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February 2, 2026American Economic Journal Economic Policy2 citations

Hacked to Pieces? The Effects of Ransomware Attacks on Hospitals and Patients

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HNHannah NeprashCMClaire McGlaveSNSayeh Nikpay

Key Points

  • This research aims to explore how ransomware attacks affect hospital operations and patient outcomes, especially in terms of mortality rates.
  • Linked a database of hospital ransomware attacks with Medicare claims data.
  • Quantified changes in hospital volume and patient outcomes during and after ransomware attacks.
  • Analyzed in-hospital mortality rates for patients admitted during the attacks.
  • Hospital volume decreases by 17–24 percent during the week of the attack.
  • Recovery of hospital volume occurs within three weeks post-attack.
  • In-hospital mortality increases by 34–38 percent for patients admitted when an attack begins.

Abstract

As cybercriminals increasingly target health care, hospitals face the growing threat of ransomware attacks. Ransomware is a type of malicious software that prevents users from accessing electronic systems and demands a ransom to restore access. We create and link a database of hospital ransomware attacks to Medicare claims data. We quantify the effects of ransomware attacks on hospital operations and patient outcomes. Ransomware attacks decrease hospital volume by 17–24 percent during the initial attack week, with recovery occurring within 3 weeks. Among patients already admitted to the hospital when a ransomware attack begins, in-hospital mortality increases by 34–38 percent. (JEL D83, I12, I13, K42)

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Cite This Study

Neprash et al. (2026) studied this question.

synapsesocial.com/papers/6980fd60c1c9540dea80f1e2https://doi.org/10.1257/pol.20240594
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