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Parallel Payers and Preferred Access: How Canada's Workers' Compensation Boards Expedite Care for Injured and Ill Workers

Author

Listed:
  • Jeremiah Hurley

    () (Department of Economics and Department of Clinical Epidemiology and Biostatistics, McMaster University)

  • Dianna Pasic

    (Centre for Health Economics and Policy Analysis, McMaster University)

  • John Lavis

    (Department of Clinical Epidemiology and Biostatistics, McMaster University)

  • Tony Culyer

    (Institute of Work and Health, Toronto, Department of Economics and Related Studies, University of York, UK, Cancer Care Ontario, Department of Health Policy, Management and Evaluation, University of Toronto)

  • Cameron Mustard

    (Institute of Work and Health, Toronto, Department of Public Health Sciences, University of Toronto)

  • William Gnam

    (Institute of Work and Health, Toronto, Department of Psychiatry, University of Toronto)

Abstract

Canada’s Workers’ Compensation Boards (WCBs) finance health care for injured and ill workers in parallel to provincial health insurance plans. Parallel systems of health care finance can create preferred access for some. WCBs have in recent years pursued a number of strategies to expedite or improve the quality of care for injured or ill workers, including in-house provision in WCB-owned facilities, contracting with private, for-profit clinics, contracting with publicly funded hospitals and clinics for use of facilities “off-hours”, and supporting specialized clinics within publicly funded hospitals. Many of these strategies incorporate incentive payments to physicians and facilities for treating WCB cases more quickly than patients covered by provincial plans. In this paper we both document the development of these strategies and discuss their implications for physicians, patients, government, and the provincial public insurance plans.

Suggested Citation

  • Jeremiah Hurley & Dianna Pasic & John Lavis & Tony Culyer & Cameron Mustard & William Gnam, 2007. "Parallel Payers and Preferred Access: How Canada's Workers' Compensation Boards Expedite Care for Injured and Ill Workers," Centre for Health Economics and Policy Analysis Working Paper Series 2007-09, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
  • Handle: RePEc:hpa:wpaper:200709
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