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  • FHO+ Payment Model and PSA Resources

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:

PSA Updates

With the proposed changes to the existing FHO model, the Ministry is also applying compensation increases to physicians’ upcoming Remittance Advice.

Register for our upcoming webinar "Preparing for FHO+: What Ontario Physicians Should Expect"!

Ontario’s proposed FHO+ model could reshape how family physicians are compensated – impacting clinic workflows, revenue streams, and patient care delivery. Join us for our webinar, where we’ll answer all your key questions about the proposed FHO+ model.

Date: Wednesday, October 1, 2025

Time: 12:00-12:45pm

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.

Prepare for the upcoming FHO+ changes.

Book a Complimentary Income Analysis with our team to find out how the new FHO+ model could impact your practice!

Request a consultation.

We will do a free income analysis, help you make an informed choice – and guide you through a successful switch to a FHO+.

Please fill out our contact form and we will get in touch with you shortly.

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