HealthFitness

Today, the U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR) announced a settlement with Health Fitness Corporation, located in Illinois, that provides wellness plans to clients across the country, resolving a potential violation under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule. OCR enforces the HIPAA Privacy, Security, and Breach Notification Rules, which set forth the requirements that covered entities (health plans, health care clearinghouses, and most health care providers), and business associates must follow to protect the privacy and security of protected health information (PHI). The HIPAA Security Rule establishes national standards to protect and secure our health care system by requiring administrative, physical, and technical safeguards to ensure the confidentiality, integrity, availability, and security of electronic PHI (ePHI). The “Risk Analysis provision” requires a regulated organization to conduct an accurate and thorough assessment of the potential risks and vulnerabilities to the confidentiality, integrity, and availability of ePHI held by that organization. The settlement marks the fifth enforcement action in OCR’s Risk Analysis Initiative. This enforcement initiative was created to focus select investigations on compliance with the HIPAA Security Rule Risk Analysis provision, a key Security Rule requirement, and the foundation for effective cybersecurity and the protection of ePHI and to highlight the critical need for organizations to prioritize compliance with this foundational HIPAA Security Rule requirement. The settlement resolves OCR’s investigation of Health Fitness, which OCR initiated after receiving four reports from Health Fitness, over a three-month period of breaches of unsecured protected health information. Health Fitness filed the breach reports on behalf of multiple covered entities as their business associate. Health Fitness reported that beginning approximately in August 2015, ePHI became discoverable on the internet and was exposed to automated search devices (web crawlers) resulting from a software misconfiguration on the server housing the ePHI. Health Fitness discovered the breach on June 27, 2018. Health Fitness initially reported that approximately 4,304 individuals were affected and later estimated that the number of individuals affected may be lower. OCR’s investigation determined that Health Fitness had failed to conduct an accurate and thorough risk analysis, until January 19, 2024, to determine the potential risks and vulnerabilities to the ePHI held by Health Fitness. Under the terms of the resolution agreement, Health Fitness agreed to implement a corrective action plan that OCR will monitor for two years and paid $227,816 to OCR. Under the corrective action plan, Health Fitness committed to take the following steps: • Annually reviewing and updating as necessary its risk analysis to determine the potential risks and vulnerabilities to the confidentiality, integrity, and availability of its ePHI; • Developing and implementing a risk management plan to address and mitigate security risks and vulnerabilities identified in its risk analysis; • Implementing a process for evaluating environmental and operational changes that affect the security of ePHI; and • Developing, maintaining, and revising, as necessary, certain written policies and procedures to comply with the HIPAA Privacy, Security, and Breach Notification Rules. Resolution agreement/corrective action plan:https://www.hhs.gov/sites/default/files/health-fitness-ra-cap.pdf.