No more premiums for surgeons to arrive on time

The $ 110 bonus paid to surgeons who show up for surgery before 8 a.m. will soon be a thing of the past.

From next Monday, the “attendance bonus” will no longer be able to be billed by specialists, as has been the case since 2011.

“At the time, it often happened that surgeons arrived at nine o’clock and it delayed the operating room,” said the director general of the Institute for the relevance of medical acts (IPAM), Jean-François Foisy.

This amount was negotiated by the former president of the Federation of Medical Specialists, Gaétan Barrette and the former Minister of Health, Yves Bolduc.

Anesthesiologists too

In 2018, our Bureau of Investigation revealed that the RAMQ had paid $ 41 million over three years for this bonus. Several nurses and even medical specialists were outraged.

The sum is paid to the surgeon if the anesthesiologist takes care of the patient before eight in the morning.

They are also entitled to an attendance bonus which will be abolished.

The only exception is that surgeons can continue to bill $ 22.15 per 15 minutes for procedures between 5 and 7 p.m. Previously, they could invoice as early as 3 p.m.

This is in addition to the amount billed for the surgery itself.

The end of the attendance bonus is one of the first measures taken by the Institut de la relevance created following the compensation agreement between Quebec and the FMSQ in 2019.

The money saved will have to be used in particular to improve access to specialized medicine.


In addition to the repeal of the attendance bonus, another measure will come into force on Monday.

It will no longer be possible to bill for x-rays for patients suspected of having sinusitis.

“This type of exam will no longer exist. We want to eliminate exams with low added value, ”says Jean-François Foisy.

By 2023, the Institute should have identified $ 240 million in “relevance” in the billing of medical specialists.


The return of COVID premiums demanded by Québec solidaire

The responsible for labor matters, Alexandre Leduc, called on Sunday morning for the return of COVID bonuses for employees of large chains, on the model established last spring.

“Unlike most businesses, the sales and profits of the big chains have been doing very well since the start of the pandemic. This is not the case for their employees, who are exposed to COVID-19 every day for a pittance, “said the deputy for Hochelaga-Maisonneuve in a statement.

“Faced with the prolongation of confinement, they deserve to be paid for their contribution. It’s the least of it, ”he continued.

The Solidarity MP also lamented the Legault government’s refusal to increase the minimum wage to $ 15 / h.

“40 cents more is an insult that shows the government’s disconnection from the reality of essential workers in 2021. The Quebec economy is running on“ cheap labor ”and the CAQ applauds!”, Concluded Mr. Leduc.


Premiums of $ 80,000 to help recruit doctors in the regions

The Department of Health changed its incentives to make it easier to recruit physicians in New Brunswick, particularly in rural areas. As of October 1, premiums can go up to $ 80,000, up from $ 35,000 previously.

A physician can receive the maximum incentive if they choose to practice for at least four years in a rural area, that is, more than 40 km from Moncton, Fredericton or Saint John.

Bonuses in the amount of $ 10,000 and $ 20,000 also exist for doctors who choose to move to town for at least two years.

This program is intended for recent graduates and physicians who come to New Brunswick, as well as those returning after at least a year of absence.

The Ministry of Health plans to review these incentives every year to ensure they meet priority needs.

This year, he is looking for family doctors, emergency physicians and several types of specialists (in anesthesia, general surgery, vascular surgery, geriatrics, neurology, otolaryngology, ophthalmology, oncology, pediatrics and psychiatry).

A new recruitment plan

“The increased incentives are part of our overall plan for managing medical resources, specifically the rural recruitment strategy, which was developed following the elimination of the billing number system,” says the door. word of the ministry, Abigail McCarthy.

She said the government intends to finalize its medical resource management plan in 2021.

The Progressive Conservatives abolished the billing number system in September 2019. It had been in existence since 1992. It allowed the provincial government to decide the maximum number of doctors in cities, to encourage them to settle in rural areas.

The New Brunswick Medical Society has long campaigned for its repeal.

Satisfied doctors

“We welcome the introduction by the provincial government of new measures to encourage physicians to practice medicine in rural and urban settings,” said professional association president Jeff Steeves.

He indicates that his organization has worked with the government and regional health authorities on recruitment possibilities.

“Although this is a positive start, the incentives should be part of a broader strategy of recruiting doctors,” adds the doctor.

The pressure group Égalité Santé en Français also ruled in 2019 that the billing number system was ineffective.

“It has been a long time since there has been a shortage of doctors in the regions,” recalls association secretary Jacques Verge. We have always said that we need incentives. Now is this going to work? We hope. We’ll have to see with experience whether the bonuses are sufficient. “

The spokesperson also underlined the importance, in order to awaken the interest of doctors, of the presence of hospitals offering clinical care, emergency services and laboratories.

“They’re not going to be interested in working on their own,” he warns. A solution must be found to facilitate their work in the regions. ”

A long waiting list

Health Minister Dorothy Shephard told The Times & Transcript on Tuesday that more than 41,000 New Brunswickers were on the waiting list for a family doctor. His ministry has also identified 126 vacant positions for this type of doctor in the province.

The New Brunswick Medical Society has said there will be a shortage of 300 physicians within four years, according to Radio-Canada.

As of April, 15 new family physicians have started practicing in the province and 30 more are about to begin, Ms. Shephard told The Times & Transcript.

The average wait to be matched with a family doctor is about 18 months, but varies by region, according to the Department of Health.



