Right of Access enforcement actions have resulted in settlements so far in 2021, and the latest two bringing the total number of settlements under this enforcement initiative to 16.

Sharpe Healthcare settled its case with OCR and paid a $70,000 penalty and Renown Health settled its case for $75,000.

Author: Steve Alder has many years of experience as a journalist, and comes from a background in market research. He is a specialist on legal and regulatory affairs, and has several years of experience writing about HIPAA. Steve holds a B.Sc. from the University of Liverpool.

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