FHO+ Payment Model and PSA Resources
The proposed FHO+ model in the new PSA has sparked a lot of questions, and we’re here to help. Explore our resources for a one-stop shop on all the information you need to keep up-to-date on the proposed changes to physician compensation in Ontario.
Curious how FHO+ could impact your practice? We can help.
Book a free income analysis with our team to find out how the proposed FHO+ model can affect your practice and earnings.
What is the FHO+ Model?
The FHO+ model is a proposed enhancement to the existing Family Health Organization payment structure. Rather than a complete overhaul, it’s designed to address key gaps in physician compensation, with a focus on recognizing the full scope of patient care and enhancing revenue potential.
FHO+ Payment Structure
The FHO+ compensation structure will be composed of 4 different categories:
- Time-based billing for direct and indirect care and admin work
- Increased shadow billing for regular and after-hours care
- Attachment bonus for newly rostered patients
- Capitation payment (base rate payment)
PSA Updates
With the proposed changes to the existing FHO model, the Ministry is also applying compensation increases to physicians’ upcoming Remittance Advice.
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As of April 2025, increases were applied to all physician billings according to their specialty.
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By October 2025, physicians will receive a final reconciliation payment covering amounts from April 2024 to March 2025, including group-level funds like access bonuses, OPAP, and GMLP.
- From April 2026 onward, the combined increases from Year 3 and Year 1 will continue with a 75/25 split (splitting the increase into 25% applied evenly and 75% based on relativity), distributed based on a permanent relativity framework for fee codes.
Watch our webinar "Preparing for FHO+: What Ontario Physicians Should Expect", now available on demand!
Ontario’s proposed FHO+ model could reshape how family physicians are compensated – impacting clinic workflows, revenue streams, and patient care delivery. Watch our recent webinar to learn about the changes to the FHO model and how the upcoming FHO+ model may affect your practice.
FHO+ Model & PSA Resources
All the information you need, in one place.
Blog: Understanding the Proposed FHO+ Model: What Ontario Family Physicians Need to Know
Blog: Ontario PSA Compensation Increase Structure and Timeline 2024-2025
On-Demand Webinar: Starting Your Practice in Ontario: A Beginner’s Guide to OHIP Billing Codes
Also, by signing up for our newsletter, you can stay up to date on any OHIP billing and PSA changes.
FHO+ Model FAQs
Yes. The Access Bonus will be discontinued under the new FHO+ model. This bonus will be repurposed through the hourly time-based payments, as well as the increase in shadow billing.
- Direct services- Time spent directly with patients
- Indirect services- Charting, reviewing lab results, billing, and other administrative tasks
- Clinical administration- Roster management, chronic disease patient management, and other clinical oversight activities
- Patient Attachment Bonuses- Depending on whether you are a new FHO physician or not, you will receive a bonus (from $100 to $270) per rostered patient based on their age and RIO.
No, you will not have to do anything on your part as a physician if you are in a FHO currently. Only once the Ministry has finalized its ruling will it transition all FHO physicians into the currently proposed FHO+ model.
- Shadow billing: Most in-basket codes will see increases to 30% of the full Fee-for-Service (FFS) rate. Select procedure codes will receive even higher increases to 50% of FFS rates.
- Q012 after-hours: The after-hours premium will increase from 30% to 50%, providing better compensation for physicians who provide extended care to their patients outside regular business hours.
- GMLP: The GMLP will be increased up to 4 times the current rate, providing better compensation for physicians who take on leadership roles within their FHO groups.
- Hospital-Based Services: In-basket services performed in a hospital setting will be considered out-of-basket and paid at full FFS rates, ensuring physicians receive appropriate compensation for hospital-based care.
We are offering a complimentary income analysis to demonstrate how transitioning to the proposed FHO+ model can enhance the patient experience and get you one step closer to new financial heights.
