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(10,993 posts)
Sun Feb 11, 2018, 05:53 PM Feb 2018

California launches investigation following stunning admission by Aetna medical director [View all]

Source: CNN

California's insurance commissioner has launched an investigation into Aetna after learning a former medical director for the insurer admitted under oath he never looked at patients' records when deciding whether to approve or deny care.

California Insurance Commissioner Dave Jones expressed outrage after CNN showed him a transcript of the testimony and said his office is looking into how widespread the practice is within Aetna.

"If the health insurer is making decisions to deny coverage without a physician actually ever reviewing medical records, that's of significant concern to me as insurance commissioner in California -- and potentially a violation of law," he said.


Iinuma said he never looked at a patient's medical records while at Aetna. He says that was Aetna protocol and that he based his decision off "pertinent information" provided to him by a nurse.

(end snip)

Read more: http://www.cnn.com/2018/02/11/health/aetna-california-investigation/index.html

Explosive testimony. And, I suspect, widespread practice. I hope they look at how the doctors and nurses are paid by Aetna, for example, bonuses.
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May this be the first crack at exposing the criminality LuckyLib Feb 2018 #1
My guess is this is Wellstone ruled Feb 2018 #5
Nothing new; Michael Moore's Sicko shows this chuckstevens Feb 2018 #2
But single payer would lead to death panels Phoenix61 Feb 2018 #3
As we who enjoy universal healthcare have alway said: luvtheGWN Feb 2018 #6
Indeed kimmylavin Feb 2018 #11
Damn! CountAllVotes Feb 2018 #16
I agree! kimmylavin Feb 2018 #27
God, what a nightmare to go through! SWBTATTReg Feb 2018 #28
+++ Agree. iluvtennis Feb 2018 #7
And my response to that, back during the debate over the ACA... paleotn Feb 2018 #9
Money helps people sleep at night IronLionZion Feb 2018 #15
Another leader who does not like to lead. Evergreen Emerald Feb 2018 #4
I remember the TV show Scrubs always had the ongoing battle BigmanPigman Feb 2018 #8
WHY do we even ALLOW for-profit insurance to exist in this country?? lastlib Feb 2018 #10
+1 dalton99a Feb 2018 #14
Wjy? CountAllVotes Feb 2018 #20
How heartbreaking this would be for anyone denied healthcare RandomAccess Feb 2018 #12
No no problem - a large - sounding fine will be levied; then it's back to business as usual. NBachers Feb 2018 #13
Single payer now! Medicare for all!! Roland99 Feb 2018 #17
I pulled my company health benefits from Aetna this year TalenaGor Feb 2018 #18
K & R for exposure. SunSeeker Feb 2018 #19
California needs to get medieval on Aetna. Jedi Guy Feb 2018 #21
just read about this and I'm FUCKING furious! Union Label Feb 2018 #22
So far as I can tell the first denials are issued by some sort of computer algorithm. hunter Feb 2018 #23
Kicking this back up UpInArms Feb 2018 #24
Fiduciary. Gesundheit. dchill Feb 2018 #25
That's a problem in this case; but, there are cases -- cosmetic surgery, for example -- Hoyt Feb 2018 #26
This amazes me... SWBTATTReg Feb 2018 #29
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