Canada FM Payment Models

FFS core with group bonuses and rostering incentives. Lower commitment than FHO.

Capitation-dominant model with FFS for non-enrolled patients. Strict enrolment and access obligations.

Ontario's newer longitudinal model integrating capitation, FFS, and care coordination payments.

Traditional OHIP billing. No rostering, no group model. Maximum flexibility, no bonuses.

FFS under the Alberta Schedule of Medical Benefits. Highest per-fee rates in Canada.

Alberta's blended capitation model through PCNs. Combines capitation, FFS, and care-coordination in a team-based structure.

Traditional MSP billing. No roster requirement. Full flexibility, full income volatility.

BC's 2023 major payment reform. Blends panel-based payments with FFS to reward longitudinal family medicine.

Traditional RAMQ billing under the FMOQ fee schedule. The dominant payment model in Quebec family medicine.

Quebec group practice model. RAMQ FFS core with GMF access, team, and quality incentive payments.

FFS under the SK Medical Services Branch schedule. Primary model for SK family physicians.

Blended FFS with team-based PHC incentives. For physicians in organized Primary Health Care clinics.

FFS under the Manitoba Health Claims schedule. Primary payment model for MB family physicians.

Salaried or sessional employment in a community health centre. Fixed income with no billing complexity.

FFS under the NS Medical Services Insurance schedule. Dominant model for NS family physicians.

NS blended model for physicians in collaborative team-based practices. FFS with attachment and team incentives.

FFS under the NB Medicare schedule. Standard model for NB family physicians.

FFS under the NL MCP schedule. Standard model for NL family physicians.

FFS under the PEI Health fee schedule. Standard model in Canada's smallest province.