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In Cybersecurity– A Good Offense is the Best Defense

Client Alert

2021 has been a watershed moment for cybersecurity incidents, as cybercrime has become a frequent headline, and cyber criminals have thrived on unsuspecting and/or unprepared businesses and institutions. For example, the Solar Winds attack exposed sensitive data from top companies like Microsoft as well government agencies[1], and the Colonial Pipeline attack substantially disrupted the petroleum supply chain[2]. We have seen an almost 20% increase in data breaches and attacks since last year.

Changing Laws and Expectations:

In response to these threats, President Biden issued an executive order in May 2021 to overhaul the federal regulations governing cybersecurity policies that are applicable to government agencies and federal contractors. This is only a first step; it is likely that states will implement similar policies.

In the private sector, larger companies such as financial firms and healthcare organizations have already implemented mechanisms to protect sensitive business, customer, and patient data, given compliance regulations and requirements. While large companies may be ahead of the curve, many are still unprepared given the sophisticated and ever-changing cyber security landscape.

For small and medium sized businesses (SMBs), the challenges are even greater. The U.S. National Cyber Security Alliance found that 60% of small businesses went out of business within six months of a data breach or cyber security attack. Moreover, many SMBs contract with the government and/or larger corporations, which are increasingly shifting the risks of data breaches and cyber security attacks onto smaller entities through indemnity provisions in their contracts. Therefore, SMBs often face significant first-party and third-party risks.

SMBs often believe they are not targets because of their size. A 2019 Cyberthreat Study found that 60% of senior SMB decision makers believed that they were unlikely to be attacked[3]. On the contrary, SMBs are easy marks for cybercriminals because their systems are data-rich and vulnerable. While 62% of cyberattacks hit SMBs in 2020, only 43% had any type of cybersecurity defense plans. It’s likely that these numbers only grew worse in the last few years given the number of employees working remotely.

Protect yourself and remain compliant:

So, the question is what can SMBs do to protect themselves? To begin with, SMBs should implement proactive solutions to prevent attacks and safeguard data such as:

  • initiating employee cybersecurity training;
  • preparing or updating policies and procedures governing information security practices;
  • instituting managed and monitored patching; and
  • implementing multi-factor authentication (MFA).

These are basic steps that can help minimize these risks. Additionally, SMBs should consider sitting down with legal counsel and their insurance broker to evaluate first-party and any third-party risks in the event of a data breach or cyberattack.

Get covered:

One of the most effective ways to mitigate your risk to a cyberattack is to obtain cyber insurance coverage. Cyber insurance is not one-size fits all. Cyber coverage needs to be tailored to your business and to the risks in your business. Otherwise, a cyber policy may provide little to no coverage for first-party or third-party harm in the event of a breach.

For SMBs with existing cyber coverage, you should expect to see premium increases of between 60-100% of your current premiums given the rising incidents. For SMBs that have no implemented MFA, monitored patching, or compliance and training programs, your premiums could go up even higher. Many underwriters may reduce coverage or even cancel existing coverages if technical and compliance policies, like those noted above, have not been implemented.

For SMBs without cyber coverage, you should consider discussing coverage with your broker before your upcoming renewal. Insurance companies are implementing stringent underwriting requirements for cyber coverage, which will require the implementation of technical and compliance policies.

As we move into 2022, SMBs should examine their existing systems, policies, and insurance coverages to ensure that they are protected if and when a cyberattack or data breach occurs.

If you have any questions about whether your cybersecurity risks, and whether your business is protected, please contact BMD’s Cybersecurity Practice Leaders, Kyle Johnson at kajohnson@bmdllc.com or Brandon Pauley at btpauley@bmdllc.com.

[1] https://www.businessinsider.com/solarwinds-hack-explained-government-agencies-cyber-security-2020-12

[2] https://www.bloomberg.com/news/articles/2021-06-04/hackers-breached-colonial-pipeline-using-compromised-password

[3] https://www.keepersecurity.com/assets/pdf/2019-CybersecuritySMB-Infographic-branded.pdf


“I’m Out Of Here!” Now What?

We all know that the healthcare industry is experiencing a wave of integration. This trend has been evident for many years. Fewer physicians are willing to assume the legal, financial and other business risks associated with owning their own practices. More and more physicians, including anesthesiologists, are becoming employed by large physician groups, health systems and national providers. This shift necessarily involves not only entry into new employment arrangements but also the termination of existing relationships. And those terminations are often governed by written employment agreements, state and federal healthcare laws and employer benefit plans and other policies and procedures. Before pursuing their next opportunity, physicians should pause for a moment and first attend to the arrangement that they are leaving. Departing physicians need to understand their legal rights and obligations when leaving their current employment relationships in order to avoid unintended consequences and detrimental missteps along the way. Here are a few words of practical advice for physicians contemplating an exit from their current employment arrangements.

Investment Training for the Second and Third Generations

Consider this scenario. Mom and Dad started the business from the ground up. Over the decades it has expanded into a money-making machine. They are able to sell the business and it results in a multimillion-dollar payday for their labors. The excess money has allowed Mom and Dad to invest with various financial advising firms, several fund management groups, and directly with new startups and joint ventures. Their experience has made them savvy investors, with a detailed understanding of how much to invest, when, and where. They cannot justify formation of a full family office with dedicated investors to manage the funds, but Mom and Dad have set up a trust fund for the children to allow these investments to continue to grow over the years. Eventually, Mom and Dad pass. Their children enjoy the fruits of their labors, and, by the time the grandchildren are adults, Mom and Dad's savvy investments are gone.

Provider Relief Funds – Continued Confusion Regarding Reporting Requirements and Lost Revenues

In Fall 2020, HHS issued multiple rounds of guidance and FAQs regarding the reporting requirements for the Provider Relief Funds, the most recently published notice being November 2, 2020 and December 11, 2020. Specifically, the reporting portal for the use of the funds in 2020 was scheduled to open on January 15, 2021. Although there was much speculation as to whether this would occur. And, as of the date of this article, the portal was not opened.

Ohio S.B. 310 Loosens Practice Barrier for Advanced Practice Providers

S.B. 310, signed by Ohio Governor DeWine and effective from December 29, 2020 until May 1, 2021, provides flexibility regarding the regulatorily mandated supervision and collaboration agreements for physician assistants, certified nurse-midwives, clinical nurse specialists and certified nurse practitioners working in a hospital or other health care facility. Originally drafted as a bill to distribute federal COVID funding to local subdivisions, the healthcare related provisions were added to help relieve some of the stresses hospitals and other healthcare facilities are facing during the COVID-19 pandemic.

HHS Issues Opinion Regarding Illegal Attempts by Drug Manufacturers to Deny 340B Discounts under Contract Pharmacy Arrangements

The federal 340B discount drug program is a safety net for many federally qualified health centers, disproportionate share hospitals, and other covered entities. This program allows these providers to obtain discount pricing on drugs which in turn allows the providers to better serve their patient populations and provide their patients with access to vital health care services. Over the years, the 340B program has undergone intense scrutiny, particularly by drug manufacturers who are required by federal law to provide the discounted pricing.