Cybersecurity in healthcare is facing heightened challenges as regulations shift, IoT devices proliferate, and ransomware attacks become increasingly devastating. Josh Spencer, Founder, and CIO at FortaTech Security and with over fifteen years in the field including time as CISO/CTO at UT Southwestern, explores why HIPAA changes are necessary, the high stakes of securing medical devices, and how both technology and culture play roles in protecting patient data and safety. The conversation breaks down risks, practical mitigation strategies, and the ongoing evolution of both threats and defensive tools -- including AI --  and covers the evolving HIPAA landscape and the move from “addressable” to required controls, ransomware’s impact on hospitals and patient safety, challenges and best practices in securing connected medical (IoT/OT) devices, the importance of real-world risk assessment and penetration testing in healthcare, and human factors, including security awareness training and leveraging AI both for defense and as a threat.

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