Physician Remuneration Flashcards

1
Q

Physician Remuneration

Remuneration Models

A
  • FFS
  • Enhanced FFS
  • Alternative Payment Plans (APP)
  • Salary
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2
Q

Physician Remuneration

FFS and Enhanced FFS Models

A
  • 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
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3
Q

Physician Remuneration

Why do Governments Want Alternative Payment Plans?

A
  • 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
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4
Q

Physician Remuneration

Alternative Payment Plan Features

A
  • 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
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