Ont. arbitration: When and how much will docs get paid?

Disclaimer: The information is based on my personal analysis and should not be your sole source of information. The payment schedule below is based on what we were told was “PLANNED.” Being a firm believer in “Murphy’s Law,” I would suggest that changes to the below may come at any time. Contact info@oma.org with any questions.After writing why the Ontario arbitration award will be bad for patients and doctors, it seems my three loyal readers were unhappy that I couldn’t say when docs would be paid. Being a demure, sensitive and eager to please sort, I feel compelled to try my best to explain when money is coming.Once again, my two examples are Drs. Alpine and Valley. Both had 13 years of post-secondary education (four years for a BSc, four years for medical school and five years for residency). Dr. Alpine does a lot of procedures and can see more patients than he could 20 years ago due to improved technology. Dr. Valley spends a lot of time with intensively sick patients, so she sees the same number of patients as 20 years ago.Read: Dr. Sohail Gandhi: Arbitration award implementation will hurt physicians and patientsWhat assumptions am I making for the calculations?Drs. Alpine and Valley will each provide the same number of OHIP services yearly from 2023 to 2026. We have to assume that the entire 2.8 % increase from last year, and the 9.95% award this year will be given across the board until April 1, 2025. (The OMA and Ontario Ministry of Health—MOH—could reach an agreement on distributing the funds more fairly—but I highly doubt it). We’ll also assume that the schedule for payments the OMA provided at their webinar will be met—I remain very skeptical.Let’s assume Dr. Alpine billed OHIP an average of $100,000 a month for fiscal 2022/23 and Dr. Valley billed OHIP $30,000 a month. This time period is the base rate for OMA calculations, and hence mine. (Physicians who read this blog can put their average 2022/23 monthly billings into the calculations below to find out their own numbers.)What happened for April 1, 2023 to March 31, 2024?The OMA and MOH agreed to a 2.8% increase in fees that was to be divided into across the board (ATB) increases and relativity increases. Because the agreement came late, and the OHIP computers couldn’t be updated (sigh), Drs. Alpine and Valley continued to bill OHIP at the same rate as 2022/23.What happened on April 1, 2024?The OHIP computers finally updated to reflect the previous year’s increase. Since the two sides didn’t agree on a relatively formula, the 2.8% was given ATB. Dr. Alpine’s gross income went to $102,800 a month. Dr. Valley’s went to $30,840. Both increases showed up on the May remittance. Doubtful Dr. Valley even noticed her increase.What will happen on the Nov. 2024 remittance ?Well, finally all the reviewing and rejecting and re-submitting of claims for the year April 1, 2023 to March 31, 2024 will have happened. The computers will then pay the retroactive 2.8% amount of this year to the doctors. Dr. Alpine will get an additional $33,600 (1.028 x $100,000 x 12) on his remittance for retroactive pay. Dr. Valley will get $10,080 (1.028 x $30,000 x 12).Isn’t there a drop beginning in December 2024?The increase drops to 2.55% and the funds saved are dedicated to enhancing the Hospital On Call Coverage program (HOCC). Dr. Alpine will now see $102,550 (1.0255 x $100,000) and Dr. Valley will start to get $30, 765 (1.0255 x $30,000).What happens for the January – March 2025 remittance advice?Allegedly, the OHIP computers will be able to apply the 9.95% increase for this year now (I’ll believe it when I see it). The word “prospective payment” was used in the webinar, but I don’t know what that means. This increase is compounded to the now 2.55% from the previous year. As a result, starting with the January remittance, Dr. Alpine will now get $112,753.73 (1.0255 x 1.0995 x $100,000) a month from OHIP. Dr. Valley will be at $33,826.12 a month.What is supposed to happen on the March 2025 remittance?What’s that you say? Wasn’t the 9.95% increase supposed to start on April 1, 2024? So what happened to all that money? Well, according to the OMA you will get a lump sum payment for April to December in the March remittance. Dr. Alpine can expect to see a one-time retroactive payment of $89,583.57 ($112,753.73 that he should have gotten subtracting the $102,800 that he did get, multiplied by nine months) and Dr. Valley will get $26,875.08. This is in addition to their usual remittance.OK, what happens after April 1, 2025?Well at this point the new “permanent” fees are supposed to kick in. Up until now, everyone has been given ATB increases. Whatever is negotiated or arbitrated, is supposed to start now. However, the base rate will be the 2022/23 rates. In a previous blog, I assumed that we would carry on the process of giving one-quarter of the increase as ATB and three-quarters via relativity. If this is done (not sure if it will be) then every speciality will get 2.46% (0.7% for last year + 1.75% this year, compounded) plus X percent—with the X varying from speciality to specialty based on relativity.Let’s assume Dr. Alpine’s speciality got an X=0% and that Dr. Valley’s got X = 17.54%. In that case Dr. Alpine will now get $102,460 a month:$100,000 base rate from 2022/23 x (1.0246 ATB increase + 0 for relativity).Dr. Valley on the other hand will get $36,000 a month:$30,000 base rate from 2022/23 x (1.0246 ATB +.1754 for relativity).I imagine Dr. Alpine will be annoyed.What are the chances of the new fees being ready on April 1, 2025?Slim to none. Militancy on the part of the MOH and incompetence on the part of bureaucrats in charge of OHIP are two constants as sure as death and taxes.Um . . . well what happens to our monthly incomes after April 1, 2025?I honestly can’t figure that part out (and not for lack of trying). The procedural agreement states:“Any unexpended portion of the targeted price increases will continue to be paid to physicians as a separate payment on the monthly remittance advice until such time as each targeted increase is implemented or unless the parties agree otherwise.” This is the part that I think most people have missed (including, frankly, the OMA board that approved this agreement—and yes I know it was an attempt to get real money in the hands of physicians). It’s one thing to accept 2.8% ATB. But to accept 12.75% ATB (2.55% from last year compounded with 9.95% from this year) is a bit much. You really have to wonder if there wasn’t a fairer way to spend this money, especially with so many Dr. Valley’s struggling. Time will tell what happens here.Geez old country doctor, all you’ve done is fuzzify the muddification!I aim to please dear reader. I aim to please.SPECIAL MESSAGE FOR FAMILY PHYSICIANS ONLYThose of you who have read my blogs know that I (and many others) are really upset with the College of Family Physicians of Canada for inviting Dr. David Price to be a keynote speaker at the Family Medicine Forum. I view it as a slap in the face to family physicians, given his role on the Ontario Government’s Negotiations Team.The Ontario Union of Family Physicians would seem to agree with me. They are asking all family physicians to sign the petition below to have Dr. Price removed as a keynote speaker. PLEASE click on this link to read and I encourage you to sign.Dr. Sohail Gandhi is a former president of the OMA and opinions are his and not necessarily the opinions of the OMA board or of anyone at the Canadian Healthcare Network. This article is a reprint from his blog: justanoldcountrydoctor.com.

Ont. arbitration: When and how much will docs get paid?

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