The Ontario Medical Association calls the rise of virtual medicine during the pandemic a success story. So why have they agreed to cut payments to doctors for one-off virtual visits?
The provincial government and the Ontario Medical Association have agreed to decrease payments to doctors for one-off virtual appointments — a move meant to stem the tide of virtual-only clinics and encourage doctors to provide comprehensive ongoing care to patients.
The new fee structure is a departure from the pandemic, when temporary fee codes “paid physicians on par with face-to-face fee codes,” according to the OMA. “By limiting the fee to that extent, they’ve literally and figuratively devalued virtual care to the point where it’s not viable for physicians to work that way and to see patients that way,” said Dr. Aviva Lowe, a pediatrician who consulted on KixCare, an online portal that saw patients without a referral.“The patients that I see in my other practices, which can see me either in person or virtually, will still be able to do so, because they’ve been referred to me,” said Lowe.
The Ontario government set a target for a 60-40 ratio between in-person and virtual care for family doctors in the new Physician Services Agreement, although Kiran said that no one really knows what the right mix is.
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