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May 21, 2018

Is Your Pharmacy Tattling on You to Your Doctor?

Filed under: Health,Internet,Retail — Edgar (aka MrConsumer) @ 6:18 am

This week’s story questions whether a druggist who believes that a patient is not taking their prescription should squeal on them directly to their doctor.

A couple of weeks ago, MrConsumer got an unexpected letter from his primary care physician (PCP). It said:

Letter from doctor


Say what? My mail order pharmacy, CVS/Caremark, wrote to my PCP to tell her I might not be taking my medications properly, urging her to be in touch with me (hence she sent the letter above).

Here is the fax they sent her:

CVS Caremark fax

Apparently, this is what happened. For years, I have been taking simvastatin to help lower cholesterol. I get 90-day prescriptions filled via mail order from Caremark, and the last time I ordered it was January 15th. Sometime shortly after April 15th, when I had not yet reordered it from them, CVS/Caremark took it upon themselves to notify my doctor. In turn, she sent me the above letter expressing concern.

No, MrConsumer is not having a problem taking the drug daily. He simply had several weeks of pills left over since prior prescriptions were received in advance of them actually being needed. We have all experienced the practice of pharmacies telling us way in advance that it is time for a refill when we still have plenty of pills left from the last one.

On one hand, maybe Caremark should be thanked for putting the patient’s health ahead of privacy concerns. But on the other hand, it feels like the company was overreaching, going behind the back of the patient to his PCP to tattle on him, without asking the patient first if he was having a problem. Of course, they did send me refill reminders.

A quick review of CVS/Caremark’s terms and conditions and privacy policy on its website did not reveal any specific disclosure that such contacts would be made. However, in its HIPAA policy, it made this broad disclosure:

*MOUSE PRINT:

Uses and Disclosures of Your PHI for Treatment, Payment and Health Care Operations

We may use and disclose your PHI for treatment, payment and health care operations without your written authorization.

PHI is information about you that we obtain to provide our services to you and that can be used to identify you. It includes your name and contact information, as well as information about your health, medical conditions and prescriptions. It may relate to your past, present or future physical or mental health or condition, the provision or health care products and services to you, or payment for such products or services. [Definition inserted to guide readers.]

The following categories describe and provide some examples of the different ways that may use and disclose your PHI for these purposes:

Treatment: We may use and disclose your PHI to provide and coordinate the treatment, medication and services you receive. For example, we may:

Use and disclose your PHI to provide and coordinate the treatment, medication and services you receive at CVS Health. Disclose your PHI to other third parties, such as pharmacies, doctors, hospitals, or other health care providers to assist them in providing care to you or for care coordination. In some instances, uses and disclosures of your PHI for these purposes may be made through a Health Information Exchange or similar shared system. Contact you to provide treatment-related services, such as refill reminders, adherence communications, or treatment alternatives (e.g., available generic products). [Emphasis added.]

This says that your personal health information, including your prescriptions, can be disclosed to third parties, such as doctors, to assist them in providing care to you. However, it says Caremark may contact YOU, the patient, with “adherence communications.” It doesn’t explicitly say, however, that they can contact your doctor with respect to your staying on your regimen.

Mouse Print* contacted CVS/Caremark to get an explanation of their practice of contacting doctors to report patients who may not be adhering to their prescriptions. Here are excerpts from their response:

Taking medications as prescribed is one of the most important things patients can do to get and stay on their path to better health. Non-adherence to prescribed therapies comes at a significant cost to patients’ health and finances, as well as to the entire health system.

One of the ways we encourage adherence is through our clinical program that reviews members’ prescription refill behavior for maintenance medications, including drugs prescribed to help manage a patient’s cholesterol. Through this program, we send refill reminders and late-to-fill outreach to plan members and engage prescribers when members are past due for refills.

Our adherence outreach program is consistent with HIPAA and our own privacy policy… -Mike DeAngelis, Senior Director, Corporate Communications

I really have mixed feeling about this, as expressed above. What do you think? Do you want your druggist to notify your doctor when you don’t get a timely refill of a maintenance drug?

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May 14, 2018

The String Attached to Discover’s Free FICO Score Offer

Filed under: Finance,Internet — Edgar (aka MrConsumer) @ 6:16 am

This week in Consumer World we featured an offer from Discover to get a free copy of your genuine FICO credit score. Before you sign up, however, you may want to check their privacy policy, which might better be described as their “not much privacy” policy.

*MOUSE PRINT:

Discover privacy

First, hats off to Discover for finding an easy way to convey a complex privacy policy without pages and pages of dense text.

But that is where the good news ends. Discover clearly says that at least for a “short time” they are going to market their services to you. But they are also going to share much of your information, like name, email, and your online activity with both their own affiliates and with companies they are not affiliated with. And they are going to share your birth date and social security number with companies that service or market their products.

This all made MrConsumer a little uneasy — an unusual feeling for someone who is generally privacy insensitive.

