Politics and Government -  CA investigates Aetna after admission (258 views) Notify me whenever anyone posts in this discussion.Subscribe
 
From: Marci (marcinmin) DelphiPlus Member Icon Posted by hostFeb-11 6:38 PM 
To: All  (1 of 22) 
 47524.1 

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.
Aetna, the nation's third-largest insurance provider with 23.1 million customers, told CNN it looked forward to "explaining our clinical review process" to the commissioner.
 
 Reply   Options 

 
From: BlueMoon67 DelphiPlus Member IconFeb-11 7:46 PM 
To: Marci (marcinmin) DelphiPlus Member Icon  (2 of 22) 
 47524.2 in reply to 47524.1 

I'm not surprised that happens. My mother had a stroke and went undiagnosed for 10 years because the insurance company continually refused an MRI.  She then switched to Kaiser and they immediately gave her one and confirmed it. 

 

“The more you know, the more you know you don't know

and the more you know that you don't know.” 

~ David Byrne

 

 
From: Freewheel (FREEWHEEL2)Feb-12 8:22 AM 
To: Marci (marcinmin) DelphiPlus Member Icon  (3 of 22) 
 47524.3 in reply to 47524.1 
 

 
From: HWPeeler (HPeeler) DelphiPlus Member IconFeb-13 8:48 AM 
To: Freewheel (FREEWHEEL2)  (4 of 22) 
 47524.4 in reply to 47524.3 

"Because other industrialized nations have it" is not good reasoning. Sure America can do it ... if we adopt Socialism or Communism in the process. Our current system is flawed, no argument. Every step in the process tries to maximize their profits. From the doctor to the clinic, the pharmacy, the lab, the insurance provider, the coder, the nurse ... everybody wants to make as much as possible.

The VA system is somewhat different. The government owns the hospital, clinics, doctors, labs ...  Should we expand this system to cover those who can't afford commercial insurance programs? Would it put hospitals out of business? Would it fracture society into better health care for the rich and minimal healthcare for the masses?

 

 

 
From: Mort15 DelphiPlus Member IconFeb-13 2:11 PM 
To: HWPeeler (HPeeler) DelphiPlus Member Icon  (5 of 22) 
 47524.5 in reply to 47524.4 

HWPeeler (HPeeler) said...

Would it fracture society into better health care for the rich and minimal healthcare for the masses?

Good Lord son! We already have that. It's here  today. Take a rich man with cancer that needs chemo therapy. He has insurance that will pay for it and if he is rich enough he can get it without insurance. Now take a poor person that has cancer. They go to the hospital. The hospital only has to stabilize their health problem so that they don't die immediately. But nowhere is the hospital required to provide chemo therapy if the poor person has no insurance. You need a good dose of ,reality.

 

 
From: HWPeeler (HPeeler) DelphiPlus Member IconFeb-13 2:28 PM 
To: Mort15 DelphiPlus Member Icon  (6 of 22) 
 47524.6 in reply to 47524.5 

I have heard such stories but never lived it myself.  I have never been refused medical treatment. Have you?

 

 

 

 
From: Mort15 DelphiPlus Member IconFeb-13 2:49 PM 
To: HWPeeler (HPeeler) DelphiPlus Member Icon  (7 of 22) 
 47524.7 in reply to 47524.6 

I had a union job that had health insurance and I got to carry that into retirement. Therefore I can't be denied medical treatment. But I had cancer at 32 and I have a second different cancer for the last four years. Call your local hospital and ask them if they will give you or anyone else free chemo therapy. They will stabilize you and send you home. It would not be hard for you to find out.

 

 
From: Marci (marcinmin) DelphiPlus Member Icon Posted by hostFeb-13 4:44 PM 
To: HWPeeler (HPeeler) DelphiPlus Member Icon  (8 of 22) 
 47524.8 in reply to 47524.6 

HWPeeler (HPeeler) said...

I have never been refused medical treatment. Have you?

Try going to a hospital or clinic without insurance and see what happens. Hospitals are only required to provide basic treatment for life threatening conditions. They will not provide treatment or medicine for chronic illnesses.

 
Forum Host, Liberal Heaven
Assistant Moderator,YDD-Yellow Dog Democrats

 

 
 

 
From: HWPeeler (HPeeler) DelphiPlus Member IconFeb-13 6:50 PM 
To: Marci (marcinmin) DelphiPlus Member Icon  (9 of 22) 
 47524.9 in reply to 47524.8 

Hmmm, that makes two opinions from very reliable people.

 

 

 
From: Mort15 DelphiPlus Member IconFeb-14 5:03 AM 
To: HWPeeler (HPeeler) DelphiPlus Member Icon  (10 of 22) 
 47524.10 in reply to 47524.4 

And this post is fact?

47524.4 

  • Edited February 14, 2018 5:21 am  by  Mort15
 

 
Navigate this discussion: 1-10 11-20 21-22
Adjust text size:

Welcome, guest! Get more out of Delphi Forums by logging in.

New to Delphi Forums? You can log in with your Facebook, Twitter, or Google account or use the New Member Login option and log in with any email address.

Home | Help | Forums | Chat | Blogs | Privacy Policy | Terms of Service
© Delphi Forums LLC All rights reserved.