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Podcast: 86a Beyond the Signature: The Changing Landscape of Patient Consent and Data Use.
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Podcast: 86a Beyond the Signature: The Changing Landscape of Patient Consent and Data Use.

From hospital intake forms to insurer algorithms, why consent no longer guarantees protection—and how AI is reshaping who gets care and who gets denied.

What “consent” usually covers—and what it doesn’t

When you walk into a clinic, hospital, or imaging center, you often sign a consent or “patient authorization” form. Many people assume it’s granting permission for everything, but that’s rarely true. Under HIPAA:

  • Providers can share your records with other providers for treatment (say, referral to a specialist) without extra authorization.

  • Insurers can receive information for payment, e.g. to settle claims.

  • Health systems can use data for operations (quality assurance, audits, internal analytics).

So your signature is often more a formality, a way to tell you what’s happening, rather than a novel permission.

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