How Do Doctors Get Paid? Intro to Physician Payment Models

[@BreakingBadDebt]

Topics Covered: 0:00 - Intro 5:05 - Academic vs. Community Practice 7:43 - Fee for Service (FFS) 8:19 - Alternative Payment Models/ Enhanced FFS 11:24 - Capitation (FHO, FHN) 19:11 - Family Health Teams (FHT) 20:00 - Salary (CHC) 22:51 - MD Side Hustle: What else do doctors do to add variety? 26:32 - Resources

[@lucasseuren4180]

Glad to have found this. Great resource as a researcher on primary care who only recently moved to Canada. Things start to make a bit more sense, will dive into other lectures as well now. Also, love the subtle swipe at Mass Effect 3 :D

[@asmasheikh-jg3nb]

excellent resource. One questions; if we are doing FHO can we do walk in in rural area ( if I want to have that mix of urban and rural pt) . I guess I want to ask about can there be two localities that we can serve. Do we need to be part of two different FHO. or FHO and FFS( Walk-in)?

[@Nicole-kq6rc]

Is it possible to work in 2 different settings and get payed through a combination of models? For example, working in the CHC 3 days a week (salaried for that) and do telemedicine 2 days a week (FFS)? And does the limit on the 55k capitation model include private billings? Ex: working for a private telemedicine company or doing direct primary care (where the patient/their insurance pays directly)?

[@BreakingBadDebt]

Hi Nicole, that's a great question! My answers below: 1) Multiple models: Yes you can work in different settings and get paid through different payment models. 2) The 55K cap in a FHO model doesn't include private billings. You can make as much as you want through the private sector. You want to make sure to be ethical and not 'double dip', i.e. using public sector resources (e.g. operating rooms) but get paid privately and vice versa.

[@auslander1026]

@@BreakingBadDebt If I work part time in FHO practice, can I locum with FFS elsewhere (walkin, hospitalist) or it is still 55k cap for those billings?

[@BreakingBadDebt]

@@auslander1026 Yes you can locum and earn FFS as long as your in basket billings are below the 55K cap.

[@michaelscaffidi521]

Great talk! Is there a way to access the slides if we don't have IG?

[@BreakingBadDebt]

Hey Michael, check the “About” section of my channel for the email to get in contact with me. If you’re an instructor, please send me an email through your university email address to avoid it being deleted as spam! Thanks!

[@briankim5985]

This is incredible! Im a hospitalist moving to toronto. Are hospitalist paid ffs in toronto?

[@BreakingBadDebt]

Hi Brian, it depends on the practice group. Generally those of us who work in hospital or academic centres are paid as the APP/AFP (Alternative payment / funding plan) where hospitalists might get a stipend for call or teaching in addition to FFS. It's important to ask your employer how the group is paid.