Image Credit: Flickr.

Overbilling concerns spark audits at three B.C. health clinics

Financial reviews stem from worries over integrity of public health-care system

With the blessing of the federal government, B.C. is putting three health clinics under the microscope amid long-standing concerns about overbilling and the integrity of the country’s public health-care system.

Federal Health Minister Jane Philpott said her department reached an agreement with B.C. to audit the three clinics in hopes of rooting out the practice of extra-billing for medically necessary care, a violation of the Canada Health Act.

“The audit will determine the extent to which extra-billing and user fees have been a barrier to accessible care for people in British Columbia,” Philpott said in a statement Thursday.

Philpott’s newly appointed B.C. counterpart, former NDP leader Adrian Dix, said he strongly supports the audit agreement, which was negotiated under the province’s previous Liberal government.

“We have to act to ensure that access to medical care in B.C. is based on need and not on an individual’s ability to pay,” Dix said in an interview with The Canadian Press.

“That is the reason the law exists and that is something that has been fundamental to Canada’s health-care system for a long time and is something we strongly support.”

Health Canada and the province decided to proceed with the audits in March, he said, noting that a considerable amount of planning has flowed from that decision.

“The results of the audit may have consequences … but the audits haven’t been completed yet so commenting on conclusions that haven’t been drawn would be incorrect and unfair,” he said. “We are not assuming the results of the audits.”

The Canada Health Act, which imposes conditions on the provinces and territories in exchange for health care funding, prohibits so-called extra billing or user charges for services that are deemed medically necessary.

Once extra-billing or user charges are confirmed, a dollar-for-dollar deduction from that region’s federal health transfer payment is required.

Some $204,145 was deducted from B.C.’s March 2016 transfer payments as a result of extra-billing and user charges for insured health services that were levied at private clinics in the 2013-14 fiscal year.

Extra-billing occurs when a medical practitioner charges an insured patient who receives a covered health service an additional sum over and above what is paid for by a provincial or territorial insurance plan.

Questions about the public health-care system in B.C. have also been raised in a high-profile court case involving Dr. Brian Day of the Cambie Surgery Centre in Vancouver.

In the lawsuit, launched in 2010, Day is challenging B.C.’s ban on the purchase of private insurance for medically necessary services covered by the public system, arguing it forces patients to endure long wait times that can exacerbate their health problems.

READ MORE: Debate over private healthcare in B.C. heads to court next week

The federal government is also engaged in the Cambie case, which it believes could have important implications for public health care across Canada.

Dix said ”some of the principles” being defended by the government in the case are similar to the questions at play in the audits.

“It is what the Medical Services Commission in B.C. and the ministry of health are defending in that case,” he said.

Kristy Kirkup, The Canadian Press

Just Posted

Thunderstorms sweep through Cariboo region Wednesday evening

Storms brought rain and large hail in some areas

Nursing instructor part of 2019 Rivershed Fraser River journey

Originally from Williams Lake, Bhavna Pooni hopes to raise awareness of the river

Join the WLIB for some finger-licking fun at their new Ribfest

Tickets are on sale now for this fun new family event on July 20

Disaster financial assistance available for Chilcotin flood victims

Applications must be submitted by Oct. 15, 2019

Joaquin ‘El Chapo’ Guzman sentenced to life in prison

Experts say he will likely wind up at the federal government’s Supermax prison in Florence, Colorado

Olympic softball qualifier gets $150K boost from provincial government

2019 Americas Qualifier to be held in Surrey from Aug. 25-Sept. 1

Gas price inquiry questions Trans Mountain capacity, company denies collusion

The first of up to four days of oral hearings in the inquiry continue in Vancouver

‘Benzos’ and fentanyl a deadly cocktail causing a growing concern on B.C. streets

Overdoses caused by benzodiazepines can’t be reversed with opioid-overdose antidote naloxone

Will you be celebrating national hotdog day with any of these crazy flavours?

The popularity of hotdogs spans generations, cultures

Former home of accused Penticton shooter vandalized

Ex-wife of man who is accused of murdering four people had her house vandalized

Survivor of near-drowning in B.C. lake viewing life through new eyes

“If I died that day, the baby wouldn’t know his dad,” said 31-year-old Mariano Santander-Melo.

‘Beyond the call’: Teen in police custody gets birthday surprise by B.C. Mountie

Unusual celebration started when Staff Sgt. Paul Vadik went to visit the teen in his Coquitlam cell

B.C. mom to go to Europe court in hopes of getting alleged abducted daughter back

Tasha Brown alleges her estranged wife abducted their daughter Kaydance Etchells in 2016

Most Read