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

Abattoir proposal has south Langley residents on edge

Opponents to poultry slaughterhouse application say aquifer could be at risk

Auditors couldn’t tell if Fraser Health executives bought booze on taxpayers’ dime

Review from 2014 says one administrator bought Bose headphones on company credit card

Langley hosts its own theatre festival this summer

A new festival aims at providing platform for local emerging talent to showcase their work.

VIDEO: Dashcam records near-miss by bad driver

Dash cam captures pickup truck illegally passing on highway shoulder in Langley

Aldergrove Blazers win in Aldergrove Arena’s final game

Aldergrove Bantam C2 Blazers won in the last ever ice hockey game in the old Aldergrove arena

Ottawa proposes restricted pot labels, packages

Packaging will include red stop sign with marijuana leaf and ‘THC’

Alberta budget plans for Trans Mountain expansion

Finance Minister Joe Ceci says expected revenues will be factored into budget forecasts

Langley City hits up province for share of pot revenue

The province says it understands municipalities will face extra costs when marijuana is legalized.

B.C. climber remembered for gentle spirit, love of mountains

Marc-André Leclerc had been hearing the call of the mountains since childhood

Proposed gun bill attacked by gun owners and shooting victims

The federal government tabled the bill today in order to tighten the sale and tracking of firearms

New anti-radicalization centre in the works for B.C.

Centre aims to help ‘vulnerable individuals of the path to radicalization’ before they turn to crime

B.C. bravery, public service honoured by Governor General Julie Payette

UVic basketball coach Kathryn Shields inducted into Order of Canada

Sea lion with rope wrapped around neck saved by Vancouver Aquarium

Steller sea lions are a species of special concern and some populations are endangered in parts of Alaska

Most Read