TY  - RPRT
        AU  - Kantarevic, Jasmin
AU  - Kralj, Boris
AU  - Weinkauf, Darrel
        TI  - Enhanced Fee-for-Service Model and Access to Physician Services: Evidence from Family Health Groups in Ontario
        PY  - 2010/Apr/
        PB  - Institute of Labor Economics (IZA)
        CY  - Bonn
        T2  - IZA Discussion Paper
        IS  - 4862
        UR  - https://www.iza.org/publications/dp4862
        AB  - We study an enhanced fee-for-service model for primary care physicians in the Family Health Groups (FHG) in Ontario, Canada. In contrast to the traditional fee-for-service (FFS) model, the FHG model includes targeted fee increases, extended hours, performance-based initiatives, and patient enrolment. Using a long panel of claims data, we find that the FHG model significantly increases physician productivity relative to the FFS model, as measured by the number of services, patient visits, and distinct patients seen. We also find that the FHG physicians have lower referral rates and treat slightly more complex patients than the comparable FFS physicians. These results suggest that the FHG model offers a promising alternative to the FFS model for improving access to physician services.
        KW  - Ontario
KW  - Family Health Groups
KW  - access to physician services
KW  - physician productivity
KW  - remuneration
KW  - primary care
KW  - Canada
        ER  -