Not paid your insurance premiums on time? Here’s what happens to your claim

The insurer is bound to pay the insured amount or the sum due to the insured or the beneficiary, as agreed, upon.
Image Credit: Pixabay

Inability to claim compensation

Question: Two months ago, one of my warehouses was exposed to a fire and the losses were massive. I have an insurance, but I had not paid the premiums for three months owing to some financial constraints. However, immediately after the fire broke out, I paid all the overdue premiums in full. But the insurance company has refused to pay any compensation, saying that the premiums were due at the time of the fire outbreak. My contract with the insurance company is still valid. My question is: Does the failure to pay premium before the outbreak of fire result in a forfeiture of my right to compensation?

Answer: Federal Law No (5) of 1985 on the Civil Transactions Law of the UAE, Article (1026) states: 1. Insurance is a contract whereby both the insured and the insurer cooperate together to face the risks or accidents insured against and, whereby, in consideration of a specified amount or periodical premiums, the insurer undertakes, upon occurrence of the event or the risk specified in the contract, to pay to the insured or the beneficiary a sum of money, an annuity or any other pecuniary right.

Article (1032) states: The insured is bound to: Pay the agreed amounts on the term fixed in the contract.

Article (1034) states: The insurer is bound to pay the insured amount or the sum due to the insured or the beneficiary, as agreed, upon occurrence of the risk or maturity of the period fixed in the contract.

Article (246) of the same law states: 1. The contract shall be implemented, according to the provisions contained therein and in a manner consistent with the requirements of good faith. 2. The contract is not restricted to what is contained therein, but shall extend to its essentials in accordance with the law, custom and the nature of the transaction.

According to the provisions of Articles 1026, 1027, 1037, 1038, and 1040 of the Civil Transactions Law — and according to what has been done by this court — fire insurance is a contract prevailing in the compensation quality and aims to compensate the insured — or the beneficiary of the insurance — for the damages that arise from fire and it is an inevitable consequence of it and that is within the limits of the damage caused to the beneficiary without exceeding it to other damages, unless the contract includes insurance from the civil liability of the insured to him because insurance is one of the time contracts for which the period is considered. So the insurance is valid from the effective date and expires at the end of the last day. (Cassation No 272/2011, commercial)

The provisions of Articles 1026, 1033, and 1034 of the Civil Transactions Law collectively indicate that any insurance contract is a consensual contract binding on both sides, whereby the insured is obligated to pay insurance premiums in exchange for the insurer’s obligation to pay the insurance amount when the insured risk is realised for a certain time. Time is an essential element in which it is intended for the continuation of the contract and its implementation. The insurer bears the liability of the insured risk for a certain period in exchange for the insured fulfilling his obligation to pay successive premiums throughout that period. And while it is permissible to fulfil it all at once, the estimation of this premium is done by taking into account the contracted time and the fact that this contract is a time-bound contract in accordance with established rules that entails that if this contract is terminated or breached, then this termination has no retroactive effect, and the contract is dissolved only from the time of termination and spoilage. (Cassation No 144/2006 Civil).

It can therefore be concluded from the above that the insurer should be fixed to the contract till its end date and court has the right to decide whether each party had implemented his obligations or not as per the documents submitted to it.

Salary deduction during suspension of work

Question: According to UAE Labour Law, does an employer have the right to enforce suspension of work and at the same time deduct the salary of an employee on disciplinary grounds? And in case if the employer has the right, then what percentage of an employee’s salary is he allowed to deduct?

Answer: To answer this question, the employer, according to UAE Federal Law No (8) of 1980 and Article No 102, has the right to impose disciplinary penalties as following:

3. Suspension from work with reduced pay for a period not exceeding ten days.

4. Forfeiture or deferment of a periodic increment, in establishments having an increment scheme.

5. Forfeiture of promotion, in establishments having a promotion scheme.

6. Dismissal without prejudice to severance pay.

7. Dismissal with forfeiture of all parts of severance pay. This penalty may only be imposed on the grounds expressly specified in article 120 of this Law.


The premiums of pharmacists in health establishments threatened

As COVID-19 hits hospitals and CHSLDs hard, Quebec is threatening to withdraw bonuses and reduce the working hours of pharmacists in health establishments, who are already struggling to cope with the task.

To counter the shortage of pharmacists working in hospitals, who are far fewer in number than their peers in neighborhood pharmacies, measures of attraction were introduced more than ten years ago. One in five positions is currently unfilled.

Due October 31

These are bonuses and an extension of the working week to 40 hours, which represents between 20% and 50% of pharmacists’ salaries. The only problem is that these measures expire on October 31, a deadline that has been postponed twice since the start of the year.

“A sword of Damocles” above the heads of 1,700 institutional pharmacists that could have major consequences, deplores Linda Vaillant, director general of the Association des pharmaciens des establishments de santé du Québec (APES).

“If we withdraw the measures on November 1, we are saying that we are going to remove the equivalent of 130 FTEs, 130 full-time people in the health network, because that is the additional work force. what does the 40-hour workweek represent, ”she insists.

Impact in CHSLDs

Ms. Vaillant specifies that the impact will also be felt in CHSLDs. “We cover a little more than a third of CHSLDs, and there, we should withdraw almost all pharmacists in CHSLDs,” she said in an interview. The consequences are all the more serious since Quebec is hit hard by the second wave of the COVID-19 epidemic.

“People are tired […] there weren’t a lot of rest and respite and we’re back into the second wave. We don’t need that, people don’t understand why we add to their stress with a deadline, “adds Linda Vaillant.

Pharmacists are asking the Legault government to renew the retention measures while the negotiation of their collective agreement, which has only just begun, is settled.

According to Linda Vaillant, this government decision is “all the more frustrating” since the Ministry of Health and Social Services (MSSS) has just requested that all patients infected with COVID-19 who are sent to makeshift hospitals – like the Bell Center or the Lowes hotel in Quebec City – are taken care of by pharmacists from establishments.

The MSSS referred us to the Conseil du trésor, which had not answered our questions at the time of this writing.

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