Funding Models

The clinical ARP compensates physicians based on a specified service delivery model.  The three models currently available are: 

Annualized Model

Compensation is based on the number of physician full-time equivalents required to deliver the clinical services within the clinical ARP. A full-time equivalent (FTE) is a time-based unit of measure (e.g., hours per year or days per year). Annualized clinical ARPs are the most common within Alberta. There are currently 39 annualized ARPs in Alberta.

Sessional Model

Compensation is based on an hourly rate for the delivery of clinical services. The sessional model is intended for part-time participation by a physician up to an equivalent of two days per week (approximately 16 hours). This model primarily applies to small specialized programs.  There are currently 18 sessional ARPs in Alberta.

Blended Capitation Model

Compensation is based on a mix of patient-based (capitation) payments and volume-based payments through the fee-for-service system. Physicians will be compensated for each of their formally affiliated patients with a fixed capitation payment based on the patient’s expected need, and receive a percentage of the patient’s fee-for-service utilization, as captured by shadow billing within the basket of services.  There is currently one blended capitation (demonstration project) ARP in Alberta.

Overview

Alberta Health, the Alberta Medical Association and Alberta Health Services have developed a new compensation model for primary care physicians that blends capitation and fee-for-service payments.  The Blended Capitation Model compensates family doctors based on how many patients they have and the number of services that they provide.

The goal of the new compensation model is to provide:

  • Albertans – with increased access to primary health care, through strong relationships to their primary care physicians and improved continuity of care.
  • physicians – with the flexibility to provide services in different ways so they can spend more time with patients and deliver comprehensive care that encourages health promotion, wellness and enhanced collaborative care.
  • government – with a more sustainable health system with better accountability, stability and budget predictability.

Applications for the Blended Capitation Model are being accepted at this time. 

Information about the Blended Capitation Model can be accessed below by clicking on the links:

Blended Capitation Model - Model Elements Report

Blended Capitation Model Fact Sheet

Fact Sheet for Primary Care Physicians - Blended Capitation Model

Fact Sheet for Albertans - Blended Capitiation Model

Blended Capitation Model Expression of Interest (EOI) Form


Contact

Additional questions may be directed to the following individuals:

Alberta Health: Rebecca Gibeault  rebecca.gibeault@gov.ab.ca and/or

the Alberta Medical Association:  Christine deMontigny (780-405-3965) christine.demontigny@albertadoctors.org.

 


Note: Two historical capitation clinical ARP programs are still in operation. For both programs, compensation is based on an annual capitation amount per rostered patient. One program has a roster comprised of formally enrolled urban patients and the other has a roster comprised of patients in a rural geographic area. These historical models are no longer available to new applicants. New applicants interested in a capitation model should review the details for the new Blended Capitation model.

Stakeholders Roles

Stakeholders Roles

Roles that the physicians, Alberta Health Services, Alberta Health, and the Alberta Medical Association play in clinical ARPs.

Learn More