All physician payment information can be found by viewing the most recent Physician Agreement.
This information was provided by Doctors Nova Scotia
New Longitudinal Family Medicine payment model
Longitudinal Family Medicine (LFM) payment model offers competitive compensation and enhanced accountability, through a blended payment that is calculated based on hours worked, panel size and services delivered.
About the LFM payment model
It’s projected that family physicians working full-time to provide longitudinal family medicine will earn, on average, about $365,000 annually under the new Longitudinal Family Medicine (LFM) model. Adding hours to your schedule and patients to your roster, providing additional services or becoming a preceptor all deliver the opportunity to earn even more.
Compensation
Physicians under the LFM model will be paid a blended payment that is calculated based on hours worked, services delivered and panel size.
- Hours worked: $95.48 per hour (weekdays); $143.22 per hour (evenings/weekends)
- Services delivered: 30% of fee-for-service billings, with enhanced fee codes in place
- Panel size: $106.09 per patient
- Note: these fees will increase by 2% on April 1, 2025
In this model, a physician may earn more or less by working more/fewer hours, delivering more/fewer services and/or growing/shrinking their panel size. The model is also flexible – a physician could work full-time or part-time and still participate in this model. They could also work part-time within a longitudinal family practice and part-time providing care in other areas of the system, such as providing hospitalist or emergency services or working in a sexual health clinic.
How do I know if it’s right for me?
The LFM is right for you if you:
- Bill ME=CARE (comprehensive, continuous, cradle-to-grave care) for patients you would consider attached to you, with the patients considering you their family doctor
- Work 46 weeks per year in office-based clinical practice (exceptions include weeks doing other clinical work approved by Nova Scotia Health (NSH), such as hospitalist work)
- Provide most direct clinical services in face-to-face patient encounters
- Provide an average of 2.8 or more service encounters per hour
- Use an EMR
- Take a maximum of six weeks away from your practice each year for educational leave, sick time, holidays and vacation time
For more information on the physician agreement and other programs that benefit all physicians in Nova Scotia, please visit: Physician Agreement programs and funding (2023) | Doctors Nova Scotia (doctorsns.com)
Other benefit programs
For information about health and dental benefits, parental leave, and more visit: Health and Dental Plan | Doctors Nova Scotia (doctorsns.com)