The past year has seen a steady increase in the number of reported email account compromises, with the healthcare industry one of the main targets for hackers.

Some of those breaches have seen the protected health information of thousands of patients compromised, with the largest phishing attack in 2018 – The phishing attack on Boys Town National Research Hospital – seeing more than 105,000 patients’ healthcare information exposed. Due to reporting requirements under HIPAA, healthcare phishing attacks are highly visible, although email account compromises are occurring across all industry sectors and the problem is getting worse.

284% Increase in Email Account Compromises in a Year

The increase in successful phishing attacks has been tracked by Beazley, a provider of specialist insurance services. The company’s research shows the number of reported phishing attacks increased every quarter since Q1, 2017 when there were 45 reported breaches that involved email accounts being compromised. In Q2, 2018, there were 184 email account compromises reported. Between Q1, 2017 and Q1, 2018, the number of reported data breaches involving compromised email accounts increased by 284%.

Why are email account compromises increasing? What do hackers gain from accessing email accounts rather than say, gaining access to networks which store vast amounts of data?

It can take a significant amount of time and effort to identify a vulnerability such a missed patch, an exposed S3 bucket, or an unsecured medical device, and exploit it.

By comparison, gaining access to an email account is relatively easy. Once access is gained, accessing further email accounts becomes easier still. If a hacker can gain access to an email account with the right level of administrative privileges, it may be possible for the entire mail system of an organization to be accessed.

If a hacker can gain access to a single email account, the messages in the account can be studied to gain valuable information about a company, its employees, and vendors. The hackers can identify further targets within an organization for spear phishing campaigns – termed Business Email Compromise (BEC) attacks – and attacks on contractors and suppliers.

Once One Account is Breached, Others Will Follow

If an executive’s email account is compromised, it can be used to send requests for wire transfers to the accounts department, HR can be emailed requesting W2-Forms that contain all the information necessary for filing fake tax returns and for identity theft. Requests can be sent via email to redirect employees’ paychecks and phishing emails can be sent to other employees directing them to websites where they have to divulge their email credentials.

Figures from the FBI show just how lucrative these Business Email Compromise (BEC) phishing attacks can be. Since October 2013, more than $12.5 billion has been lost to BEC attacks, up from $5.3 billion in December 2016.

Once access to the email system is gained, it is much easier to craft highly convincing spear phishing emails. Past email conversations can be studied, and an individual’s style of writing emails can be copied to avoid raising any red flags.

Email Account Compromises Are Costly to Resolve

Beazley also notes that email account compromises are some of the costliest breaches to resolve, requiring many hours of painstaking work to manually checking each email in a compromised account for PII and PHI. One example provided involved a programmatic search of compromised email accounts to identify PHI, yet that search uncovered 350,000 documents that required a manual check. The cost of checking those documents alone was $800,000.

Beazley also notes that when investigating breaches, the breached entity often discovers that only half of the compromised email accounts have been identified. The data breaches are usually much more extensive than was initially thought.

Unfortunately, once access to a single email account is gained, it is much harder to prevent further email compromises as technological controls are not so effective at identifying emails sent from within a company. However, it is relatively easy to block the initial phishing attempt.

How to Prevent Email Account Compromises

Many companies fail to implement basic controls to block phishing attacks. Even when a phishing-related breach is experienced, companies often remain susceptible to further breaches. The Ponemon Institute/IBM Security Cost of a Data Breach study showed there is a 27.9% probability of a company experiencing a further breach in the 24 months following a data breach.

To prevent phishing attacks, companies need to:

  • Deploy an advanced spam filtering solution that blocks the vast majority of malicious messages
  • Provide ongoing security awareness training to all staff and teach employees how to identify phishing emails
  • Conduct regular phishing simulation exercises to reinforce training and condition employees to be more security aware
  • Implement two-factor authentication to prevent attempts to access email accounts remotely
  • Implement a web filter as an additional control to block the accessing of phishing websites
  • Use strong, unique passwords or passphrases to make brute force and dictionary attacks harder
  • Limit or prevent third party applications from connecting to Office 365 accounts, which makes it harder for PowerShell to be used to access email accounts for reconnaissance.