Becker's Hospital Review

20 CIO / HEALTH IT What 3 health systems are charging for MyChart messages By Naomi Diaz A growing number of health systems are starting to charge patients for asking for their physicians' advice through online patient portals, such as MyChart. Here are some hospitals and health systems partaking in the trend: 1. Seattle-based UW Medicine said it plans to start charging for MyChart messages on June 27. Patients will be charged for new issues (medications, symptoms, chronic disease changes, referrals) or requests to fill out medical forms. Messages, which will be billed in 10-minute increments, will range in cost from $7 to $28 with Medicaid, $14 to $52 with Medicare and $27 to $98 for people with no insurance. 2. Winston-Salem, N.C.-based Novant Health began charging for patient portal messages aer receiving an influx of them in recent years. e health system said it has billed for less than 1 percent of its MyChart messages since the change went into effect in July, for an average charge of $10. e fees apply only to a new healthcare complaint or a problem that has not been discussed recently. 3. Cleveland Clinic began billing patients for electronic messages through Epic's MyChart patient portal in November, but has said less than 1 percent of the 110,000 weekly emails its providers received have been billed. According to Cleveland Clinic, Medicaid patients are not charged and Medicare beneficiaries without a supplemental health plan would owe between $3 and $8. e system's maximum charge, affecting those with high deductibles on private insurance plans or without coverage, would be $33 to $50 for each exchange. n 10 most hacked passwords By Laura Dyrda Fifty percent of the most common passwords in the U.S. are also among the most hacked passwords, according to SafetyDetectives.com. The cybersecurity firm analyzed more than 18 million passwords worldwide for its report on the most used and hacked passwords. The firm tapped multiple resources including password cracking program John The Ripper and Github, to develop its report. Here are the top 10 most hacked passwords: 1. 123456 2. password 3. 12345678 4. 1234567 5. qwerty 6. 654321 7. 111111 8. 123123 9. 1234567890 10. iloveyou n 'It's the principle of the matter': Why a Tennessee medical center said it didn't pay hackers By Giles Bruce A "sophisticated criminal cyberattack" may have breached the data of 559,000 patients at Murfreesboro (Tenn.) Medical Clinic & SurgiCenter, the healthcare provider said. The April hack caused the medical center to shut down for about a week and completely rebuild its IT systems. Murfreesboro Medical said in a June notice that a "well- known cyber extortion operation" had infiltrated its network April 22. "We did not pay a ransom," Joey Peay, CEO of the physician-owned, for-profit center, told the Murfreesboro Daily News Journal in June. "We're not going to. We refused to engage with them. Law enforcement and [legal] counsel advised us not to. It's the principle of the matter." Ransomware group BianLian claimed responsibility for the hack, posting that it had 250 gigabytes of the medical center's data before removing the post, DataBreaches.net reported July 3. Murfreesboro Medical notified HHS that 559,000 individuals were affected by the breach, according to a July posting on the government website. The data may have included names, dates of birth, Social Security numbers, dependent information, medical tests and diagnoses. The medical center said its operations have been fully restored and that it has no evidence that any data was stolen. n

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