Table 1: Characteristics of Ontario primary care models¹⁵.

Characteristic	Enhanced fee-for-service model	Capitation model
Patient enrolment	Optional	Required
After-hours call	Required	Required
Fee-for-service payment	Full payment plus 10% premium for 21 comprehensive care services	Payment at 10% of full rate for 56 services for enrolled patients; established maximum fee-for-service payments annually
Extended hours	One 3-hr evening or weekend session per physician per wk, to a maximum of 5 sessions; exempted if > 50% of physicians provide emergency, anesthesia or obstetrics coverage	Same as enhanced fee-for-service model
After-hours care	Additional 20% of fee-for-service payment for enrolled and virtually enrolled patients for 9 basic office services	Same as enhanced fee-for-service model
Access bonus	NA	Additional payment, reduced if enrolled patient sees an nonspecialist physician outside of group
Group management and leadership	NA	Annual fee per enrolled patient
Management of care for heart failure	Annual fee per enrolled patient for coordinating, providing and documenting required elements of care for heart failure	Same as enhanced fee-for-service model
Unattached patient fee	A one-time fee for enrolling an acute care patient without a family physician following discharge from an inpatient hospital stay	Same as enhanced fee-for-service model
New patient premium	A one-time fee for up to 60 enrolled new patients without a family physician; increase in fee for patients aged 65–74 yr, and a further increase in fee for patients aged 75 yr and over	Same as enhanced fee-for-service model

Note: NA = not applicable.