CLHIA-ACCAP

11 • The CLHIA has successfully recruited the participation of all members of HIEC (Health Industry Electronic Commerce Association) and CHCAA (Canadian Health Care Anti-Fraud Association) that wished to continue working at an industry level through the CLHIA. • Key deliverables on the anti-fraud file include the development and launch of an industry Provider Alert Registry (PAR) and the initiation of a project to investigate the creation of an industry claims pooling consortium to facilitate sophisticated data analytics to alert members to suspected fraudulent activity. • On electronic claims issues, there has been significant progress in the negotiations with dentists to establish a national agreement on a new CDA Net agreement, as well as with the Canadian Pharmacy Association around an updated Pharmacy Claims Standard. best to deploy its planned new infrastructure spending, as well as the development of the new proposed Canada Infrastructure Bank. • The CLHIA also continues to urge P3 Canada to play a leadership role in helping to standardize the P3 process and documentation for smaller projects. vii. Successful integration of expanded mandate for electronic claims and anti-fraud • Since taking on this new mandate, the CLHIA has hired a Director, Electronic Claims and Claims Fraud, to provide management and leadership to the CLHIA's activities in these areas. We also created two new permanent working groups as well as a senior Committee to lead this work going forward. viii. Capital Issues • The CLHIA conducted a comprehensive confidential survey of QIS 6 results with respect to OSFI/AMF's new capital framework for 2018. The QIS6 survey report provided member companies with benchmarking insights for numerous Required Capital and Available Capital components, as well as insights into OSFI's/AMF's proposals for a new solvency metric. Work also commenced on a similar survey for QIS7. • With respect to other major areas, the CLHIA provided comments to OSFI on their draft changes to the 2016 MCCSR Guideline. In addition, the CLHIA's Segregated Fund Guarantee Capital Working Group drafted a number of industry position papers for presentation to OSFI/AMF related to their overhaul of the Standard Approach capital requirements, now targeted Board of Directors President's Message Review of the Year's Results Members CLHIA Code of Member Service CLHIA Officers Chair's Message

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