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This report looks at the collection of comprehensive physician payment data (both fee-for-service and alternative payments) from provincial medical care plans to enhance the reporting of physician activity in Canada.
Over the last decade and a half, fee-for-service payments have accounted for a declining proportion of physicians’ total payments. This trend is expected to continue in the future as more alternative payment programs (APPs) are implemented in the provinces and territories. In many APPs, payments are not always allocated to individual physicians, making it increasingly difficult to comprehensively understand the services provided by physicians.
5 provinces recently began submitting detailed APP data to CIHI that can be integrated with their fee-for-service data and used to calculate indicators based on more comprehensive information: Newfoundland and Labrador, Prince Edward Island, Nova Scotia, New Brunswick and British Columbia. In this study, CIHI uses this new information to demonstrate and showcase its use in fully comprehensive average payment per physician metrics.
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