Canadian Healthcare Association Case Study

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Section 2 of the Canadian Healthcare Association (CHA), regarding insured health services, defines these services as, “‘physician services’ and ‘surgical-dental services’ that are ‘medically required’ and as ‘hospital services’ that are ‘medically necessary for the purpose of maintaining health, preventing disease or diagnosing or treating an injury, illness or disability.’”
The Canadian Healthcare Association fails to define a criterion for determining what health services are deemed “medically necessary” or “medically required, leaving it to provincial medical associations to make such judgements, which results in inconsistency throughout the country.

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