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Health Minister Alberta enacts legislation to make doctors’ billing public

 


As the fight for doctors’ salaries escalates, Health Minister Alberta Tyler Shandro wants individual doctors to be required by law to publish their bills.

Shandro introduced the amendment to Bill 30, the Health Amendment Act, to the legislature early Tuesday during a late night session in the legislature.

The changes to the proposed bill will force doctors to disclose the “amounts payable” they receive for publicly funded health services.

“We want Albertans to have the facts about health care spending, including the $ 5.4 billion a year we spend on medical services which is a quarter of the health care budget and 10 percent of the entire Alberta government budget,” he said. spokesman Steve Buick.

The move would effectively create a sun list for Alberta practitioners, ensuring that doctors’ names and payments are posted online to the public, to see the same way, in the same way, high-paid public service employees. .

BC, Ontario, Manitoba, New Brunswick and Newfoundland are already revealing doctor compensation, but Alberta will go further, Buick said.

“There is little transparency regarding payments to doctors, so we will provide more information than any other province, including gross payments, as well as the number of days worked and the number of patients and total visits, to provide a basis for comparison of income in relation to workload, “he said.

The new legislation, which was debated overnight, is being proposed in the coming months of disagreement between the province and doctors following negotiations for a master deal unveiled earlier this year.

Shandro initially threatened to make mandatory wage disclosure earlier this month following the publication of a study by the Alberta Medical Association that suggested 42 per cent of Alberta doctors are planning to leave the province because of changes in the way they are paid.

In response, Shandro denied that any doctor’s exodus was immediate and told the AMA to “stop the games.” He said Albertans should “know the facts” about how well Alberta doctors are compensated compared to their Canadian counterparts.

Some doctors have raised concerns about the public disclosure of their bills because they say the figures do not accurately present their home pay. Doctors pay for staff, clinics and equipment outside of their billing service fees, costs not included in their billing.

Buick said the province acknowledges that paying for doctors is not the same as income from home.

Doctors’ income reflects total billing, additional expenses, hours worked and taxes, he said.

Measures thereafter, the government terminated the master agreement with the AMA in February. At the time, the health minister said concluding the deal was a necessary move because the province was in a deadlock with doctors on how to cut costs and improve service in the $ 20.6 billion health system.

If passed, Bill 30 would allow doctors wishing to leave the service fee model, where they bill for each patient visit, and instead sign contracts and pay salaries.

The bill will shorten the approval time for private surgical equipment, allow the ministry to contract directly with doctors, and allow private companies to take over the administrative functions of doctors’ clinics.

The AMA filed a lawsuit against the government in April, alleging that Shandro’s actions violated the rights of the Charter of Physicians. The province filed its defense statement earlier this month.

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