What about IoT for health?
Penn made no mention of Telstra Health, a business that could be expected to be closely tied to IoT. Telstra describes Telstra Health as “providing technology solutions that connect healthcare providers with patients and each other and help improve the quality, efficiency and security of health services in Australia.”
In January 2017, the Australian Financial Review reported Telstra’s group executive of new business Cynthia Whelan saying Telstra was aiming to make e-health a material contributor to earnings in the long-term and was taking its health business into the next stage of development.
“After a launch nearly two years ago, there has been little noise from the division and Ms Whelan admitted there has not been a lot of clarity around Telstra Health's progress and what the plans for the division are,” the AFR said.
In the two years since its formation, the AFR said Telstra had invested over $240 million in 18 acquisitions of, or partnerships with, health software and analytics companies.
HealthEngine has boasted to advertisers it can tailor advertising to patients' symptoms
The Australian startup says it only shares information with users' consent
But if a patient wants to use the app, there is no opportunity to opt-out of the fine print about giving information to third parties
The Perth-based startup, which is part-owned by Telstra and SevenWest Media and boasts 1.5 million monthly and 15 million annual users, has also been touting access to patients' medical conditions and symptoms for targeted advertising campaigns.
The ABC has obtained secret documents from plaintiff law giant Slater and Gordon that reveal HealthEngine was passing on a daily list of prospective clients to the firm, based on their personal medical information, as part of a "referral partnership pilot" last year. Do you know more about this story? Email [email protected]
A total of 40 became Slater and Gordon clients, yielding a projected $500,000 worth of legal fees.
HealthEngine and Slater and Gordon both declined interview requests and did not respond directly to questions.
In a statement, Slater and Gordon said it was "committed to creating mechanisms for Australians to access justice". After the crash, the lawyers' marketers wouldn't stop calling
"We are proactive in ensuring that any marketing we undertake is compliant with applicable laws and confident that it meets the highest ethical standards."
HealthEngine said in a statement the company used advertising to "deliver relevant and timely information from our many different advertising partners to our users".
The startup said it did share personal information of users with third parties if they consented.
"HealthEngine does not provide any personal information to third parties without the express consent of the affected user or in those circumstances described in our privacy policy," the statement said.
HeathEngine also has a data-sharing arrangement with the Federal Government's My Health Record digital medical record system.
However, the company said it was unable to directly access patient data held by My Health Record or the Australian Digital Health Agency. How does HealthEngine get consent from users?
"If you consent, we may also provide your personal information to providers of other products and services which may be of interest to you, such as private health insurance comparison services, providers of finance credit for cosmetic and dental procedures, and providers of legal services," the collection statement says.
There is no opportunity to opt out of terms in the collection statement if patients want to use the app.
App users are prompted to specify the type of appointment, where they have the option to select whether they have been in a car accident, or had a workplace or non-workplace injury. HealthEngine boasts it can tailor advertising to patients' symptoms
"Advertisers have the ability to leverage and skew communication towards patients' [symptom]-related issues or deliver brand message prior to seeing the GP," the presentation says.
It is not the first time HealthEngine's practices have come into question.
Earlier this month, Fairfax revealed the company was tampering with negative patient reviews of doctors to make them appear positive.
The company has since apologised and removed the reviews from its service. 'Intrusive' and 'persistent'
One HealthEngine app user, Sharon*, was called by a call centre shortly after booking a GP appointment through the app.
She had used the app for years, but this was the first time she had selected the "workplace injury" option as the reason for her appointment.
The person on the phone indicated they were from a law firm and wanted to know if she would consider pursuing a legal claim for her injuries, which were sustained during an offsite work trip.
"They wanted to ascertain whether I had sought advice from a personal injury lawyer — and I said no," Sharon said.
"They wanted to know why, and started to talk about ball park figures that I might be entitled to.
Sharon, who is on a do-not-call register, said she saw no indication during her use of the app that her details might be provided to a third-party law firm.
"I had no idea that by putting anything in HealthEngine it would go any further than the medical professional I was making the appointment with."
Sharon ultimately cut the call short, but said others could easily be coerced into pursing a legal claim through that system.
"You are picking people at a vulnerable time," she said.
"When you say to somebody, 'do you understand how much money you could be making in this?' a lot of people would start to consider that." Slater and Gordon used HealthEngine referrals via third party
The secret documents say the firm sourced the HeathEngine referrals via Sydney-based law firm Bannister Law, which held a contract for referrals with HealthEngine.
The documents say Slater and Gordon was not paying a fee for the referrals during the pilot stage, however, it expected Bannister Law to charge for the referrals in the future.
Bannister Law declined to comment.
In an updated statement from HealthEngine after publication of this article, the company's CEO Dr Marcus Tan said "HealthEngine has no referral arrangements in place with marketing agencies or law firms."
However, Dr Tan conceded the company had provided information to lawyers.
"Under previous arrangements, HealthEngine provided referrals to law firms but only with the express consent of the user," he said.
*Name has been changed Do you know more about this story? Email [email protected]
PHOTO: HealthEngine passed on details of an average of 200 clients a month between March and August last year. (YouTube: HealthEngine)
PHOTO: A negative review on HealthEngine's app page complaining about contact from personal injury lawyers. This was listed two years ago, before Slater and Gordon's pilot program, so this is likely to have been another law firm. (Supplied: Apple App Store)
PHOTO: The collection statement link appears twice in the app: when you sign up and at stage six of the booking process. (ABC News)
PHOTO: HealthEngine's Collection Statement reveals the company discloses information to health insurance brokers, lawyers and finance providers for dental and cosmetic procedures. (Supplied: HealthEngine)
PHOTO: HealthEngine CEO Dr Marcus Tan said "the trust of our users is important to us" after a review scandal. (Supplied: HealthEngine)
PHOTO: Sharon* had an unsolicited call from a call centre shortly after using the HealthEngine App. (ABC News: Jeremy Story Carter)
PHOTO: HealthEngine has signed up thousands of medical practitioners around Australia. (Supplied: HealthEngine)
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