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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.

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 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+.

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