|

Hospital Beds and Long-Term Care Wait Lists

Friday, November 15th, 2019

Under current rules, hospitals may charge patients copayments for their room and board only if they require complex continuing care and are “more or less permanently resident” in hospital or waiting for an LTC bed. But they may not do so if the patient is awaiting discharge to home or community care. This creates a perverse incentive for hospitals to recommend LTC in order to get copayments, leading to longer waiting lists.

Tags: , , , ,
Posted in Health Policy Context | No Comments »


Ontario Health Teams: Primary Care Should Be Key

Friday, September 27th, 2019

The idea that in a well-functioning healthcare system, patients must have an accountable provider serving as their medical home is more convincing than ever, and a patient enrollment model based on capitation is by far the most logical basis for such a system… The right way for the Ontario government to go at this point is… to use capitated primary-care providers as the backbone of the new OHTs.

Tags: , , , ,
Posted in Health Delivery System | No Comments »


Ontario Health Teams should expand reforms to doctors’ Pay

Thursday, September 5th, 2019

Extend the capitation principle so that primary-care providers also have a stake in the cost of drugs and secondary care their patients use – a healthcare system likely functions better when each patient has a “medical home,” with a provider who manages the overall care the patient receives.

Tags: , , , , ,
Posted in Health Policy Context | No Comments »


Pharmacare and Politics

Friday, January 25th, 2019

Rather than going for an expensive single-payer model, we think Ottawa would be far better off with a “gap-filling” model. Under that approach, each province and territory would create a public pharmacare plan that would automatically cover anyone who wasn’t already covered by an existing public plan, or by a government-approved private plan. As an inducement, the federal government could offer a modest enhancement of the Canada Health Transfer, or offer to pay part of the incremental cost that each province would incur by offering such a plan.

Tags: , , , , , ,
Posted in Health Debates | No Comments »


|