CISA & FBI ADVISORY

AA24-060A: ALPHV BlackCat Ransomware Deployment Targeting Healthcare Organizations

Published: 2024-02-29 • Issuing Agency: CISA & FBI • Official CISA Release ↗

Key Facts

  • Official advisory designation: AA24-060A.
  • Published on 2024-02-29 by CISA & FBI.
  • Directly correlated with 2 primary case dossier(s) in this library.
  • Provides joint government TTPs, MITRE ATT&CK indicators, and prioritized enterprise mitigations.

Referenced Common Vulnerabilities and Exposures (CVEs)

Related Primary Court Cases & Incident Forensics

Devastating ransomware attack and data extortion of Change Healthcare (UnitedHealth Group) that paralyzed medical billing, prescription processing, and healthcare provider reimbursement nationwide.

Infiltration Vector: Stolen credentials used to enter an unsegmented Citrix remote access portal lacking multifactor authentication, combined with exploitation of ScreenConnect (CVE-2024-1709) for persistence.
6 techniques mapped · Loss: $2.5 billion View full case dossier →

Material cybersecurity breach of Fortune 100 life insurer Prudential Financial, wherein ALPHV/BlackCat threat actors breached corporate administrative workstations and accessed cloud tenant data, filed under the four-day SEC Form 8-K Item 1.05 reporting mandate.

Infiltration Vector: Compromised administrative credentials utilized to breach administrative workstations and cloud management infrastructure at Prudential Financial.
2 techniques mapped · Loss: $35.0 million View full case dossier →

ATT&CK Techniques Cited in Advisory Matters

T1078: Valid Accounts

"The threat actor gained entry to a Change Healthcare Citrix portal using compromised credentials for an account that lacked multifactor authentication."

T1486: Data Encrypted for Impact

"ALPHV BlackCat ransomware was executed across corporate data centers, encrypting critical clearinghouse databases and disabling pharmacy claim gateways."

T1567: Exfiltration Over Web Service

"Attackers exfiltrated 6 terabytes of protected health information and sensitive patient records before demanding a 350 Bitcoin ransom."

T1041: Exfiltration Over C2 Channel

"Stolen medical claims and personally identifiable information were uploaded to adversary-controlled cloud servers prior to payload delivery."

T1133: External Remote Services

"Initial entry occurred via an external remote Citrix access gateway lacking multifactor authentication controls."

T1087: Account Discovery

"ALPHV BlackCat actors queried active directory LDAP services to identify enterprise domain administrator accounts."