Alternative Payments (AP) represent the remuneration provided to physicians who deliver services through methods other than fee-for-service. The AP models included within the scope of the Physician Master Agreement include Service Contracts, Sessional Contracts and Salary Agreements. Approximately 30% of physicians in British Columbia receive remuneration through AP models.
Service Contracted and Salaried Physicians have been receiving payments at 2019/20 rates pending the conclusion of the After Hours Adjudication Process and 2019 Allocation Committee process. The Payment rates will be increased to reflect the general increases of 0.5% for both 2020/21 and 2021/22 and the increases to the Payment Ranges arising from the After Hours Adjudication and the 2019 Allocation Committee processes. The After Hours Adjudication Panel issued its decision (see below) at the end of August 2020. The 2019 Allocation Committee reached a consensus decision in mid-April 2021 with the assistance of its independent chair. The decisions of the Allocation Committee and the Chair are posted below.
It may take Health Authorities several months to implement the Payment rate increases and make retroactive payments. If you have questions please contact the Doctors of BC’s Negotiations Team at.
Summary of the Percentage Increases pursuant to the 2019 PMA
April 1, 2019 Service Contract Payment Ranges
April 1, 2019 Salary Agreement Payment Ranges
April 1, 2020 Service Contract Payment Ranges
April 1, 2020 Salary Agreement Payment Ranges
April 1, 2021 Service Contract Payment Ranges
April 1, 2021 Salary Agreement Payment Ranges
2017 Allocation Committee Consensus Decision – April 30, 2018
(Range Adjustments for 2018/19)
2016 Allocation Committee Consensus Decision (Residual) – February 5, 2018
(Range Adjustments for 2017/18)
2016 Allocation Committee Consensus Decision - April 1, 2017
(Range Adjustments for 2017/18)
2015 Allocation Committee Consensus Decision - April 28, 2016
(Range Adjustments for 2016/17)
Alternative Payments Committee Consensus Decision – May 22, 2014
(Range adjustments for 2012/13 and 2013/14)
Alternative Payments Committee Consensus Decision – December 9, 2010
(Range adjustments for 2010/11 and 2011/12)
Service Contract Ranges and Salary Agreement Ranges from 2010/11 to 2018/19 are found below.
The following document summarizes updates to Sessional rates effective April 1, 2021.
The 2019 Alternative Payments Subsidiary Agreement (APSA) is negotiated between Doctors of BC and Government. Part of the Physician Master Agreement (PMA), APSA details the employment conditions, contract standards and remuneration rates for all non-fee-for-service physician compensation.
A service contract is between a physician as independent contractor and an Agency or the Government. A service contract will detail specific deliverables and working conditions, a level of service (usually expressed in hours per year) and a rate of remuneration based on FTE designation and range placement.
A session is defined as 3.5 hours of service. Sessions can consist of clinical or administrative work, or a combination of both. Rates of remuneration for sessions are negotiation between Doctors of BC and the Government, and are listed in APSA.
Salaried physicians are considered employees of the organization with which they enter into a Salary agreement. As such, these physicians receive regular scheduled remuneration along with any benefits or special employment arrangements provided by the employer.
Director of Negotiations
Telephone: 604 638 2885 or 1 800 665 2262
Fax: 604 638 2921