“As much as we’ve moved to the market, the market has really moved to us,” says Bart Foster, CEO of SoloHealth. “We’re able to provide much more detailed information than the health plans even know what to do with today.”
In this case, providing means selling information about people who have used SoloHealth kiosks. For now, SoloHealth is selling just names, email addresses and phone numbers to insurers who want to market health plans directly to consumers. In the past, insurers sold most of their plans through large employer contracts. Now that all Americans are required to have insurance by March 31 or pay a penalty, insurers are looking for new ways of finding potential customers, and competing with each other to get their attention. Anthem Blue Cross is one of them. It brokered an exclusive agreement with SoloHealth to be the sole insurance company featured on kiosks throughout California.
“We know that engaging consumers early and engaging them with our messaging helps improve the chances of them choosing Anthem as their health plan,” says spokesperson Darrel Ng.
As a part of that plan, SoloHealth added a new service to its machines in October offering help with understanding the Affordable Care Act.
“If you would like to learn more about the upcoming changes to the health care system and how they affect you" a male voice now says to visitors at the kiosks, "select the 'continue' button at the bottom of the screen."
A drawing of a doctor with a stethoscope around his neck flashes and the voiceover says, “We can have an experienced professional reach out to help you find the plan that meets your specific needs.”
But what the friendly voice doesn’t make clear is that the “experienced professional” who will follow up is not a doctor or SoloHealth representative, but an insurance broker. That is only explained after the customer enters his or her name and email.
Privacy advocates say this is misleading.
“Consumers have every reason to be shocked this is happening,” says Pam Dixon, executive director of the nonprofit World Privacy Forum based in San Diego.
She says most consumers don't understand that their information is being sold. While there is a two-page health privacy disclosure, it can only be viewed by clicking a blue button at the bottom of the screen. Whether customers read it or not, they agree to all the terms when they hit a separate green button. Dixon says that’s not good enough.
“The fact that they’re not being told in a clear, conspicuous and prominent manner is problematic,” she says.
SoloHealth says it is reviewing the customer experience of its kiosks.
But in the wake of partnering with insurance companies SoloHealth has made another recent change. Until a couple weeks ago, the company's comprehensive privacy policy -- the policy that governs what the company can do with the data it collects -- wasn't on the machine. There was a web address provided, but since there was no internet connection at the kiosk, there was no way to actually read it. At first, SoloHealth said it was too cumbersome to scroll through the information on the small kiosk screen. But then, in mid-December, the company added the full policy to its machines. SoloHealth said the change was to improve transparency.
“We work with retail partners, our attorneys, and our corporate sponsors to make sure that we’re totally buttoned up,” says Foster, SoloHealth's CEO. “We have a number of very large companies that have looked at this and are very comfortable with where we are.”
But some consumers aren’t very comfortable. Stacey Winn has been using the kiosk at her local supermarket for the last six months to track her blood pressure. She doesn't remember ever seeing a privacy policy, even when she visited late last month. What she did notice for the first time were ads for a health insurance plan. Now she feels uneasy about her blood pressure records, weight, age, and ethnicity details being stored in the company’s database.