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A number of different blended-payment models for primary-care delivery have been introduced in Ontario, Canada over the last decade. These models have different incentives and, therefore, have attracted different physicians and patients, depending upon their geographical location and practice characteristics.  As policy makers at the Ministry of Health and Long-Term Care evaluate and consider possible changes to these models, it is important that they be able to characterize the Casemix of patients who are enrolled to them, and to understand the healthcare needs of those who have not enrolled with a primary-care model. This study evaluates a method for summarizing the Casemix of primary-care rosters, and it examines the variations of Casemix between and within the different model types.

Measuring the casemix of physician practices in primary-care reform models in Ontario, Canada