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

Jeremiah Hurley, Dianna Pasic, John Lavis, Anthony Culyer, Cameron Mustard and William Gnam
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Dianna Pasic: Centre for Health Economics and Policy Analysis, McMaster University
John Lavis: Department of Clinical Epidemiology and Biostatistics, McMaster University
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

No 2007-09, Centre for Health Economics and Policy Analysis Working Paper Series from Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada

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.

Pages: 13 pages
Date: 2007
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