Updates to AHS Physician Compensation

Medical Staff

Physicians are critical to our healthcare system. We understand changes to compensation for Alberta’s physicians have caused concern. We share a joint focus and responsibility for patients and we appreciate the continued professionalism demonstrated by Alberta Health Services’ (AHS) physicians through this transition, and their continued commitment to caring for patients and families.

Clinical Stipends

AHS is working towards ending payments to physicians that are supplemental to fee for services (FFS) billings. These changes were identified in the  AHS Review Report and the Alberta Health (AH) Physician Funding Framework.

Many of these supplemental payments pre-date AHS and were established for a number of reasons, including recruitment/retention and to address service delivery needs. There is provincial inconsistency in the way these stipends are applied and AHS has conducted a review of the stipend programs to identify how best to transition them. For physicians moving to alternative relationship plans, start dates will be staggered over the next weeks and months as all parties work together to develop the new arrangements.

Given the timing of the ratification process, in order to minimize uncertainty for physicians, implementation timelines will be extended as outlined below.

  1. Stipends to be transitioned to Alternative Relationship Plans (ARPs). We have consulted with Alberta Health regarding these prospective ARP arrangements and soon expect to begin engaging physicians more actively for these programs. Alberta Health will be providing information sessions starting as soon as possible, with the expectation that all programs identified to transition to a clinical ARP will be completed no later than Dec. 31, 2021. Stipends associated with these programs will be extended until the clinical ARP is implemented.
  2. Stipends requiring additional time to transition to an alternate compensation model. Communication with affected physician groups will begin as soon as possible and transition will occur on or before Dec. 31, 2021. This will allow time for AHS to consult with each program specific physician groups if any further support is required before the stipend ends.
  3. Stipends that will transition to the Physician On Call Program on or before Dec. 31, 2021.
  4. Stipends that have been identified to end without transition to another compensation model. Communication with affected physician groups will begin as soon as possible and transition will occur on or before Dec. 31, 2021. This will allow time for AHS to consult with each program-specific physician group to identify if any further support is required before the stipend ends.

AHS has and will continue to work diligently and collaboratively to implement solutions that recognize the value of physician’s work, the needs of our patients and the sustainability of our healthcare system.

We are committed to a fair and transparent process during this transition.

For more information, please see these FAQs.