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BENEFITS OF JOINING AFAMILY HEALTH ORGANIZATION

The FHO or Family Health Organization is a model that encourages patient enrolment, access, and comprehensive care, while providing the following income streams to physician members:

Monthly Capitation Payments (or guaranteed income)

Fee-For-Service Income

Special Premiums and Bonuses

Group Management Payments

BENEFITS OF THE FHO

Income

Predictability

Increased Revenue

Increased Flexibility

Income

Increased Revenue

Increased Flexibility

WHAT IS THE FHO?

By having Cirrus manage your transition to the FHO model, you and your group will benefi t from the following comprehensive array of support services:

Breakdown of Individual and Group Remittance Advice (RA)

In-offi ce training for physicians and staff on the FHO Model

Billing support to optimize income in the FHO

Group banking and funds management

Support in roster management and reconciliations

After Hours scheduling and centralized phone line management

Over 50% of family doctors in Ontario have transitioned to the FHO model.

IF YOU ARE THINKING ABOUT TRANSITIONING TO THE FHO, WE CAN HELP!

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Improved work/life balance Steady and predictable income Paid vacations

Improved fi nancial and operational performance of your practice

BY SWITCHING TO THE FHO MODEL, YOU CAN EXPECT:

If you are already in a Patient Enrolment Model: If you have already enrolled your patients then you won’t have to repeat this process. Cirrus will manage

the batch roster transfer with the MOHLTC on your behalf, and support you with transitioning all previously-enrolled patients from one model to another.

If you are not working in a Patient Enrolment Model:Once you join the FHO, you may begin enrolling patients to your practice.

WILL MY TRANSITION TO THE FHO DISRUPT MY PRACTICE? No. All necessary services to transition to the FHO will be performed by Cirrus with minimal disruption to your work fl ow or practice.

HOW WILL THE TRANSITION AFFECT MY PATIENTS?

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Capitation Payments for each enrolled patient, adjusted for age and sex

Shadow Billing (15% of the fee code value) on the 126 comprehensive care “in-basket” codes provided to enrolled patients

Fee-For-Service Payments (100% of the fee code value) for complex care ‘out-of-basket’ codes to enrolled patients

Fee-For-Service payments (100% of the fee code value) for all services provided to non-enrolled patients

Special Premiums and Bonuses

Potential Access Bonus where applicable

WHO CAN FORM OR JOIN THE FHO?The minimum requirement to form a FHO is a group of three or more family physicians who may work under the same roof, or, may be geographically separated. The individual FHO physicians work together as a group to provide comprehensive primary care, extended offi ce hours, and on-call coverage to the group’s enrolled patients.

At present, the MOHLTC is restricting FHO entry per the conditions below:

1) New FHOs may be formed in areas defi ned as under-serviced by the MOHLTC only.

2) A physician may join an existing FHO in any area only if they replace a departing FHO physician and takeover their spot.

If you have any questions about joining the FHO, contact Cirrus today for a complimentary consultation by calling 1.800.459.3413, or emailing cirrushelps@cirrusconsultinggroup.com.

WHAT WILL MY REVENUE IN A FHO LOOK LIKE?After transitioning to a FHO, your revenue will consist of fi xed payments, Capitation Payments, and variable income from billings and bonuses.

Additional Income Streams: