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Economic impact of healthcare cyber risks

datacite.subject.sdg10:Reduzir as Desigualdades
datacite.subject.sdg16:Paz, Justiça e Instituições Eficazes
dc.contributor.authorBrilhante, M. Fátima
dc.contributor.authorMendonça, Sandra
dc.contributor.authorPestana, Pedro
dc.contributor.authorRocha, M. Luísa
dc.contributor.authorSantos, Rui
dc.date.accessioned2025-05-06T16:34:10Z
dc.date.available2025-05-06T16:34:10Z
dc.date.issued2025-05-01
dc.description.abstractPurpose: The healthcare sector is a primary target for cybercriminals, with health data breaches ranking among the most critical threats. Despite stringent penalties imposed by the U.S. Department of Health and Human Services Office for Civil Rights (OCR), vulnerabilities still persist due to slow detection and ineffective data protection measures. On the other hand, as organizations are often reluctant to disclose security breaches for fear of reputational and market share losses, penalties can serve as a useful proxy for quantifying losses and insurance claims. Methods: This study analyzes fines and settlements (2008–2024) using the traditional lognormal, general extreme value (GEV) and other heavy-tailed statistical models, including the geo-max-stable loglogistic law, and also the mixture models hyperexponential and hyperloglogistic. Results: Mixture models, either the hyperexponential or the hyperloglogistic, deliver the best fit for OCR penalties, and for yearly maxima, the best fit is achieved with the GEV distribution. Regarding Attorneys General fines, the hyperexponential model is optimal, with the GEV model excelling again for their yearly maxima. Hence, mixture models effectively capture the dual nature of penalty data, comprising clusters of moderate and extreme values. However, yearly maxima align better with the GEV model. Conclusions: The findings suggest that while Panjer’s theory for aggregate claims suffices for moderate claims, it must be supplemented with strategies to address extreme cybercrime scenarios, ensuring insurers and reinsurers can manage severe losses effectively.eng
dc.identifier.doi10.1007/s12553-025-00964-w
dc.identifier.eid105002170825
dc.identifier.issn2190-7188
dc.identifier.urihttp://hdl.handle.net/10400.14/53150
dc.language.isoeng
dc.peerreviewedyes
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCyber risk
dc.subjectExtreme value theory
dc.subjectHealthcare breaches
dc.subjectInsurance
dc.subjectVulnerabilities
dc.titleEconomic impact of healthcare cyber riskseng
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.endPage650
oaire.citation.issue3
oaire.citation.startPage635
oaire.citation.titleHealth and Technology
oaire.citation.volume15
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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