Physician Remuneration

Question 1

Physician Remuneration

Remuneration Models

Answer 1

• FFS
• Enhanced FFS
• Alternative Payment Plans (APP)
• Salary

Question 2

Physician Remuneration

FFS and Enhanced FFS Models

Answer 2

• Province establishes fee schedule, negotiates with providers
• Payment for uninsured FFS = responsibility of patient/third party payer
• Enhanced
  
  • Bonus for complex dx management
  • Block funding in rural areas

Question 3

Physician Remuneration

Why do Governments Want Alternative Payment Plans?

Answer 3

• Concerned about trend for doctors to offer episodic care (instead of comprehensive)
• Address declining number of physicians that serve rural areas
• Cost control and best quality care for money spent

Question 4

Physician Remuneration

Alternative Payment Plan Features

Answer 4

• Fees for clinical services
• Capitation funding
• Time-based payments (daily, hourly)
• Rewards for specific clinical initiatives
• Bonuses for achieved targets
• Remuneration for admin costs
• Teaching compensation
• Research funding