The Change Healthcare Breach | Healthcare Hijacked episode artwork

EPISODE · Apr 27, 2026 · 47 MIN

The Change Healthcare Breach | Healthcare Hijacked

from The CISO Signal: True Cybercrime Podcast · host Jeremy Ladner

The Change Healthcare Breach | Healthcare Hijacked🎙 With guest co-hosts Thomas Schwab and Scott Kisser For most people, healthcare feels immediate.A doctor.A prescription.A moment of care.What they don’t see…is everything that has to happen before any of that is allowed to move.Claims must be approved.Payments must clear.Authorizations must pass through systems no patient has ever heard of.At the center of that system sat Change Healthcare.When it worked, no one noticed.In February 2024, it stopped.No zero-day.No advanced exploit.Just stolen credentials…and a remote access portal without multi-factor authentication.Attackers linked to ALPHV/BlackCat logged in.And from there, everything followed.They moved laterally.Exfiltrated sensitive data.And deployed ransomware inside one of the most critical financial pipelines in American healthcare. Pharmacies could not process prescriptions.Providers could not submit claims.Payments froze.Care was not denied.But it was delayed.And delay, in healthcare, carries weight.What followed was not just a breach.It was a system-wide disruption that exposed a hard truth:Modern healthcare does not just depend on technology.It depends on a small number of systems working exactly as expected. In this episode of The CISO Signal | True Cybercrime Podcast, host Jeremy Ladner is joined by Thomas Schwab of 1st Cyber Operations Group and Scott Kisser to examine how dependency becomes a weapon, why identity failures now carry systemic risk, and what leaders are forced to decide when every option comes with consequence. Because in cybersecurity, the most dangerous attacks don’t break systems. They use them exactly as designed.🎙 Guest CISO Co-HostScott Kisser:Chief Information Security Office @ SmithRxhttps://www.smithrx.com 🤝 Sponsor ExpertThomas Schwab:Managing Director, 1st Cyber Operations Grouphttps://www.1stCyberOpsGroup.com 1st Cyber Operations Group helps organizations strengthen cyber resilience and incident response readiness, ensuring leaders can make confident decisions under pressure and recover quickly when disruption occurs. 🔎 Episode Topics• How a lack of MFA enabled one of the largest healthcare breaches in history• Why attackers target dependency and not endpoints• Identity as the true perimeter in modern enterprise environments• The operational consequences of ransomware in critical infrastructure• How leaders make decisions when every option carries risk 🧩 About The CISO SignalTrue cybercrime storytelling with real CISO lessons. ▶️ https://www.youtube.com/@TheCISOSignal💼 https://www.linkedin.com/company/the-ciso-signal🌐 https://www.thecisosignal.com👥 Join the Conversation The CISO Signal Cybersecurity Leadership Forumhttps://www.linkedin.com/groups/17974008 #CISOSignal #ChangeHealthcare #CyberSecurity#Ransomware #HealthcareSecurity #CyberResilience#CISO #TrueCybercrime

The Change Healthcare Breach | Healthcare Hijacked🎙 With guest co-hosts Thomas Schwab and Scott Kisser For most people, healthcare feels immediate.A doctor.A prescription.A moment of care.What they don’t see…is everything that has to happen before any of that is allowed to move.Claims must be approved.Payments must clear.Authorizations must pass through systems no patient has ever heard of.At the center of that system sat Change Healthcare.When it worked, no one noticed.In February 2024, it stopped.No zero-day.No advanced exploit.Just stolen credentials…and a remote access portal without multi-factor authentication.Attackers linked to ALPHV/BlackCat logged in.And from there, everything followed.They moved laterally.Exfiltrated sensitive data.And deployed ransomware inside one of the most critical financial pipelines in American healthcare. Pharmacies could not process prescriptions.Providers could not submit claims.Payments froze.Care was not denied.But it was delayed.And delay, in healthcare, carries weight.What followed was not just a breach.It was a system-wide disruption that exposed a hard truth:Modern healthcare does not just depend on technology.It depends on a small number of systems working exactly as expected. In this episode of The CISO Signal | True Cybercrime Podcast, host Jeremy Ladner is joined by Thomas Schwab of 1st Cyber Operations Group and Scott Kisser to examine how dependency becomes a weapon, why identity failures now carry systemic risk, and what leaders are forced to decide when every option comes with consequence. Because in cybersecurity, the most dangerous attacks don’t break systems. They use them exactly as designed.🎙 Guest CISO Co-HostScott Kisser:Chief Information Security Office @ SmithRxhttps://www.smithrx.com 🤝 Sponsor ExpertThomas Schwab:Managing Director, 1st Cyber Operations Grouphttps://www.1stCyberOpsGroup.com 1st Cyber Operations Group helps organizations strengthen cyber resilience and incident response readiness, ensuring leaders can make confident decisions under pressure and recover quickly when disruption occurs. 🔎 Episode Topics• How a lack of MFA enabled one of the largest healthcare breaches in history• Why attackers target dependency and not endpoints• Identity as the true perimeter in modern enterprise environments• The operational consequences of ransomware in critical infrastructure• How leaders make decisions when every option carries risk 🧩 About The CISO SignalTrue cybercrime storytelling with real CISO lessons. ▶️ https://www.youtube.com/@TheCISOSignal💼 https://www.linkedin.com/company/the-ciso-signal🌐 https://www.thecisosignal.com👥 Join the Conversation The CISO Signal Cybersecurity Leadership Forumhttps://www.linkedin.com/groups/17974008 #CISOSignal #ChangeHealthcare #CyberSecurity#Ransomware #HealthcareSecurity #CyberResilience#CISO #TrueCybercrime

NOW PLAYING

The Change Healthcare Breach | Healthcare Hijacked

0:00 47:25

No transcript for this episode yet

We transcribe on demand. Request one and we'll notify you when it's ready — usually under 10 minutes.

Frequently Asked Questions

How long is this episode of The CISO Signal: True Cybercrime Podcast?

This episode is 47 minutes long.

When was this The CISO Signal: True Cybercrime Podcast episode published?

This episode was published on April 27, 2026.

What is this episode about?

The Change Healthcare Breach | Healthcare Hijacked🎙 With guest co-hosts Thomas Schwab and Scott Kisser For most people, healthcare feels immediate.A doctor.A prescription.A moment of care.What they don’t see…is everything that has to happen before...

Is there a transcript available for this episode?

Yes, a full transcript is available for this episode. You can read the complete transcript on the episode page.

Can I download this The CISO Signal: True Cybercrime Podcast episode?

Yes, you can download this episode by clicking the download button on the episode player, or subscribe to the podcast in your preferred podcast app for automatic downloads.
URL copied to clipboard!