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Changes to primary care fees support quality patient care and team-based approach

November 6, 2017

The General Practice Services Committee (GPSC) has introduced changes to some physician incentive fees with the goal of better supporting improved access to care and quality of care for patients. The changes were made in response to physician input and to support the goal of expanding and enhancing team-based care.

The changes include:

  • A new GP-Patient Email/Text/Telephone Medical Advice Relay fee (G14078) enables family doctors to delegate communications with patients to a College Certified Allied Care Provider or Medical Office Assistant (MOA), which increases patient access to medical information and enables physicians to spend more time with complex care patients.
  • The GPSC Chronic Disease Management incentives (G14050, G14051, G14052, G14053) have been amended to allow a College Certified ACP to provide one of the two required visits, which would be indicated by billing the new Allied Care Provider Visit incentive (G14029). Requests for urgent telephone advice initiated by an ACP are now eligible under the GP with Specialty Training Urgent Telephone Advice fee (G14021).
  • A number of fee incentives support the care of complex patients in a family physician's practice. These fall into two categories: incentives to support the time to work with a patient to plan for their care needs and incentives for communications and conferencing. 
  • The Unattached Complex/High Needs Patient Attachment Fee (G14074) ended September 30, 2017 after receiving a final extension from the GPSC. It was initially extended to support the duration of A GP for Me and then to further support the transition period following the initiative’s end. Funding for GPSC fee 14074 was from one-time money, and as a result was always intended as a time-limited incentive. This fee was slated to end when the attachment initiative ended on March 31, 2016. 

The GPSC is working on long-term changes to its incentive fees that will support physicians along their patient medical home journey. The Committee will continue to consult and engage with physicians about how the incentive program can best support physicians to care for vulnerable patients. Ultimately, these changes will support physicians to provide patients with the right care in the right place at the right time. 

For information on all the fee changes, please click here.