Why did life expectancy fall in Canada?

According to a news report in The Globe and Mail, one of the primary reasons for falling life expectancy in Canada is the opioid epidemic. Life expectancy in Canada has stopped increasing for the first time in more than four decades, due largely to soaring overdose deaths in the Western provinces. In British Columbia, the…

P4P in Ontario

Ontario implemented a physician pay-for-performance (P4P) scheme in 2002.  This P4P framework was a jointly agreed upon by the  Ontario government and the Ontario Medical Association.  The Ontario P4P program is described in Hurley, DeCicca and Buckley (2013) in more detail below: [Ontario’s P4P program] targets performance bonuses on effective preventive services whose rates of provision were…

P4P and Diabetes Care

In April 2006, Ontario instituted the Diabetes Management Incentive (DMI) that increased payments to physicians that provided high-quality diabetes care. Did the incentive improve payments quality? According to a paper by Kantarevic and Kralj (2012), it turns out that the answer is yes, but the magnitude of the change depends on the type of physician.…