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Home » Blog » The Changing Landscape of Ransomware: Why Healthcare Organizations Are Paying Less
Health

The Changing Landscape of Ransomware: Why Healthcare Organizations Are Paying Less

Rachel CollinsBy Rachel CollinsMay 20, 2025
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Ransomware has a persistent and expensive threat to medical care organizations, which has amounts of patient confidential data and operates in critical and sensitive conditions. The interruption caused by these attacks can have consequences of life, delay essential treatments and compromise patient safety. Historical, the urgency of restoring services quickly and avoiding interruptions forced many victims to pay bailouts. But that is starting to change. As medical care organizations increase their cyber security investments, with IT budget allocations that increase from 10% by 2020 to 14% in 2024, fewer victims are paying bailouts, thanks to stronger defenses and a regulatory scrutiny Heping.

In general, ransomware payments in the US. Researchers from the Information Systems and Medical Care Management Society (HIMSS) also noticed a decrease in the number of ransomware victims who report rescue payments. Although these figures in Declive raise the question of whether to pay cybercriminals is becoming the exception instead of the norm, the persistent innovation of the threat actors, which are actively adapting to the growing cyber security, warns against conclusive information.

Strengthened backups and improved security measures

One of the most effective ducks to pay the ransomware demands is to have a solid backup and recovery strategy. In the past, many medical care organizations lacked adequate redundancy, leaving them with few options beyond paying attackers to restore access to their systems. However, the industry has advanced significantly by investing in modern support solutions, which include immutable storage, backup copies obtained by air and the replication of data in real time. The restoration of backup copies is rarely instantaneous, thought. This makes documented and practiced continuity plans critical to maintain operations without key technology.

These significant measures reduce the leverage of the attackers. With reliable and easily resturable backups and continuity plans tested, medical care providers can reject rescue demands and recover systems independently. In addition, security tools that improve the safety position of organizations, such as the detection and response of the end point (EDR), the detection and response administered (MDR) and the zero mituits architectures, are making ransomware difficult.

The role of cyber insurance and regulatory pressure

Cybernetic insurance suppliers have become a key driver to reduce rescue payments. Previously, many policies covered rescue payments directly, which led to a cycle in which organizations would pay the attackers and seek reimbursement. However, insurers have adjusted their risk models. Today, cyber insurance policies impose stricted security requirements or multifactorial authentication (MFA), the protection of the end point and incident response plans before granting coverage. These security requirements significantly reduce the hood of the probability of suffering an attack, so Lockeli’s hood will be required. Some suppliers have just reducing or eliminating rescue payment coverage completely, so it is financial that the victims meet the demands of the attackers.

At the same time, government regulations are increasing the risks associated with payments. In the US, the Department of the Office of Foreign Assets Control (OFAC) of the Treasury has issued warnings that organizations that pay bailouts to groups linked to sanctioned entities could face legal consequences. Since many ransomware groups have links with sanctioned regions, medical care providers face significant liabilities if they choose to pay.

For medical care organizations, this means that beyond financial considerations, paying a rescue could result in additional regulatory sanctions and damage to reputation beyond the cost of rescue. The risk of inadvertently financing a sanctioned cybercriminal organization adds another layer of deterrence.

Threat actors change to exfiltration and data extortion

As Ransomware direct payments decrease, cybercriminals are adapting their tactics. Many groups have moved away from traditional encryption only attacks on exfiltration and data extortion. Instead of just enclosing the organizations of their systems, the attackers steal confidential records of patients, financial data and patented information, threatening to publicly release it if their demands are not with.

This strategy allows cybercounts to omit traditional defenses such backup copies and file encryption protection, which are ineffective against data leaks. While organizations can recover their infrastructure without paying, the risk of exposing protected health information (PHI) creates a new pressure point for victims. Given the strict data privacy laws that govern medical care, including Hipa, a violation that involves patient data can lead to serious regulatory fines and collective action demands.

Application of the law and industry collaboration

Another important factor that influences the decrease in ransomware payments is a greater collaboration between the application of the law and the private sector. Federal agencies, including FBI and CISA, strongly discourage payment rescues and have developed specialized working groups to track, interrupt and dismantle ransomware operations. These agencies of assisting victims by providing deciphered keys, sharing intelligence on threat actors and identifying attack patterns to mitigate other incidents.

The health industry has also strengthened its information exchange efforts. Organizations such as real-time collaboration of the facilitation of the Health Information Exchange Center (H-ISAC), which allows suppliers to remain at the forefront of emerging threats and implement best practices.

The way ahead

Despite these positive developments, ransomware remains a significant threat to the health sector. Threat actors continue to refine their strategies, and financial incentives for cyber crime persist. However, the combination of stronger defenses, regulatory pressure and industry collaboration is beginning to change the balance in favor of defenders.

For medical care organizations, the key conclusion is clear: continuous investment in cybersecurity and resilience is essential. When proactively implementing solid security frames, maintaining updated backups and adhering to regulatory orientation, medical care providers can reduce their risk and contribute to the broader effort to dismantle ransomware ecosystems.

Photo: Bonchai Wedmakawand, Getty Images


Chris Henderson directs threat and internal security operations in Huntress. He has been ensuring MSP and his clients for approximately 10 years through various roles in guarantee of software quality, business intelligence and information security.

This publication appears through Medical influencers program. Anyone can publish their perspective on business and innovation in medical care in Medcity News through influential people of Medcy. Click here to find out how.

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