Clym reports that HIPAA requires explicit authorization for sharing health data, not just cookie consent, highlighting gaps in current practices.

California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve ...

The intelligent automation will deliver more timely decisions that reduce delays and improve access to care, Optum says.

Prior authorization is no longer just an administrative hurdle for ASCs; it is a defining constraint on growth. As authorization requirements expand, policies shift and payer scrutiny intensifies, ...

Physicians surveyed by the AMA say that PA can cause care delays or force patients to abandon treatment. They warn denials could increase as insurers adopt AI to review claims. Physicians have long ...

New Medicaid prior-authorization rules have advocates in Connecticut concerned about patients losing access to their prescription drugs.

Payers have new deadlines to issue prior authorization decisions — 72 hours for urgent requests and seven days for non-urgent ones. Prior authorization is a process wherein a doctor must get approval ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. Health insurer prior authorization has increased considerably in ...

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. My 90-year-old uncle, a retired county employee, has had a ...

Lucas Downey is the co-founder of MoneyFlows, and an Investopedia Academy instructor. David is comprehensively experienced in many facets of financial and legal research and publishing. As an ...