According to a new study from the Fraser Institute, and using 2010 data that looked at 46 indicators, the institute concluded that Quebec's healthcare system, followed by Ontario's, provided the best "value for money." Alberta scored a dismal seventh, Saskatchewan was eighth, and Newfoundland was dead last.
CHSRF Series of reports on cost drivers and health system efficiency: Paper
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Currently, provider fees are largely based on the costs to deliver the service, not the relative value-for-money of the new service. This approach means providers may have little to no incentive to perform high-value services compared to low-value services.
Health technology assessment (HTA) examines the medical, economic, social
and ethical implications of the use of medical technologies, services and
procedures. Because it has the capacity to capture value, HTA is considered an
effective tool in making policy decisions to develop professional fees in
response to the availability of new health technologies. In theory, using HTA to
inform the price of a provider fee can lead to reductions in net expenditures
while increasing payments to providers.