HLTHAGE 2F03 Lecture Notes - Lecture 3: Ontario Health Insurance Plan, Alternative Payments
18 Jan 2017
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Document Summary
Hospitals in the case of those hospitals that contract with rhas (regional health. Authorities) for example, all hospitals in ontario and catholic hospitals in western. Canada most payments are generally made on the basis of the previous year"s allocation adjusted for inflation and budget growth. Some rhas have introduced or experimented with other modes of funding, including activity-based, patient-centred and incentive-based funding models. Hospitals have higher operating costs than private practices and medical centres. In recent years, incentive-based bonuses have become more common. A result of ffs is overprovision of services. Alternative payment systems - some ministries have also begun to implement pay for performance incentives, group-based profit sharing and fundholding systems. In some provinces for example, alternative payments are concentrated in specialties such as cancer care and psychiatry, while in other provinces, alternative payments contracts are provided for after-hours coverage of patients in primary care settings. With capitation, the doctor gets paid whether you show up or not.
