FSRA Health Service Provider (HSP) Stakeholder Advisory Committee meeting with FSRA Board of Directors

Summary of the May 22, 2024 meeting
25 Sheppard Avenue West and virtually via Teams

SAC members present:

Sabrina Chagani – Intact Insurance
David Dos Santos – Hamilton Health Services
Avi Orner – Canadian Society of Medical Evaluators
Elliott Steinberg – G.E.M.S Chiropractic and Rehabilitation Clinic
Lynn Whitehead – TD Insurance
Moez Rajwani – Coalition of Health Professional Associations in Auto Insurance in Ontario

FSRA Board members present:

Joanne De Laurentiis – Chair of the Board
Joseph Iannicelli – Board member
Kathy Bouey – Board member
Peggy McCallum – Board member
Rob Wellstood – Board member
Ali Salahuddin – Board member
Lucie Tedesco – Board member

FSRA management members present:

Mark White – Chief Executive Officer
Huston Loke – Executive Vice President, Market Conduct
Jenela Pejic – Head, Licensing and Risk Assessment, Market Conduct
Stevie Madder – Senior Manager, Market Conduct (P&C Insurance)
Beata Morris – Director, Market Conduct (P&C Insurance)
Glen Padassery – Executive Vice President, Policy and Auto Insurance
Dan Padro – Head of Policy
Chris Georgakopoulos – Director, Auto Policy
Melissa Grover – Senior Manager, Auto Strategy Policy
Paul Reid – Chief Financial Officer
Andrew Fung – Executive Vice President, Pensions
Stephen Power – Executive Vice President, Corporate Services
Mehrdad Rastan – Executive Vice President, Credit Union & Insurance prudential

The Chair of the Board welcomed all participants and new Board members were introduced. The Chair noted the importance of stakeholder engagement and hearing from members directly to understand issues from their perspective.

The Executive Vice-President (EVP), Market Conduct, FSRA, provided remarks outlining current initiatives that address some of the issues previously raised by the Committee and emphasized activities FSRA has undertaken since the Committee’s last meeting with the Board.

The Committee was asked to comment on factors FSRA should consider related to the supervision of Health Service Providers (HSPs) business practices and billing in Health Claims for Auto Insurance (HCAI), key market conduct risks for HSPs, and critical factors to increase compliance in the HSP sector. Common themes included modernization and efficiencies, such as:

  • Leverage providers’ workflow processes and further enhance the HCAI system’s data analysis capabilities.
  • Clarifying which treatments are billable and the appropriate treatment codes, as well as updating HCAI to allow participants of preferred provider networks to upload consent forms.
  • Committee members discussed enhancing the use and collection of HCAI data to inform decision-making and track treatment outcomes, as decisions for motor vehicle accident claimants made with inaccurate or incomplete data can lead to poor health outcomes.
  • Foster stronger partnerships between FSRA and health regulatory colleges to aid in better communication and information sharing in the sector.

Committee members expressed interest in engaging with FSRA on upcoming auto reforms announced in the recent government budget. FSRA-led initiatives include reviewing the HSP framework, HCAI system, and Statutory Accident Benefits Schedule (SABS) Guidelines.

The Chair reminded Committee members that moving forward, FSRA will be merging the HSP SAC and Automobile SAC. The merger aims to facilitate a balanced and collaborative approach between key stakeholders.

The EVP, Market Conduct appreciated insights provided by Committee members, as well as their continued engagement. He noted that FSRA will continue to leverage its technological capabilities in its supervisory work.

The Chief Executive Officer expressed his gratitude to the members for the valuable insights.