Enhanced fee-for-service model and physician productivity: Evidence from Family Health Groups in Ontario

▶ We study Family Health Groups, an enhanced FFS model for primary care physicians in Ontario. ▶ Our sample includes a 17-year panel of claims data before and after FHG model was introduced in 2003. ▶ We use matching and difference-in-differences with fixed effects and linear trends. ▶ We find that FHG doctors provide more services and visits and see more patients than FFS doctors. ▶ FHG doctors also have fewer referrals and treat more complex patients that FFS doctors.