This week, Health-ISAC®‘s Hacking Healthcare® checks in on the state of ransomware. In particular, we examine encouraging reports that suggest a significant drop off in ransomware payment resolution and total payment made to ransomware actors in the second half of 2024. In the action and analysis section, we examine how these findings may influence the discussion around ransom payment bans, increasing law enforcement collaboration, and a potential policy shift on offensive cyber operations.