MOHLTC Briefing On Physician Services

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MOHLTC

BRIEFING ON PHYSICIAN SERVICES


APRIL 22, 2016

AVERAGE ANNUAL PAYMENT


PER PHYSICIAN
$400,000

$368,000

$336,000
$277,000

$300,000

$250,000

$200,000

CANADA

ONTARIO

2006-2007
Source: Canadian Institute for Health Information

CANADA

ONTARIO

2013-2014

AVERAGE GROSS CLINICAL PAYMENT


PER PHYSICIAN BY PROVINCE
2013-2014

$400,000

#1

$263,294

$277,403

$305,580

$330,728

$356,766

$354,492

$279,645

$100,000

$275,937

$200,000

$367,722

$300,000

ON

NL

NS

NB

QC

MB

SK

AB

BC

*Data for PEI and Territories is unavailable.


Source: Canadian Institute for Health Information

ONTARIO PHYSICIANS RECEIVE


GENEROUS GOVERNMENT SUPPORT
TO HELP WITH OVERHEAD COSTS
ADDITIONAL SUPPORTS:

Subsidies to cover overhead expenses

Medical liability protection insurance

Allied health labour

Coverage/retention

Health benefits

Pregnancy/parental leave

ADDITIONAL
BENEFITS INCORPORATION:
By allowing physicians to incorporate,
we have given them access to lower
tax rates and other benefits.

ADDITIONAL AVERAGE INCOME OF


$56,000 FOR GPs

NEARLY 17,000 ONTARIO PHYSICIANS


HAVE CHOSEN TO INCORPORATE
- 63% OF ALL DOCTORS
THIS NUMBER HAS BEEN GROWING
AT 10% PER YEAR
Source: College of Physicians and Surgeons of Ontario

ONE ONTARIO DOCTOR


BILLED OHIP

$6,631,115

LAST YEAR IN ONTARIO, 500 DOCTORS


BILLED OHIP MORE THAN $1 MILLION
154

DIAGNOSTIC RADIOLOGY

85

OPHTHALMOLOGY

57

CARDIOLOGY

42

INTERNAL MEDICINE

25

ADDICTIONS/METHADONE
PAIN/NERVE BLOCKS

17

OBSTETRICS AND GYNAECOLOGY

15

GASTROENTEROLOGY

14
13

GENERAL SURGERY

10

ANAESTHESIA

68

OTHER

20

40

60

80

100

Number of Physicians

120

140

160

TOP 5 BILLING DOCTORS IN ONTARIO

$6,631,115

$6,000,000

$5,232,740

$5,108,884

$4,000,000

$3,840,637

$3,821,125

Anaesthesiologist

Diagnostic
Radiologist

$2,000,000

Ophthalmologist

Ophthalmologist

Diagnostic
Radiologist

HIGHEST BILLERS COMPARED TO


AVERAGE PHYSICIAN INCOME
TOP OPHTHALMOLOGIST BILLED

$6,631,114

TOP DIAGNOSTIC RADIOLOGIST BILLED

$5,108,884

TOP ANAESTHESIOLOGIST BILLED

$3,840,637

AVERAGE PHYSICIAN INCOME

$368,000

[According to the most recent report on physician income by Canadian Institute for Health Information (CIHI)]

TOP OPHTHALMOLOGIST BILLED

$6,631,114
COMPARED TO
AVERAGE OPHTHALMOLOGIST BILLED

$637,469
AVERAGE PHYSICIAN INCOME

$368,000

[According to the most recent report on physician income by Canadian Institute for Health Information (CIHI)]

TOP DIAGNOSTIC RADIOLOGIST BILLED

$5,108,884
COMPARED TO
AVERAGE DIAGNOSTIC RADIOLOGIST BILLED

$623,967
AVERAGE PHYSICIAN INCOME

$368,000

[According to the most recent report on physician income by Canadian Institute for Health Information (CIHI)]

TOP ANAESTHESIOLOGIST BILLED

$3,840,637
COMPARED TO
AVERAGE ANAESTHESIOLOGIST BILLED

$363,869
AVERAGE PHYSICIAN INCOME

$368,000

[According to the most recent report on physician income by Canadian Institute for Health Information (CIHI)]

ONTARIOS 500 HIGHEST BILLING


PHYSICIANS BILLED OHIP
$677,051,885

LESS THAN 2%
OF PHYSICIANS

ACCOUNT FOR
~10% OF BILLINGS
~10%

WHY IS THIS IMPORTANT?


WE HAVE A PLAN TO INVEST IN THE PRIORITIES
OF PATIENTS:
FASTER ACCESS TO CARE TODAY
WAIT TIMES ARE IMPROVING
94 PER CENT OF ONTARIANS HAVE A FAMILY
DOCTOR OR NURSE PRACTITIONER
A SUSTAINABLE SYSTEM THAT WILL BE THERE FOR
PATIENTS IN THE FUTURE
WE ARE WORKING TOWARDS BUILDING,
RENEWING AND IMPROVING APPROXIMATELY
35 MAJOR HOSPITAL PROJECTS
WE ARE INVESTING $750 MILLION MORE
IN HOME CARE

OVERSPENDING ON THE HIGHEST


BILLING DOCTORS MEANS WE MAY
HAVE TO REDUCE SPENDING ON:
X HOME CARE
X MENTAL HEALTH
X NURSES
X HOSPITALS
X OTHER PRIORITIES

IN THE LAST 4 YEARS, OUTDATED


BILLING PRACTICES MEAN
PHYSICIANS BILLED NEARLY
$750 MILLION OVER BUDGET.
THIS COULD COVER:

59,625

CHEMOTHERAPY TREATMENTS

2,900

REGISTERED NURSES

5 MILLION

HOURS OF IN-HOME PERSONAL SUPPORT AND HOMEMAKING SERVICE


APPROXIMATELY

2 MILLION
NURSING VISITS
AND MORE

ITS TIME FOR THE OMA TO


WORK WITH US TO:

ENSURE THAT THE PHYSICIAN SERVICES


BUDGET IS DISTRIBUTED FAIRLY AMONG
HARDWORKING DOCTORS

UPDATE THE SCHEDULE OF BENEFITS SO


TAXPAYERS ARE PAYING THE RIGHT AMOUNT
FOR SERVICES NOT TOO LITTLE, NOT TOO MUCH

DETERMINE A FAIR AND PREDICTABLE BUDGET


FOR HOW MUCH WE PAY DOCTORS EACH YEAR

WE ARE CONTINUING
TO INVEST IN HEALTH CARE
COMMUNITY CARE:
2006-2007 Actual: $2,993.8M
COMMUNITY MENTAL HEALTH:
2006-2007 Actual: $593.5M
HOSPITALS:
2006-2007 Actual: $13,091M

2016-2017 Plan: $5,433.8M

2016-2017 Plan: $907.0M

2016-2017 Plan: $16,995.2M

Hospitals
+30% since 2006

Community Mental Health


+53% since 2006

Community Care
+82% since 2006

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