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Alberta is launching a new NP pay model - $300K for 900 patient panel


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On 11/26/2023 at 12:08 PM, Intrepid86 said:

300k for only 900 patients would be grossly overpaying them.

Absolutely - family docs don't make 300k for a 900 patient panel in Alberta (despite being the best paid of any province, or maybe second after BC now).

There's been a large discussion at the higher levels about this (only privy to part of this) but the broad thinking is that this is just posturing by the government to attract more nurses into the province. Purely from a financial perspective, it would never pan out because there's already no more money to put into healthcare, let alone to have less patients be seen for more money.

The whole NP model also works much better in private systems like the US than it would here. There, the hospitals/clinics only care about their bottom lines, so if they can get away with paying NPs less than MDs, who cares if they order more tests, or put out more referrals, or see less patients in the same time, or can't handle complex patients: all of these inefficiencies are payed for by the insurance companies (and ultimately the patient). In our healthcare system, it's all going to come out of taxpayer dollars one way or another...

Not to mention switching to the NP model is gonna make them lose out on the abundance of extremely underpaid labour they currently get out of residents since NPs don't do residency training...

 

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The government's cheap cost-saving and accounting measures will obviously drive up costs in the long run as unneeded referrals and tests are ordered. The particularly baffling part is the 300k pay proposal though. That wouldn't even offer upfront savings, you would be losing money both now and in the long term. Last I heard the 300k was just a proposal from the nursing union though. Hopefully, it doesn't go through. The independent scope of practice is already bad enough. 

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On 1/17/2024 at 12:41 PM, garceyues said:

The government's cheap cost-saving and accounting measures will obviously drive up costs in the long run as unneeded referrals and tests are ordered. The particularly baffling part is the 300k pay proposal though. That wouldn't even offer upfront savings, you would be losing money both now and in the long term. Last I heard the 300k was just a proposal from the nursing union though. Hopefully, it doesn't go through. The independent scope of practice is already bad enough. 

That is the key point, the actual 300K salary is merely a proposal from the nursing union a this point.  I don't see any way they will be paid that number when all the negotiations are complete.

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