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Sam Baker Feb 12
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Aetna under investigation after doctor says he didn't review claims

California Insurance Commissioner Dave Jones. Photo: Bryan Chan/Los Angeles Times via Getty Images

California Insurance Commissioner Dave Jones is investigating Aetna after one of the company’s former medical directors said he never reviewed patients’ information himself when deciding whether to approve claims, CNN reports.

Why it matters: Patients and doctors have long been frustrated with insurers' determinations about what's covered and what's medically necessary. Jones' investigation is centered on questions about how just how reliable insurers' processes really are.