Rates for Health Care Professionals in 2016LinkedIn
There, in black and white
NB Bulletin Vol. 19 N. 21, December 2016
Recently, Normandin Beaudry conducted its 19th annual survey of fees charged by health care professionals in Quebec. Because health care services provided by these specialists are typically covered by group benefits plans, we believe that the results presented below will be of interest to you.
It should be noted that many specialists charge additional fees for opening a file and the initial assessment. These additional fees are not included in our survey results.
- An average fee increase of about 4% was observed in the Quebec City region since 2015, which represents an average increase of approximately $3 per visit.
- An average fee increase of about 2% was observed in the Montreal and Outaouais regions, which represents an average increase of approximately $2 per visit.
- The fees charged by kinesiologists have decreased since last year in the Quebec City and Outaouais regions.
- The results indicate that for acupuncturists, chiropractors, kinesiologists, physiotherapists and podiatrists, the fees charged are much higher in the Montreal region than in the other regions.
- In Quebec City, the per visit fee charged by dieticians continues to be higher than the per visit fee charged by dieticians in the other two regions. However, fees for other health care professionals are typically lower in the Quebec City region, especially for audiologists, speech therapists and homeopaths.
- As in previous years, per visit fees charged by homeopaths, naturopaths and psychologists in the Outaouais region are considerably higher than the fees charged by these professionals in the other regions.
The table below presents the average fees by specialist and by region:
- Our databases indicate that approximately 20% of health care claims submitted are for health care professionals.
- Premiums for most group health care plans are increasing. An effective cost control measure for health care professionals is to have combined reimbursement maximums grouping several or all of the health care professionals covered by the plan. According to rémun, Normandin Beaudry's total compensation survey, approximately 45% of organizations (versus 40% in 2015) have combined reimbursement maximums for health care professionals.
- In recent years, we have observed that insurers have been managing claims for health care professionals more closely. They now commonly exclude service providers that have been convicted of fraud. Many insurers have also created a list of recognized orders and associations based on specific criteria (training, continuous development, etc.), and only reimburse fees charged by health care professionals belonging to these orders and associations.
We surveyed a sample of private clinics in the Montreal, Quebec City and Outaouais regions. The table above presents the results on an average fee per visit basis as opposed to an hourly rate basis to reflect the provisions that generally apply to group benefits plans.
For comparison purposes, we also consulted the professional associations for each specialty. These associations make recommendations to their members concerning fees but do not impose them. Some associations also compile statistics based on the fee schedules of their members. This information is also presented in the table above.
Please feel free to contact us for additional information.
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