Here’s a very brief overview of the information available
As you know, the government and OMA surprised many of us with their announcement on July 11 about a new tentative Physician Services Agreement. While all of the details are not available, we have been getting a lot of questions from our clients so we are sending this very brief summary ahead of a more substantial update when more details become available.
Here are the main areas where primary care physicians will be impacted:
- The budget for physician payments will be set based on the 2015-2016 actual expenditure and will increase 2.5% for each year of the agreement. The existing 4.25% discount on your billings will continue.
- There is a one time top-up of $50M, $100M, $120M, $100M in each of the years.
- There is a need for the OMA and MOH to find joint savings in the Schedule of Benefits for the last two years of the contract ($100M each year).
- The deal will ensure protection against anymore arbitrary unilateral cuts by the MOH while allowing for the constitutional challenge to continue asking for binding arbitration.
- Groups (FHGs/FHOs/FHNs) will be required to provide improved access to patients. This will come in the form of improved evening/weekend coverage and 24-48 hour access to appointments for urgent conditions. Details are still to be negotiated.
- The proposed PSA restores managed entry of 40 physicians per month into FHNs and FHOs.
- The MOH & OMA are noted as co-managers of the system and many bill 210 items are repealed.
We have had many conversations about the limited information available on this new PSA. Some are happy that the stalemate is broken. Many are skeptical of how this new deal will impact them.
We will continue to gather information and issue a more substantial update as information becomes available.
In the meantime, if you have questions, we would be more than happy to share any useful information we have with you.