You have to decide if the reward of a free FICO score is worth the price of your personal information being shared with others.

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May 7, 2018

Congratulations, You’ve Won (NOTHING) at Car Dealer

Filed under: Autos,Sweepstakes — Edgar (aka MrConsumer) @ 6:07 am

Have you ever noticed the way some car dealers advertise to get you into the showroom? They often promote a variety of sweepstakes with terrific prizes.

One such car dealer in North Carolina recently ran a “$25,000 Monte Carlo Game.” They sent out lottery-like tickets inviting recipients to scratch off the boxes and if they got a match, they would win between $100 and $25,000.

Buick Scratch Off

A consumer who got the mailing scratched off the various boxes as shown above, and the second row matched with three 7’s on both sides. It looked like he won $5,000, so he called the dealer and was told to come right down to the showroom. When he got there, there were a whole lot of other people huddled around a prize table that had been set up. The consumer was then told that he had to check the confirmation code on the board to see if it matched, and of course, it did not. He was then given the bad news that he did not win the $5,000. And they pointed to a small asterisked disclosure that said as much:

*MOUSE PRINT:

asterisk

Our consumer rightly felt that he had been scammed and complained to the state Attoney General and the consumer reporter at the local TV station. WRAL ran a story about the promotion. They spoke to a lawyer representing the car dealer who asserted that the mailing was not misleading, but could have been misunderstood by recipients.

Right now, the North Carolina Attorney General is investigating seven dealerships in the area who are promising everything from cash to new cars.

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April 30, 2018

Wayfair’s “Way Day” — Deal or Dud Day?

Filed under: Internet,Retail — Edgar (aka MrConsumer) @ 6:06 am

Playing off of Amazon’s wildly successful “Prime Day” last July, Wayfair.com declared its own holiday savings event last week called “Way Day.” In TV ads, they claimed to offer the lowest prices since Black Friday on that day.

Way Day

To see if “Way Day” was hyping more discounts than they were actually providing, MrConsumer “randomly” chose 10 items from their various merchandise categories the day before Way Day, April 24, so they could be compared to the discounts offered on the same items the following day. We had no idea which items would be on sale and which would not be.

Wayfair before

Scroll down the list.


“Way Day” arrived, and here are Wayfair’s prices for the same items during their big sale.

*MOUSE PRINT:

Way Day prices

Scroll down the list.

Obviously, only checking 10 items is not a scientific, projectable survey. Nonetheless, the results of this spotcheck are interesting. Half the items were the same price or virtually the same price on “Way Day” compared to the day before. For example, the Price Pfister faucet was $82.86 on Way Day compared to $82.99 the day before. The GE dishwasher, however, didn’t even budge a penny from its $803 price.

But there were significant savings on some of the other five items. The pair of lamps dropped from $75 to $60.99. The rug went $277.99 down to $182.06. But the barbecue grill was only $6 less.

In total, the 10 items in our cart were selling for $1923.69 the day before the sale, but dropped to $1773.90 — for a “Way Day” savings total of $150.

So it looks like if one picked and chose carefully on “Way Day” and were familiar with Wayfair’s everyday prices, you could save some real bucks. Otherwise the savings might have only been slim or none.

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April 23, 2018

Walk Through Kohl’s Doors and Lose Your Right to Sue?!

Filed under: Internet,Retail — Edgar (aka MrConsumer) @ 6:12 am

Mandatory arbitration clauses that forbid class actions have been in the news lately as Congress and the president last fall struck down a new consumer rule prohibiting such clauses in contracts with banks.

Way before this action, Kohl’s department store cleverly stuck a clause into the terms and conditions on its website banning customers from getting together to sue the company.

*MOUSE PRINT:

Kohl's class action waiver

It is not so out of the ordinary to see arbitration clauses forbidding class actions on retailers’ websites. What is unusual is the fact that Kohl’s seems to be saying that this restriction even applies to people who shop in their stores.

*MOUSE PRINT:

Kohl's waiver 2

It says if you shop in their brick and mortar stores you are subject to the same restriction, and that “shopping in our stores constitutes your acceptance these terms.” Elsewhere in the terms it says if you don’t like these restrictions “you should not and are not allowed to…make purchases in our stores.”

What? So merely walking through the doors of a Kohl’s store I lose my right to be part of a class action against them? It sure seems so. (There is an argument to be made, however, that the combination of BOTH using their website AND shopping in their stores is what triggers the class action restriction. However, if that were true then only people who did both would lose the right to sue and certainly Kohl’s wants to prevent Internet users who never shopped in their stores to be covered by the class action prohibition.)

We asked Kohl’s how in the world the class action waiver could ever apply to people who only shop at their stores and were never put on notice that entering their stores triggered this restriction. (Last I checked, there was no notice on every door notifying shoppers they were about to lose those some consumer rights upon entering.)

The company did not respond.

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