The Oakland, CA-based healthcare giant Kaiser Permanente has agreed to pay up to $47.5 million to settle class action litigation over its use of tracking technologies on its websites, patient portals, and mobile applications. This is one of the largest settlements to be agreed to resolve claims stemming from the use of tracking tools by a healthcare organization.
Kaiser disclosed the data breach last year following a voluntary internal investigation into its use of tracking technologies, which confirmed that up to 13.4 million individuals had potentially been affected – the second-largest healthcare data breach to be announced in 2024. Kaiser removed the tracking tools from its websites and mobile applications out of an abundance of caution and sent notifications to all potentially affected individuals. Kaiser also engaged experts and, based on their guidance, implemented additional safeguards to prevent similar privacy breaches in the future.
Website tracking technologies, such as pixels, are used extensively on websites to track user activity. They can provide website owners with valuable information on site usage, and that data can be used to improve the websites to benefit web visitors. Various studies have shown that these tools have been extensively used by healthcare organizations, with one study suggesting that 99% of hospitals in the United States had these tools on their websites. The problem with the use of these tools in healthcare is that they may transmit information protected under HIPAA – personally identifiable health information. In some cases, the data has been further disclosed and used to serve individuals with personalized ads based on the pages they visited on a healthcare website.
Since these data transfers are not expressly permitted by the HIPAA Privacy Rule, disclosures are only possible with patient consent or if a business associate agreement is entered into with the third party that receives the data (and disclosure is permitted by the HIPAA Privacy Rule). The HHS’ Office for Civil Rights issued guidance after learning that these tools were being used on healthcare providers’ websites, warning that the tools likely violate the HIPAA Rules. The guidance was challenged in court and was partially successful. While the tools can be used on healthcare websites, they must not be used on any authenticated pages, such as patient portals or other pages or mobile applications that require users to log in.
Several patients filed lawsuits against the Kaiser companies Kaiser Foundation Health Plan, Kaiser Foundation Hospitals, and Kaiser Foundation Health Plan of Washington, over the data breach. The lawsuits alleged that the plaintiffs’ and class members’ personal and protected health information had been disclosed to third parties without their knowledge or consent, including Adobe, Microsoft, Google, and X (Twitter).
The lawsuits asserted claims of negligence, common law invasion of privacy-intrusion upon seclusion, breach of implied contract, breach of express contract, and violations of many state laws, including the California Confidentiality of Medical Information Act, District of Columbia Consumer Protection Procedures Act, Maryland Wiretapping and Electronic Surveillance Act, Virginia Insurance Information and Privacy Protection Act, Washington Health Care Information Act, and many other state laws. Kaiser was also alleged to have violated the federal Electronic Communications Privacy Act. The lawsuits were consolidated into a single complaint in the United States District Court for the Northern District of California, San Francisco Division.
Kaiser denies the material allegations in the litigation and also denies that the plaintiffs and class members are entitled to any relief, and that any damages have been suffered as a result of the data breach. While Kaiser has not identified any misuse of its members’ protected health information, nor determined that any of that information has been or will be at risk, after considering the likely cost of continuing with the litigation, and the uncertainties associated with any trial and related appeals, the decision was taken to settle the litigation, with no admission of liability or wrongdoing.
Under the terms of the settlement, Kaiser has agreed to pay $46 million to settle the litigation, with the settlement fund potentially being increased to no more than $47.5 million, should certain conditions be met. The settlement class consists of individuals who accessed authenticated Kaiser webpages (wa-member.kaiserpermanente.org, healthy.kaiserpermanente.org, or mydoctor.kaiserpermanente.org) or Kaiser mobile applications (Kaiser Permanente Washington App, Kaiser Permanente App, My Doctor Online (NCAL Only) App, My KP Meds App, or the KP Health Ally App) between November 2017 and May 2024. There are several subclasses for members residing in states such as California, Georgia, Maryland, Oregon, Washington, and the District of Columbia.
The settlement will cover attorneys’ fees (likely to be up to one-third of the settlement fund), attorneys’ expenses, settlement administration costs, and awards for the class representatives. The remainder of the settlement fund will be divided among the class members, with each settlement class member receiving an equal pro rata share. The settlement has received preliminary approval from the court. The deadline for submitting claims and the date of the final approval hearing have yet to be announced.
April 26, 2024: Kaiser Permanente Website Tracker Breach Affects 13.4 Million Individuals
Kaiser Foundation Health Plan Inc. is notifying 13.4 million individuals that some of their personal data has been disclosed to third parties such as Microsoft (Bing), Google, and X (Twitter) via tracking technologies on its websites and apps. This is the largest healthcare data breach to be reported so far in 2024 and the largest confirmed healthcare data breach to date involving website tracking technologies.
Kaiser said the tracking technologies were identified during a voluntary internal investigation and they have now been removed from its websites and mobile applications. Additional measures have been implemented to prevent similar occurrences in the future. Notifications are being sent to all individuals who have potentially been affected “out of an abundance of caution,” including current and former health plan members in all markets that Kaiser operates, and individuals who used its websites and mobile apps. Notifications are expected to be issued in May 2024.
The types of data potentially disclosed to tech companies included names, IP addresses, sign-in statuses, and information about users navigated through the websites and apps. Other information was potentially disclosed based on individuals’ usage of the websites and apps, including search terms when using its health encyclopedia such as symptoms, drugs, injuries, and exercises. No highly sensitive information such as Social Security numbers, financial information, and usernames/passwords were disclosed. Kaiser said it is not aware of any misuse of the disclosed data; however, it is possible that individuals may have been served targeted ads based on their interactions on Kaiser’s websites and apps.
The privacy violation has been reported to the Department of Health and Human Services’ Office for Civil Rights (OCR) as a breach of the Health Insurance Portability and Accountability Act (HIPAA). In December 2022, OCR published guidance on HIPAA and tracking technologies and recently updated its guidance to clarify when these technologies can be used and how they can be made HIPAA-compliant. OCR and the Federal Trade Commission (FTC) have been cracking down on the use of these technologies and sent around 130 warning letters to hospitals and telehealth companies last year reminding them of their obligations under HIPAA and the FTC Act, and the FTC has settled 5 complaints – Easy Healthcare (Premom), GoodRx, BetterHelp, Monument, and Cerebral – that alleged violations of the FTC Act related to the use of these technologies without consumers’ consent. State attorneys general have also investigated privacy violations related to the use of tracking technologies, including the New York Attorney General, who settled alleged violations of HIPAA and state laws with New York Presbyterian Hospital over the use of these tools.
The post Kaiser Permanente Agrees to Pay Up to $47.5 Million to Settle Web Tracker Litigation appeared first on The HIPAA Journal.