The Physician Services Agreement (PSA) outlines how Ontario physicians are compensated and how key aspects of the healthcare system are funded and managed. In 2025, the Ontario Ministry of Health introduced major updates to the Family Health Organization (FHO) model as part of the 2024–2028 PSA.
To help physicians stay informed and navigate these updates with confidence, DoctorCare has created a series of resources, guides, and webinars focused on the 2024–2028 PSA.
If you have questions about how these updates may impact you and want to learn how our team can help you navigate the changes, reach out to us today.
This summary of the Physician Services Agreement outlines the latest updates impacting Ontario physicians, covering areas like FHO managed entry, compensation increases, new proposals from the OMA, OHIP Schedule of Benefits updates, and others.
It also provides a timeline for when these changes will be implemented.
With the new Physicians Service Agreement underway, the OMA and the Ministry have been gradually releasing updates on physician compensation and how it will be structured in 2026.
We understand that keeping up with these changes can be overwhelming and time-consuming, and we know you likely have questions. Our goal is to simplify this information by providing a clear overview of the updates, helping you manage these changes while maximizing your revenue potential and opportunities.
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Components of the existing FHO model will be changing, including the removal of negation and access bonus, enhanced in-basket billing, the introduction of hourly payments and more.
Physicians will see increases in physician compensation across all 4 years of the 2024-2028 PSA.
The OMA suggests updates to patient care and admin processes, including virtual care, manual review, Schedule of Benefits, and the 'good faith” process for newborns without health cards.
FHG doctors will see an increase in their premiums from 10% to 20% over the next 2 years of the PSA.
Embarking on the journey of joining a Family Health Organization (FHO) in Ontario can be an exciting step for healthcare practitioners looking to enhance patient care and practice stability.
To get started on this path, we share a list of valuable resources that offer guidance and support.
Read how we helped two Ontario doctors, Dr. Sofia Nastis and Dr. Delna Press, start their career paths as family physicians. We helped them navigate it, master the details – and set up successful practices.
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