Despite the swell of cyberattacks changing the global threat landscape, Indian healthcare has become one of the most vulnerable targets as a result of these cyberattacks. There are currently 8,614 cyberattacks per week on healthcare institutions in the country, a figure that is more than four times the global average and nearly twice that of any other industry in the country.
In addition to the immense value that patient data possesses and the difficulties in safeguarding sprawling healthcare networks, the relentless targeting of patients reflects the challenges that healthcare providers continue to face healthcare providers. With the emergence of sophisticated hacktivist operations, ransomware, hacking attacks, and large-scale data theft, these breaches are becoming more sophisticated and are not simply disruptions.
The cybercriminal business is rapidly moving from traditional encryption-based extortion to aggressive methods of "double extortion" that involve stealing and then encrypting data, or in some cases abandoning encryption altogether in order to concentrate exclusively on exfiltrating data. This evolution can be seen in groups like Hunters International, recently rebranded as World Leaks, that are exploiting a declining ransom payment system and thriving underground market for stolen data to exploit its gains.
A breach in the Healthcare Delivery Organisations' system risks exposing vast amounts of personal and medical information, which underscores why the sector remains a target for hackers today, as it is one of the most attractive sectors for attackers, and is also continually targeted by them. Modat, a cybersecurity firm that uncovered 1.2 million internet-connected medical systems that are misconfigured and exposed online in August 2025, is a separate revelation that emphasises the sector's vulnerabilities.
Several critical devices in the system were available, including imaging scanners, X-ray machines, DICOM viewers, laboratory testing platforms, and hospital management systems, all of which could be accessed by an attacker. Experts warned that the exposure posed a direct threat to patient safety, in addition to posing a direct threat to privacy.
In Modat's investigation, sensitive data categories, including highly detailed medical imaging, such as brain scans, lung MRIs, and dental X-rays, were uncovered, along with clinical documentation, complete medical histories and complete medical records. Personal information, including names, addresses and contact details, as well as blood test results, biometrics, and treatment records, all of which can be used to identify the individual.
A significant amount of information was exposed in an era of intensifying cyber threats, which highlights the profound consequences of poorly configured healthcare infrastructure. There has been an increasing number of breaches that illustrate the magnitude of the problem. BlackCat/ALPHV ransomware group has claimed responsibility for a devastating attack on Change Healthcare, where Optum, the parent company of UnitedHealth Group, has reportedly paid $22 million in ransom in exchange for the promise of deleting stolen data.
There was a twist in the crime ecosystem when BlackCat abruptly shut down, retaining none of the payments, but sending the data to an affiliate of the RansomHub ransomware group, which demanded a second ransom for the data in an attempt to secure payment. No second payment was received, and the breach grew in magnitude as each disclosure was made.
Initially logged with the U.S. Health and Human Services (HHS) officials had initially estimated that the infection affected 500 people, but by July 2025, it had reached 100 million, then 190 million, and finally 192.7 million individuals.
These staggering figures highlight why healthcare remains a prime target for ransomware operators: if critical hospital systems fail to function correctly, downtime threatens not only revenue and reputations, but the lives of patients as well. Several other vulnerabilities compound the risk, including ransomware, since medical IoT devices are already vulnerable to compromise, which poses a threat to life-sustaining systems like heart monitors and infusion pumps.
Telehealth platforms, on the other hand, extend the attack surface by routing sensitive consultations over the internet, thereby increasing the scope of potential attacks. In India, these global pressures are matched by local challenges, including outdated legacy systems, a lack of cybersecurity expertise, and a still-developing regulatory framework.
Healthcare providers rely on a patchwork of frameworks in order to protect themselves from cybersecurity threats since there is no unified national healthcare cybersecurity law, including the Information Technology Act, SPDI Rules, and the Digital Personal Data Protection Act, which has not been enforced yet.
In their view, this lack of cohesion leaves organisations ill-equipped for future threats, particularly smaller companies with limited budgets and under-resourced security departments.
