Healthcare Pixel Settlements 2025: Cerebral, RAYUS & Meta Privacy Policy Changes | Curve

December 17, 2025 · 5 min read · Healthcare Marketing

Pixels, Privacy, and a Big Week for Healthcare Marketers

TL;DR: Two major pixel settlements just dropped, Meta's new AI data policy went live, and we launched something you're going to want to see.

🎬 First: Session Recordings Are Here (And Yes, They're HIPAA-Compliant)

Before we dive into the news, a quick announcement: Curve's session recording feature is now live.

You can now watch exactly how users navigate your site (clicks, scrolls, form interactions) without the compliance nightmare. Every recording automatically strips PHI before capture, and here's the part we're most excited about: your analytics events appear in a timeline alongside the session playback.

That means you can see the exact moment a user triggered a conversion event, where they hesitated, and what happened before they bounced. It's the visibility you've been asking for, without the legal exposure you've been worried about.

Okay, now for the news.

💸 $500K Lesson: Cerebral and RAYUS Settle Pixel Lawsuits

Two settlements hit this week that should have every healthcare marketer's attention.

Cerebral agreed to pay $500,000 to settle claims that its website pixels shared patient data with Meta and Google without consent. RAYUS Radiology settled similar litigation with $25 per class member plus Privacy Shield Pro memberships. Final approval hearing: December 18, 2025.

Here's the part that matters: neither lawsuit alleged HIPAA violations. They focused on state privacy laws, negligence, and breach of contract. Translation? You can be "HIPAA compliant" and still face significant liability if standard tracking pixels are touching patient-facing pages.

The playbook that worked in 2020 doesn't work anymore.

What to do: If you're running Meta Pixel or Google Analytics conversion tracking on pages where patients enter health information, it's audit time. Server-side tracking and privacy-first measurement aren't nice-to-haves. They're table stakes.

🤖 Meta's New Policy: AI Chats Now Feed Ad Targeting

As of December 16, Meta's updated privacy policy allows them to use your interactions with Meta AI to personalize ads across Facebook and Instagram.

The interesting twist for healthcare marketers: Meta explicitly carved out health conversations from this targeting. They won't use discussions about health conditions, religious views, sexual orientation, or political beliefs for ad personalization.

Read between the lines: Meta sees health data as a litigation magnet and is building walls around it. Expect Google and TikTok to follow.

What this means: Third-party audience targeting for healthcare is going to get more restrictive, not less. First-party data strategies aren't optional anymore.

🎯 The Bottom Line

The pixel settlements and Meta's policy update are two sides of the same coin: healthcare data is too hot for the old playbook.

Organizations still relying on client-side pixels and third-party targeting are accumulating risk. The ones investing in privacy-first infrastructure (server-side tracking, first-party data, compliant session analytics) are building a moat.

What to watch:

More litigation using these settlements as templates
Platform policies tightening around health data
First-party data becoming the most valuable asset in healthcare marketing

The transition is happening whether you're ready or not. Might as well get ahead of it.

Introducing HIPAA-Compliant Session Recordings | Plus: Cerebral's $500K Pixel Settlement & Meta Policy Changes

Want to stay up to date on the latest in healthcare marketing?

Introducing HIPAA-Compliant Session Recordings | Plus: Cerebral's $500K Pixel Settlement & Meta Policy Changes

Want to stay up to date on the latest in healthcare marketing?