In the United States, sensitive health information is protected under the Health Insurance Portability and Accountability Act (HIPAA). This act limits the disclosure of Protected Health Information (PHI) without the patient’s consent or knowledge. However, as medical care becomes web-integrated, many providers have chosen to use third-party web trackers for measurement and marketing purposes. This presents a security concern: third-party JavaScript requested by an online healthcare system can read the website’s contents, and ensuring PHI is not unintentionally or maliciously leaked becomes difficult. In this paper, we investigate health information breaches in online medical records, focusing on 459 online patient portals and 4 telehealth websites.
We find 14% of patient portals include Google Analytics, which reveals (at a minimum) the fact that the user visited the health provider website, while 5 portals and 4 telehealth websites con- tained JavaScript-based services disclosing PHI, including medications and lab results, to third parties. The most significant PHI breaches were on behalf of Google and Facebook trackers. In the latter case, an estimated 4.5 million site visitors per month were potentially exposed to leaks of personal information (names, phone numbers) and medical information (test results, medications). We notified healthcare providers of the PHI breaches and found only 15.7% took action to correct leaks. Healthcare operators lacked the technical expertise to identify PHI breaches caused by third-party trackers. After notifying Epic, a healthcare portal vendor, of the PHI leaks, we received a prompt response and observed extensive mitigation across providers, suggesting vendor notification is an effective intervention against PHI disclosures.
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When the cookie meets the blockchain: Privacy risks of web payments via cryptocurrencies
Abstract We show how third-party web trackers can deanonymize users of cryptocurrencies. We present two distinct but complementary attacks. On most shopping websites, third party trackers receive information about user purchases for purposes of advertising and analytics. We show that, if the user pays using a cryptocurrency, trackers typically possess enough information about the purchase to uniquely identify the transaction on the blockchain, link it to the user’s cookie, and further to the user’s real identity. Our second attack shows that if the tracker is able to link two purchases of the same user to the blockchain in this manner, it can identify the user’s cluster of addresses and transactions on the blockchain, even if the user employs blockchain anonymity techniques such as CoinJoin. The attacks are passive and hence can be retroactively applied to past purchases. We discuss several mitigations, but none are perfect.
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- Award ID(s):
- 1651938
- NSF-PAR ID:
- 10085438
- Date Published:
- Journal Name:
- Proceedings on Privacy Enhancing Technologies
- Volume:
- 2018
- Issue:
- 4
- ISSN:
- 2299-0984
- Page Range / eLocation ID:
- 179 to 199
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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- Free Publicly Accessible Full Text
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Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.1515/popets-2018-0038
