Creating Privacy-Compliant Structured Snippets for Healthcare Ads

For healthcare marketers, structured snippets in Google Ads can be a powerful tool for highlighting specific services or specialties—but they also present unique HIPAA compliance challenges. When advertising in the healthcare space, even seemingly innocent ad extensions can inadvertently expose Protected Health Information (PHI) or create implicit patient relationships. Without proper privacy-compliant structured snippets, healthcare organizations risk substantial penalties while missing valuable conversion opportunities.

The Hidden Compliance Risks in Healthcare Ad Extensions

Healthcare advertisers face several significant compliance challenges when implementing structured snippets in their digital advertising campaigns:

1. Remarketing Lists That Expose Patient Intent

When healthcare organizations create audience segments based on specific condition-related page visits (such as "diabetes treatment" or "depression therapy"), these lists can unintentionally categorize individuals by their health conditions. If these audience segments are transmitted to Google or Meta without proper PHI stripping, they effectively disclose health information without authorization.

2. Conversion Tracking That Reveals Treatment Pathways

Standard client-side tracking pixels can capture and transmit sensitive URL parameters, form field entries, and other data points that constitute PHI. For example, when a patient books an appointment through a form that includes their name, condition, and insurance details, traditional pixels may pass this information to advertising platforms—a clear HIPAA violation.

3. Dynamic Ad Content That Creates Implied Relationships

When structured snippets dynamically display services based on user search history, they can create the appearance of an established patient-provider relationship. The Office for Civil Rights (OCR) has specifically noted that personalized ad content can constitute an implied acknowledgment of a health condition or treatment relationship.

According to the OCR's guidance on tracking technologies, healthcare providers must ensure that tracking technologies don't disclose PHI to third parties without patient authorization. This makes traditional client-side tracking particularly problematic, as it typically involves sending raw user data directly to advertising platforms.

Client-side tracking (via JavaScript pixels) transmits data directly from a user's browser to ad platforms, potentially exposing PHI in the process. In contrast, server-side tracking routes this data through your own servers first, allowing for PHI removal before information reaches third parties like Google or Meta.

Implementing Privacy-Compliant Ad Extensions with Curve

Curve's HIPAA-compliant tracking solution addresses these challenges through a comprehensive approach to PHI management:

Client-Side PHI Stripping

Curve's technology intercepts data before it leaves the user's browser, automatically identifying and removing 18+ categories of PHI including names, email addresses, phone numbers, and health condition information. This prevents sensitive data from ever entering the tracking ecosystem in the first place.

Server-Side Protection Layer

As an additional safeguard, Curve implements server-side tracking via Meta's Conversion API (CAPI) and Google's Enhanced Conversions. This approach ensures that all data passes through Curve's HIPAA-compliant servers, where a second layer of PHI detection and removal occurs before passing conversion data to advertising platforms.

Implementation for Structured Snippets

To implement Curve for privacy-compliant structured snippets:

  1. Replace standard Google Ads and Meta pixels with Curve's PHI-safe tracking code

  2. Configure service categories for structured snippets through Curve's compliance filter

  3. Set up server-side conversion pathways for appointment bookings and lead forms

  4. Implement signed Business Associate Agreements (BAAs) with all relevant vendors

This approach allows healthcare organizations to leverage the power of structured snippets while maintaining strict HIPAA compliance throughout their digital advertising ecosystem.

Optimization Strategies for Compliant Healthcare Ad Extensions

Once you've established a compliant tracking infrastructure with Curve, consider these strategies to maximize performance without compromising privacy:

1. Create Condition-Agnostic Service Categories

Rather than structuring snippets around specific health conditions (which could imply a relationship), organize them around service types, facility amenities, or provider credentials. For example, instead of "Depression Treatment," use "Mental Health Services" with subcategories like "Licensed Therapists" or "Same-Day Appointments."

This approach delivers relevant information without making assumptions about a user's health status.

2. Implement PHI-Free Enhanced Conversions

Google's Enhanced Conversions and Meta's CAPI allow for more accurate conversion tracking without exposing individual identities. Curve's integration with these tools creates a privacy-compliant pathway for this valuable data:

  • Hashed email addresses are processed through Curve's server-side infrastructure

  • Conversion values are transmitted without associated PHI

  • Attribution data flows back to your campaigns without privacy risks

3. Build Compliant Audience Segments

Rather than creating audience segments based on health conditions, build segments based on content engagement patterns and non-PHI interactions. This approach allows for targeted remarketing without categorizing users by health status:

  • Group users by content topics rather than specific conditions

  • Create segments based on service interest rather than treatment needs

  • Use engagement metrics (time on site, pages viewed) rather than health-specific actions

These strategies, combined with Curve's HIPAA-compliant tracking solution, enable healthcare marketers to leverage the full power of structured snippets and other ad extensions while maintaining strict privacy compliance.

Ready to Run Compliant Google/Meta Ads?

Book a HIPAA Strategy Session with Curve


Jan 6, 2025