re: A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly.

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If it is a reasonable test/procedure given the patient’s symptoms then the insurance company should pay.

They should not be telling the doc who is seeing the patient what they can and can’t do.

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Except reasonable doctors disagree all the time about what is reasonable treatment. That just incentivizes insurers to only work with doctors whose recommendations are a priori reasonable to them.

They aren't telling the doc what they can or can't do. They are telling the doc what the patient agreed for them to cover or not. It's up to the doc to perform the procedure or not at that point. Doctors then make their own economic decisions regarding patient care, just like insurance companies do. Funny how absolutely necessary treatments sometimes become optional once the doc realizes it won't be covered and the patient can't cover the self-pay.