Laws & Regulations

How Is AI Regulating Health Care Claims and Authorizations?
Regulatory & Compliance How Is AI Regulating Health Care Claims and Authorizations?

New legislation in Illinois requires that only a clinical peer, rather than an automated algorithm, can issue a final denial for a claim based on medical necessity. This landmark decision highlights the growing friction between the rapid adoption of high-speed administrative tools and the

Apollo Data Breach Highlights Risks of Vishing Attacks
Regulatory & Compliance Apollo Data Breach Highlights Risks of Vishing Attacks

The global private equity sector currently faces a watershed moment where the trillion-dollar assets it manages are less protected by digital encryption than they are by the split-second decisions of its employees. Apollo Global Management, a titan of the alternative asset market, recently

NAICOM Enforces Mandatory NIN and CAC for Insurance Policies
Data Analytics NAICOM Enforces Mandatory NIN and CAC for Insurance Policies

The Nigerian Insurance Industry Reform Act 2025 serves as the legal foundation for the current shift toward mandatory identity verification for all classes of insurance. This regulatory pivot marks a decisive move by the National Insurance Commission (NAICOM) to synchronize the local insurance

Australia Bans Genetic Testing Results in Life Insurance Cases
Regulatory & Compliance Australia Bans Genetic Testing Results in Life Insurance Cases

The Australian Medical Association has praised the new law for removing the clinical stumbling blocks that once prevented doctors from providing optimal preventive care. For many years, the fear of financial repercussions effectively silenced patients who might have otherwise sought life-saving

Does Your 4WD Insurance Actually Cover Off-Road Adventures?
Data Analytics Does Your 4WD Insurance Actually Cover Off-Road Adventures?

Attempting a water crossing during an extreme flood event can lead to claim denials if the operator is found to be acting outside the policy terms. For many outdoor enthusiasts in 2026, a four-wheel-drive vehicle represents more than basic transportation; it serves as a sophisticated gateway to

TikTok Settlement Forces Shift in Cyber Insurance Strategy
Regulatory & Compliance TikTok Settlement Forces Shift in Cyber Insurance Strategy

The discrepancy between a policy’s advertised headline limit and its actual payout is creating a dangerous coverage gap for tech companies facing federal inquiries. The recent $400 million settlement between TikTok and the Department of Justice represents a landmark moment for digital privacy and

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