Alberta
Province boosts funding to add almost 100,000 CT scans and MRI’s over the next year
From the Province of Alberta
Improving access to MRIs and CT scans
A $33-million one-time commitment from Budget 2021 will drive down wait times for Albertans needing non-emergency CT scans and MRIs in public hospitals and spark innovation to provide the best patient care.
The commitment will support AHS to perform up to 50,000 additional CT (computerized tomography) scans and up to 45,000 additional MRI (magnetic resonance imaging) scans throughout the province in 2021-22.
This work is part of an aggressive action plan developed by Alberta’s government and AHS to reduce wait times to ensure that by 2023, all Albertans have their CT scans and MRIs done within appropriate wait times recommended by medical experts.
“Albertans need better results from our health-care system, including from MRIs and CT scans that can diagnose their health condition and set them on the path to recovery. This commitment is part of Alberta’s historic investment in health care. We will ensure that all health dollars are spent wisely to support patients and families.”
“Physicians have raised the alarm that long waits put patients at risk – and we couldn’t agree more. Reducing wait times for these medically necessary diagnostic tests is not negotiable. This is why I directed AHS to implement this action plan and to work in partnership with radiologists to find innovative solutions to provide the best patient care with the significant dollars dedicated to this work.”
The additional $33 million will augment the $1 billion Alberta spends each year on diagnostic imaging. This total spend includes ultrasounds, X-rays and mammography, as well as MRIs and CT scans for Albertans.
So far, AHS and its contracted radiologists’ focused work on the action plan has meant fewer people are waiting for CT and MRI scans now compared with March 2020, a trend that will continue over the next two years.
“AHS understands how important it is for patients to receive timely access to diagnostic testing and quick turnaround of results. We are listening to all concerns and are proactively working to improve this very important service for Albertans.”
“Timely access to diagnostic imaging including CT and MRI is an essential component of quality patient care. Imaging plays an important role in the diagnosis and treatment of many medical conditions. Improved access to imaging should lead to improved care.”
“Alberta’s Radiologists welcome this initiative to decrease waitlists for CT and MRI, two critical tools in the overall function of our health-care system. Timely access to all medical imaging and image-guided procedures is so important, now more than ever.”
Alberta Health and AHS developed the CT and MRI Action Plan to address increasingly long wait times, which peaked in 2019-20, and to decrease costs, better manage demand to reduce unnecessary tests, and to make sure the people who most need the tests for treatment decisions will get the scans sooner. The implementation plan uses data to more accurately estimate where demand pressures may occur so that resources can be deployed to respond efficiently.
AHS will reinvest any cost savings achieved through the plan to where they are most needed.
Budget 2021 protects lives and livelihoods with a historic investment in health care while laying the foundation for economic growth. Through the prudent management of tax dollars, Alberta’s government can continue to invest in priority areas to ensure Alberta emerges from COVID-19 stronger than ever.
Quick facts
- Demand for CT scans in Alberta is increasing by five per cent annually, and for MRIs by 3.5 per cent annually.
- If a patient is in an emergency department and needs an urgent scan, they are able to get one quickly. If a patient is in hospital, they are able to get a scan within 24 hours.
- While wait times for patients in hospital or emergency departments are stable and within time frames recommended by medical experts, wait times for outpatients referred for a CT or MRI scan are longer than recommended.
- As of December 2020:
- 44,341 Albertans were waiting for a CT scan, down from 60,181 Albertans waiting in March 2020.
- 79 per cent of urgent out-patients were able to get their CT scans within clinically appropriate wait times.
- 41 per cent of routine out-patients were able to get their CT scans within clinically appropriate wait times.
- 59,614 Albertans were waiting for an MRI, down from 66,183 Albertans waiting in March 2020.
- 75 per cent of urgent out-patients were able to get their MRIs within clinically appropriate wait times.
- 55 per cent of routine out-patients were able to get their CT scans within clinically appropriate wait times.
- 44,341 Albertans were waiting for a CT scan, down from 60,181 Albertans waiting in March 2020.
Better, faster, more affordable auto insurance
Alberta’s government is introducing a new auto insurance system that will provide better and faster services to Albertans while reducing auto insurance premiums.
After hearing from more than 16,000 Albertans through an online survey about their priorities for auto insurance policies, Alberta’s government is introducing a new privately delivered, care-focused auto insurance system.
Right now, insurance in the province is not affordable or care focused. Despite high premiums, Albertans injured in collisions do not get the timely medical care and income support they need in a system that is complex to navigate. When fully implemented, Alberta’s new auto insurance system will deliver better and faster care for those involved in collisions, and Albertans will see cost savings up to $400 per year.
“Albertans have been clear they need an auto insurance system that provides better, faster care and is more affordable. When it’s implemented, our new privately delivered, care-centred insurance system will put the focus on Albertans’ recovery, providing more effective support and will deliver lower rates.”
“High auto insurance rates put strain on Albertans. By shifting to a system that offers improved benefits and support, we are providing better and faster care to Albertans, with lower costs.”
Albertans who suffer injuries due to a collision currently wait months for a simple claim to be resolved and can wait years for claims related to more serious and life-changing injuries to addressed. Additionally, the medical and financial benefits they receive often expire before they’re fully recovered.
