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California's Insurance Commissioner Will Investigate Aetna

Aetna is reportedly under investigation after a former medical director said he didn't reference patients' records to make decisions about care.
Posted at 2:36 PM, Feb 15, 2018

Insurance provider Aetna is reportedly under investigation after a former medical director for the company said he didn't look at patients' records to make decisions about care.

According to CNN, Dr. Jay Ken Iinuma said that during a deposition in a lawsuit against Aetna.

A college student filed the suit, claiming he was denied coverage for a procedure that would've helped treat his rare immune disorder. The case is slated to go to trial in California Superior Court.

CNN reports Iinuma said under oath that he was following Aetna's training "in which nurses reviewed records and made recommendations to him."

California's insurance commissioner isn't too happy about it. He told CNN his office is now looking into how widespread that practice is within Aetna because it's "potentially a violation of law."

Aetna is one of the biggest insurance providers in the U.S. and serves about 23.1 million customers. The company said it's looking forward to explaining its clinical review process.

Additional reporting from Newsy affiliate CNN.