According to Former Medical Director, Aetna, Nation’s Third Largest Insurer, Doesn’t Review Medical Records When Deciding Whether to Approve or Deny Coverage

According to Former Medical Director, Aetna, Nation’s Third Largest Insurer, Doesn’t Review Medical Records When Deciding Whether to Approve or Deny Coverage

California’s insurance commissioner has launched an investigation into healthcare provider Aetna after a former medical director testified under oath that he never looked at patients’ records when deciding whether to approve or deny care.  The former Aetna official said that per the company’s training, he relied on nurses who reviewed individual patients’ records and made recommendations to him. Dr. Jay Ken Iinuma served as medical director for Aetna for Southern California from March 2012 to February 2015.  In that time,…

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