Healthcare Information Sharing Is Broken

An illustrative case study of how a Tier-1 Research Medical Center achieved Zero Trust application networks with HL7 FHIR APIs and defeated AI-driven attacks using Hopr's Lane7 Blueprints

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Lane7 is a catalog of pre-configured "blueprints" which quickly and simply deoloy Zero Trust Application Networks that are protected by Cloud Native AMTD. The preemptive defense rigorously protects clinical API endpoints within and across cloud environments and organizations, providing end-to-end highly secure PHI data sharing among HL7 FHIR APIs

CASE STUDY:
AI Attacks Exploiting Clinical APIs

In 2025, healthcare enterprises faced a devastating wave of cyber threats driven by compromised credentials and supply chain vulnerabilities. Hacking and IT incidents accounted for over 80% of all large healthcare data breaches, proving that legacy perimeter defenses and static keys are failing against modern attack vectors.

Credential Theft in the Cloud
User account compromise was the most prevalent threat in 2025, affecting 74% of healthcare organizations operating in cloud environments. Legacy mTLS and static API tokens leave critical endpoints fully exposed to rapid credential theft, directly violating Zero Trust principles
Lateral Access to Data
Attackers weaponize stolen credentials to bypass encryption at rest. In 2025, 100% of hacked healthcare data was unencrypted, largely because adversaries used stolen credentials to legitimately access data outside of core Electronic Health Record (EHR) systems.
Third Party Blind Spot
Operating across cloud environments provides agility but introduces systemic risk. In 2025, over 80% of stolen Protected Health Information (PHI) was exfiltrated through third-party vendors and software services, rather than directly from hospitals

Hopr's Korvette-S™ WoSPs enable MediCore Health to secure its clinical application workloads, APIs, and Protected Health Information (PHI) without a loss of agility.

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Cloud Native AMTD
Workloads sharing sensitive patient data are protected by an Automated Moving Target Defense that proactively disrupts threats. Untrusted access attempts are immediately discovered, logged, and rejected.
Ephemeral Credentials
Accessing clinical application workloads requires ephemeral credentials that hop at high frequencies. Threats cannot find and re-use static API keys—credentials vanish when the communication session closes.
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Seamless Networking
Clinical application networks operate with frequent identity trust verification using a Machine Alias ID (MAID™). This enables secure, seamless connectivity among workloads across different multi-cloud environments, even with third-party healthcare vendors.

Patient Health Data Exchange via a Clinical Portal

Real-time agility and accurate, secure data sharing are critical to MediCore Health and its patients. A MediCore patient or provider initiates a request on the online portal to retrieve lab results, process a prescription, or transfer medical records.

But without identity trust verification, dynamic access credentials, and AMTD access control, trouble awaits in the cloud.
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01
Initial API query

A MediCore Health provider initiates a patient data request through the clinical portal, triggering MediCore's application to make an API call to a third-party diagnostic affiliate to retrieve lab results.

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02
Third Party Authentication

The third-party diagnostic vendor receives the API call containing sensitive PHI and MediCore's static API key. It authenticates the key, processes the request, and replies to MediCore with the clinical data. No workload identity trust verification has occurred , and both messages are merely encrypted with conventional Transport Layer Security (TLS).

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03
MediCare App Processing

The MediCore application receives the third-party diagnostic data, processes it, and provides an update to the patient's Electronic Health Record (EHR), and provides an update to the patient portal, too. The processing requires several microservice API transactions internal to MediCore, operating across different clusters and cloud environments.

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04
Patient Portal Response

The MediCore EHR database and the patient's portal are updated after the transaction processing is complete. The patient and provider are unaware that vulnerabilities in the third-party API exchanges led to the compromise of sensitive PHI and that malicious actors now possess MediCore's API keys for unimpeded lateral movement.

Benefits for Healthcare Enterprises

Exfiltrated API credentials 

Erradicate API Credential Theft. Eliminate the "Secret Zero". Korvette WoSPs ensure ePHI remains confidential and tamper-proof by replacing static tokens with Machine Identity (MAID™) verification that attackers cannot spoof.
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Exfiltrated API credentials 

Enforce Zero Trust by Default. Hopr pushes healthcare providers into the "Optimal" maturity phase of the CISA Zero Trust Maturity Model (ZTMM v2.0) by continuously verifying identity at every transaction..
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Exfiltrated API credentials 

Agile Software Delivery. Hopr follows the DevSecOps philosophy. By automating security without the overhead of PKI certificate management, clinical software teams can deploy faster and safer.
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Exfiltrated API credentials 

Improved HIPAA-HITECH Compliance. By encrypting at OSI touching customer data, Hopr provides auditors with definitive cryptographic proof of data-in-transit protection, lowering cyber liability risks.
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API Threat Protection and Access Control

MediCore's Solution — Lane7 Blueprints

MediCore's business relied on sharing clinical data among affiliated partners through portals. They deployed a Zero Trust Application Network using a Lane7 Blueprint which was custom-composed for their clinical network. The Blueprint was quick and simple for each affiliate to deploy their Zero Trust app network and interconnect it among other clinical affiliates. Third-party security teams welcomed the additional Zero Trust assurance to their security architecture.

Zero Trust Application Network

Korvette WoSPs, pre-configured in the blueprint, assured secure and trusted internal and edge API transactions.

Traditional API Protection

MediCore's API protections could not verify identity trust and prevent abuse of stolen API keys.

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Designed for Healthcare.
Ready for the Future.

Whether you’re connecting Primary Care to Urgent Care, Insurance Providers to Payment Processors, or Hospitals to Pharmacies, Hopr's Lane7 Blueprints enable  secure, compliant, and future proof PHI protection.
Regain control of your APIs and data.
Shrink your attack surface.
Assure data confidentiality.
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Schedule a Demo and Learn More About Lane7

Begin the journey to true Zero Trust Application Networking. Schedule a call to learn more about how a Lane 7 Blueprint can be custom composed for your use case.
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Hopr provides true Zero Trust access control for workloads and APIs, powered by a Cloud Native Automated Moving Target Defense.

We use ephemeral machine identities, credential hopping, and application-layer post quantum end-to-end encryption of data in transit.

And Hopr verifies identity trust at every API transaction and eliminates the risks from static credentials across clouds, clusters, and organizations.
Copyright 2021-2025 | Hopr Corporation
CHIPS™, MAID™, SEE™, Lane7™, and Runtime Microsharding™
are trademarks of Hopr Corporation
CHIPS™ and MAID™ and SEE™ and Cloud Native AMTD
are protected by US Patents and patents pending.