Under the new system, Albertans who suffer catastrophic injuries will receive treatment and care for the rest of their lives. Those who sustain serious injuries will receive treatment until they are fully recovered. These changes mirror and build upon the Saskatchewan insurance model, where at-fault drivers can be sued for pain and suffering damages if they are convicted of a criminal offence, such as impaired driving or dangerous driving, or conviction of certain offenses under the Traffic Safety Act.
Work on this new auto insurance system will require legislation in the spring of 2025. In order to reconfigure auto insurance policies for 3.4 million Albertans, auto insurance companies need time to create and implement the new system. Alberta’s government expects the new system to be fully implemented by January 2027.
In the interim, starting in January 2025, the good driver rate cap will be adjusted to a 7.5% increase due to high legal costs, increasing vehicle damage repair costs and natural disaster costs. This protects good drivers from significant rate increases while ensuring that auto insurance providers remain financially viable in Alberta.
Albertans have been clear that they still want premiums to be based on risk. Bad drivers will continue to pay higher premiums than good drivers.
By providing significantly enhanced medical, rehabilitation and income support benefits, this system supports Albertans injured in collisions while reducing the impact of litigation costs on the amount that Albertans pay for their insurance.
“Keeping more money in Albertans’ pockets is one of the best ways to address the rising cost of living. This shift to a care-first automobile insurance system will do just that by helping lower premiums for people across the province.”
Quick facts
- Alberta’s government commissioned two auto insurance reports, which showed that legal fees and litigation costs tied to the province’s current system significantly increase premiums.
- A 2023 report by MNP shows
Alberta maintains a balanced budget while ensuring pressures from population growth are being addressed.
Alberta faces rising risks, including ongoing resource volatility, geopolitical instability and rising pressures at home. With more than 450,000 people moving to Alberta in the last three years, the province has allocated hundreds of millions of dollars to address these pressures and ensure Albertans continue to be supported. Alberta’s government is determined to make every dollar go further with targeted and responsible spending on the priorities of Albertans.
The province is forecasting a $4.6 billion surplus at the end of 2024-25, up from the $2.9 billion first quarter forecast and $355 million from budget, due mainly to higher revenue from personal income taxes and non-renewable resources.
Given the current significant uncertainty in global geopolitics and energy markets, Alberta’s government must continue to make prudent choices to meet its responsibilities, including ongoing bargaining for thousands of public sector workers, fast-tracking school construction, cutting personal income taxes and ensuring Alberta’s surging population has access to high-quality health care, education and other public services.
“These are challenging times, but I believe Alberta is up to the challenge. By being intentional with every dollar, we can boost our prosperity and quality of life now and in the future.”
Midway through 2024-25, the province has stepped up to boost support to Albertans this fiscal year through key investments, including:
- $716 million to Health for physician compensation incentives and to help Alberta Health Services provide services to a growing and aging population.
- $125 million to address enrollment growth pressures in Alberta schools.
- $847 million for disaster and emergency assistance, including:
- $647 million to fight the Jasper wildfires
- $163 million for the Wildfire Disaster Recovery Program
- $5 million to support the municipality of Jasper (half to help with tourism recovery)
- $12 million to match donations to the Canadian Red Cross
- $20 million for emergency evacuation payments to evacuees in communities impacted by wildfires
- $240 million more for Seniors, Community and Social Services to support social support programs.
Looking forward, the province has adjusted its forecast for the price of oil to US$74 per barrel of West Texas Intermediate. It expects to earn more for its crude oil, with a narrowing of the light-heavy differential around US$14 per barrel, higher demand for heavier crude grades and a growing export capacity through the Trans Mountain pipeline. Despite these changes, Alberta still risks running a deficit in the coming fiscal year should oil prices continue to drop below $70 per barrel.
After a 4.4 per cent surge in the 2024 census year, Alberta’s population growth is expected to slow to 2.5 per cent in 2025, lower than the first quarter forecast of 3.2 per cent growth because of reduced immigration and non-permanent residents targets by the federal government.
Revenue
Revenue for 2024-25 is forecast at $77.9 billion, an increase of $4.4 billion from Budget 2024, including:
- $16.6 billion forecast from personal income taxes, up from $15.6 billion at budget.
- $20.3 billion forecast from non-renewable resource revenue, up from $17.3 billion at budget.
Expense
Expense for 2024-25 is forecast at $73.3 billion, an increase of $143 million from Budget 2024.
Surplus cash
After calculations and adjustments, $2.9 billion in surplus cash is forecast.
- $1.4 billion or half will pay debt coming due.
- The other half, or $1.4 billion, will be put into the Alberta Fund, which can be spent on further debt repayment, deposited into the Alberta Heritage Savings Trust Fund and/or spent on one-time initiatives.
Contingency
Of the $2 billion contingency included in Budget 2024, a preliminary allocation of $1.7 billion is forecast.
Alberta Heritage Savings Trust Fund
The Alberta Heritage Savings Trust Fund grew in the second quarter to a market value of $24.3 billion as of Sept. 30, 2024, up from $23.4 billion at the end of the first quarter.
- The fund earned a 3.7 per cent return from July to September with a net investment income of $616 million, up from the 2.1 per cent return during the first quarter.
Debt
Taxpayer-supported debt is forecast at $84 billion as of March 31, 2025, $3.8 billion less than estimated in the budget because the higher surplus has lowered borrowing requirements.
- Debt servicing costs are forecast at $3.2 billion, down $216 million from budget.
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