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Health Provider Survey Reveals Concerning Trends

An interesting article has been posted by the Alliance of Community Medical and Rehabilitation Providers on The Health Professional website. Based on a survey of health professionals across Ontario it noted the following trends with insurer's response to applications for medical and rehabilitation benefits:

  • A significant increase in the number of accident victims who are running out of benefits before they are fully recovered
  • Health care service denials have escalated
  • Victims are waiting longer to receive treatment and services
  • Many accident victims are now NOT being assessed
  • Victims are waiting longer to receive treatment and services

The article quotes Dr. Donna Ouchterlony, medical director of the Brain Injury Clinic at St. Michael's Hospital, as stating that, "Since September, we are seeing more and more patients with serious injuries whose insurers are outright denying treatment, and when funding is approved, it is no longer nearly enough." The Alliance makes a number of recommendations:

  • Re-instate the benefits that were in place prior to last September
  • Allow the cap on assessments to be exceeded in certain circumstances
  • Withdraw the right of insurance adjusters to deny medical claims without an independent medical opinion
  • Freeze premiums
  • Require more openness and transparency, with insurers having to release financial and operations data for their auto insurance lines

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