This Article Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (18) Citing Articles via Google Scholar Google Scholar Articles by Barer, M. L. Articles by Sanmartin, C. Search for Related Content PubMed PubMed Citation Articles by Barer, M. L. Articles by Sanmartin, C. Related Collections International Issues Health Spending

Health Affairs, Vol 15, Issue 2, 216-234
Copyright © 1996 by Project HOPE

Journal Article

Re-minding our Ps and Qs: medical cost controls in Canada

During the past few years the landscape of Canadian physician reimbursement policy has undergone dramatic change. Rapidly eroding fiscal environments for provincial (and federal) governments have forced provinces to "get serious" about controlling a significant, previously uncontrolled, budget line: physician expenditures. All provinces now impose medical expenditure caps, with eight of these being hard caps under which any overruns are the responsibility of the profession. In addition, policies in five provinces now include individual income caps. One of the effects of this new environment has been a rush to adopt supply-control policies. This paper explores a number of other side effects, such as heightened interest in alternative methods of payment, as well as the emergence of, and difficulties for, joint province/medical association management committees.

                      What's this?

This article has been cited by other articles:

				T. Bodenheimer High and Rising Health Care Costs. Part 2: Technologic Innovation Ann Intern Med, June 7, 2005; 142(11): 932 - 937. [Abstract] [Full Text] [PDF]

				The Physicians' Working Group for Single-Payer Nat Proposal of the Physicians' Working Group for Single-Payer National Health Insurance JAMA, August 13, 2003; 290(6): 798 - 805. [Abstract] [Full Text] [PDF]

				M Jerrett, J Eyles, C Dufournaud, and S Birch Environmental influences on healthcare expenditures: an exploratory analysis from Ontario, Canada J. Epidemiol. Community Health, May 1, 2003; 57(5): 334 - 338. [Abstract] [Full Text] [PDF]

				K. R. MacKenzie Managed Care: Canada: A Kinder, Gentler Health Care System? Psychiatr Serv, April 1, 1999; 50(4): 489 - 491. [Full Text] [PDF]

				J. White Targets and Systems of Health Care Cost Control Journal of Health Politics Policy and Law, January 1, 1999; 24(4): 653 - 696. [Abstract] [PDF]

				T. Schrecker Private Health Care for Canada: North of the Border, an Idea Whose Time Shouldn't Come? J. Law Med. Ethics, June 1, 1998; 26(2): 138 - 148. [PDF]

				S. J. Katz, C. Charles, J. Lomas, and H. G. Welch Physician Relations in Canada: Shooting Inward as the Circle Closes Journal of Health Politics Policy and Law, January 1, 1997; 22(6): 1413 - 1431. [Abstract] [PDF]