Patients will get better, frontline patient care including more community care nurses, expanded home care services for at least 90,000 seniors, and 1,100 more doctors as the province updates fees paid to physicians for services under the $11-billion Ontario Health Insurance Plan (OHIP).
Ontario's doctors are the best paid in the country, with the average doctor billing $385,000 and many specialists billing twice that much, according to the province.
The government is updating and rebalancing OHIP fees to better reflect current medical practices and new technologies and to avoid double-payments. Best practices demonstrate that doctors are now often able to work more quickly and more effectively yet many fees have not changed to reflect these advances.
Among the fee changes are:
- The province currently spends $88 million on self-referrals - the practice of referring a patient back to a doctor's own practice for an additional procedure and, consequently, additional billing. The payment for certain diagnostic tests such as x-rays and ultrasounds will be reduced by half when the same physician orders and performs the test.
- New technology has greatly reduced the time needed for 250 diagnostic radiology tests including x-rays, CT/MRI scans and ultrasound. To reflect this, fees paid for these tests will be reduced by 11 per cent over four years.
- New technology has reduced the time needed to perform cataract surgery from two hours to as little as 15 minutes. Fees paid to doctors for this procedure will be reduced from $441 to $397.75.
- The time taken to perform eye injections for retinal diseases now takes five to 30 minutes, down from two hours a decade ago. The fee paid to doctors for this service will be reduced from $189 to $90 over four years.
- Evidence shows that echocardiograms before routine non-cardiac surgery do not improve patient outcomes. Doctors will perform fewer of these tests.
- Best practices for CT scans and MRIs for lower back pain reveal that more targeted use of diagnostic tools helps to better support those patients with serious medical conditions such as infections or cancer and leads to earlier treatment for those patients with less serious symptoms by eliminating unnecessary diagnostic tests.
- To ensure more timely access to care, a new fee will be added for doctors to consult with each other through secure email.
The combined changes, effective as of April 1, 2012, are expected to result in savings of $338.3 million in 2012-13, allowing the government to invest in more home care and expanded health-care services.
The government will continue to negotiate with doctors to improve access to patient care, including same-day/next-day appointments and after-hours care to reduce pressure on emergency rooms.
"Our doctors are the best paid in Canada,” Deb Mathews, Minister of Health and Long-Term Care, said in the press release. “Instead of another raise for doctors, we need a real wage freeze so we can invest in more home care. To hold the line on doctor pay, we're making changes to fees for physician services to reflect advances in technology and the latest medical evidence on what helps patients most."
Quick Facts:
- 93 per cent of Ontarians now have access to a family doctor.- The average doctor in Ontario bills $385,000 - 75 per cent more than in 2003 and 10 times what the average Ontarian earns.
- Many specialists bill twice that amount and more than 400 Ontario doctors now earn more than $1 million a year.
Posted by Arron Pickard
