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ETHICS IN PRACTICE CASE Employee Health and the Use of Big Data Companies like Walmart and J.P. Morgan are more in-network doctors and the ability to track health-care actively involving themselves in employee wellness. spending. Nevertheless, some employees see the bene- They are paying firms to collect and crunch employee fit of being alerted to "at-risk" situations, like rising glu- data to identify employee health problems and guide cose levels that might indicate diabetes, or options to them toward doctors or services like weight loss pro- surgery for a given condition. In sum, the use of grams. Although health privacy laws do not give employ- employee data to track employee health issues con- ers the authority to view workers personal health tinues to be controversial. information, they are able to get aggregated data on employees through wellness firms who have access to 1. What are the pros and cons of the use of employee workers' health data. For example, Cigna Corporation data for health tracking? analyzed claims data for J.P. Morgan to identity employ- 2. Are you comfortable with the idea of employers ees who lacked primary care physicians using your data to predict your future? Is this an inva- Another company, Castlight, can identify segments of sion of your privacy? an employee population and tell an employer how many 3. What, if any, health areas would you consider "off-limits women are currently trying to have children through data to employee wellness firms and that tracks women who have stopped filling birth-control employers? 4. Is there any potential conflict of interest between prescriptions and/or who have made fortility-related searches on their app. While employees have to "opt the wellness firms and employers? in to its services, some say that this option is hidden 5. Is there a utilitarian logic to the collection of health because it is linked to the use of a search function for information lie, for the greater good)? Source Rachel Emma Silverman Tin Riotto fare Work