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  1. Apr 1, 2019 · We found that the access bonus flowed disproportionately to physicians outside large cities and to those whose patients made fewer primary care visits, received less after-hours care, made...

    • Vol. 38, No. 4

      November 2024, Health Insurance, Pharmaceuticals & More...

  2. We found that the access bonus flowed disproportionately to physicians outside large cities and to those whose patients made fewer primary care visits, received less after-hours care, made more emergency department visits, and had higher adjusted ambulatory costs.

  3. The access bonus is available to Ontario family practices that operate within a blended capitation model of care. In this model, patients are enrolled to a family physician and most physician earnings come from an annual per-patient payment, adjusted for patient age and sex.

  4. Aug 1, 2017 · Primary care funding related to performance targets were not included in patient level costs and but these would affect costs across the primary care models to a similar extent, with the exception of the FFS patients, for which physicians do not receive any bonus payments.

    • Maude Laberge, Walter P Wodchis, Walter P Wodchis, Jan Barnsley, Audrey Laporte
    • 2017
  5. We linked this payment data to adult (≥ 16 yr) patient data from the Healthcare Experiences Survey to examine the relation between access bonus achievement (in quintiles of the proportion of bonus achieved, from lowest [Q1, reference category] to highest [Q5]) and 4 patient-reported access outcomes.

  6. Apr 1, 2019 · We found that the access bonus flowed disproportionately to physicians outside large cities and to those whose patients made fewer primary care visits, received less after-hours care, made more...

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  8. Mar 27, 2008 · While such bonuses can be effective, they are often not cost-effective: they must pay bonuses to practitioners who previously met the target in order to motivate the change at the margin among those who did not.

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