In order to address these gaps, there is a partnership between the Data Security Council of India and the Healthcare Information and Management Systems Society (HIMSS) that aims to conduct a national cybersecurity assessment. As a result of the number of potentially exposed pieces of information that were uncovered as a result of the Serviceaide breach, it was particularly troubling.
Depending on the individual, the data could include information such as their name, Social Security number, birth date, medical records, insurance details, prescription and treatment information, clinical notes, provider identifications, email usernames, and passwords. This information would vary by individual. As a response, Serviceaide announced that it had strengthened its security controls and was offering 12 months of complimentary credit and identity monitoring to affected individuals.
There was an incident at Catholic Health that resulted in the disclosure that limited patient data was exposed by one of its vendors. According to the organisation's website, a formal notification letter is now being sent to potentially affected patients, and a link to the Serviceaide notice can be found on the website. No response has been received from either organisation regarding further information.
While regulatory authorities and courts have shown little leniency in similar cases, in 2019, Puerto Rico-based Inmediata Health Group was fined $250,000 by the HHS' Office for Civil Rights (OCR) and later settled a lawsuit for more than $2.5 million with the state attorneys general and class actions plaintiffs after a misconfiguration resulted in 1.6 million patient records being exposed.
As recently as last week, OCR penalised Vision Upright MRI, a small California imaging provider, for leaving medical images, including X-rays, CT scans, and MRIs, available online through an unsecured PACS server.
A $5,000 fine and an action plan were awarded in this case, making the agency's 14th HIPAA enforcement action in 2025. The cumulative effect of these precedents illustrates that failing to secure patient information can lead to significant financial, regulatory, and reputational consequences for healthcare organisations.
It has become increasingly evident that the regulatory consequences of failing to safeguard patient data are increasing as time goes on.
Specifically, under the Health Insurance Portability and Accountability Act (HIPAA), fines can rise to millions of dollars for prolonged violations of the law, and systemic non-compliance with the law can result. For healthcare organisations, adhering to the regulations is both a financial and ethical imperative.
Data from the U.S. As shown by the Department of Health and Human Services' Office for Civil Rights (OCR), enforcement activity has been steadily increasing over the past decade, with the year 2022 marking a record number of penalties imposed. OCR's Right of Access Initiative, launched in 2019, aims to curb providers who fail to provide patients with timely access to their medical records in a timely manner.
It has contributed a great deal to the increase in penalties.
There were 46 penalties issued for such violations between September 2019 and December 2023 as a result of enforcement activity. Enforcement activity continued high in 2024, as OCR closed 22 investigations with fines, even though only 16 of those were formally announced during that year. The momentum continues into 2025, bolstered by an increased enforcement focus on the HIPAA Security Rule's risk analysis provision, traditionally the most common cause of noncompliance.
Almost ten investigations have already been closed by OCR with financial penalties due to risk analysis failures as of May 31, 2025, indicating the agency's sharpened effort to reduce the backlog of data breach cases while holding covered entities accountable for their failures. It is a stark reminder that the healthcare sector stands at a crossroads between technology, patient care, and national security right now as a result of the increasing wave of cyberattacks that have been perpetrated against healthcare organisations.
Hospitals and medical networks are increasingly becoming increasingly dependent on the use of digital technologies, which means every exposed database, misconfigured system, or compromised vendor creates a greater opportunity for adversaries with ever greater resources, organisation, and determination to attack them. In the absence of decisive investments in cybersecurity infrastructure, workforce training, and stronger regulatory frameworks, experts warn that breaches will not only persist but will intensify in the future.
A growing digitisation of healthcare in India makes the stakes even higher: the ability to preserve patient trust, ensure continuity of care, and safeguard sensitive health data is what will determine if digital innovation becomes a valuable asset or a liability, particularly in this country.
In the big picture, it is also obvious that cybersecurity is no longer a technical afterthought but has evolved into a pillar of healthcare resilience, where failure has a cost that goes far beyond fines and penalties, and concerns involving patient safety as well as the lives of people involved.
