The news and analysis section of the insurer’s website leads with the headline: “Don’t let the facts get in the way of a good story – our response to recent media coverage.”
In an effort to discredit a recent CNN story that launched two state insurance commissioners to question its claims, prior authorization, utilization review and claims processes, the insurer contends,
The story was pushed by attorneys for an individual suing Aetna; in fact, it was conveniently published days before the trial was scheduled to begin. In it, based on an excerpt from a deposition, former Aetna medical director Dr. Jay Ken Iinuma appears to imply that he never relied on medical records when making coverage decisions. We want to be 100 percent clear with our members, customers, partners and the public: Dr. Iinuma’s deposition was taken out of context to create media and courtroom leverage, and is a gross misrepresentation of how the process actually works. Medical records were in fact an integral part of the clinical review process during Dr. Iinuma’s tenure at Aetna, consistent with his training.
Get details and links to the media coverage from The Hertel Report
Read Aetna’s complete response to the media coverage