Indoor masking is back – Province taking action to reduce hospitalizations

Further actions to protect health system from COVID-19

Due to increasing COVID-19 transmission and rising hospital admissions, overwhelmingly amongst unvaccinated Albertans, temporary measures are needed to reduce transmission and prevent the health-care system from being overwhelmed.

Currently, more than 80 per cent of COVID-19 cases in hospital are unvaccinated, including 91 per cent of patients in intensive care.

“Vaccines are safe, effective, and a game-changer. This is why the current wave is different than what we’ve experienced before. While we do not need to return to the same widespread and dramatic measures we had in place earlier in the pandemic, unvaccinated Albertans in particular are still at risk and are placing a heavy load on our health-care system. This is why we are taking measured steps and introducing a new incentive program to encourage more Albertans to get the jab.”

Tyler Shandro, Minister of Health

“As I have always done, I use the best currently available evidence from Alberta and around the world to inform my recommendations to protect the health of Albertans. With hospitalization rates rising, it is important that we take additional steps to help reduce the spread of COVID-19. My ultimate goal continues to be to shift from pandemic to endemic and put more focus on the complete health of Albertans – we must learn to live with COVID. Getting vaccinated today is the best possible way for us to get there.”

Dr. Deena Hinshaw, chief medical officer of health

New vaccine incentive program

A one-time incentive of $100 is now available for all Albertans age 18 or older who receive a first or second dose of vaccine between Sept. 3 and Oct. 14.

This incentive is intended to encourage unvaccinated Albertans to get protected as soon as possible.

After vaccination, eligible Albertans will be able to register online. Alberta Health will validate registrations against provincial immunization data. This website will be available starting on Sept. 13. If Albertans do not have access to a computer, they can contact 310-0000 for assistance, starting on Sept. 13.

Temporary measures

The province will make masks mandatory for all indoor public spaces and workplaces starting Sept. 4 at 8 a.m. Schools are not required to implement masking but school boards will continue to set COVID-19 management policies as they deem appropriate.
Also, as of Sept. 4 at 8 a.m., restaurants, cafés, bars, pubs, nightclubs and other licensed establishments will be required to end alcohol service at 10 p.m.
In addition, Albertans are encouraged to limit in-person contacts. To support this, the province strongly recommends that unvaccinated Albertans limit their indoor social gatherings to close contacts of only two cohort families up to a maximum of 10 people.
It is also recommended that employers pause their plans to have staff return to work and instead continue with work-from-home measures. If employees are working on location, employees must mask for all indoor settings, except in work stations or where two-metre physical distancing or adequate physical barriers are in place.

Additional vaccine incentives

All Albertans who have received two doses of vaccine and are aged 18 and over are eligible for the remaining $1-million draw for the Open for Summer Lottery. To register and for complete details, visit alberta.ca/lottery. The final draw closes Sept. 23.

Fully protected Albertans are also eligible to enter the Outdoor Adventure vaccine lottery. To register and for complete details, visit alberta.ca/outdoor-adventure-vaccine-lottery.aspx. The lottery closes Sept. 9.

Book an appointment and get vaccinated

All Albertans can book appointments via AHS online or by calling 811, or through participating pharmacies. Walk-in appointments for first doses are also available. For schedule and locations, visit ahs.ca/vaccine.

Updated modelling

Based on information available in mid-August, an updated projection of estimated COVID-19 cases and hospitalizations to the end of September was developed. Current actual data is trending toward the high end of the projections, therefore numbers may exceed the projections. Peaks in the model are only estimates, and actual peaks may be higher and later than anticipated if current growth trends continue.

This provincial modelling shows intensive care unit patients could possibly peak at around 180 in the medium scenario, although if accelerating trends continue, numbers could reach or exceed the currently projected high scenario at 290.

Other hospitalizations (non-ICU) are currently trending toward the high scenario, with a potential peak of 700 in the next several weeks. If the high scenario peaks are reached, this would mean a greater combined impact on the acute care system than in all previous waves, and if changes in transmission cause greater spread, these numbers could be exceeded.

Modelling is for the entire province. Some regions will experience different case and hospitalization statistics per capita; this will particularly be expected in those areas with lower rates of vaccinations.

Modelling is a dynamic process where there are constant comparisons against observations versus projections. When these comparisons deviate, the model assumptions are re-evaluated, which may change with new information such as outbreak events.

This modelling is now available online. A separate evidence summary has also been posted, including key assumptions and considerations, hospital impact modelling that was developed in June to inform changes announced in late July, and a reference list for further reading.

Government of Alberta

This is a news release from the Government of Alberta.

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Alberta takes big step towards shorter wait times and higher quality health care

Published on April 9, 2025

Todayville Content Team

From the Fraser Institute

By Nadeem Esmail

On Monday, the Smith government announced that beginning next year it will change the way it funds surgeries in Alberta. This is a big step towards unlocking the ability of Alberta’s health-care system to provide more, better and faster services for the same or possibly fewer dollars.

To understand the significance of this change, you must understand the consequences of the current (and outdated) approach.

Currently, the Alberta government pays a lump sum of money to hospitals each year. Consequently, hospitals perceive patients as a drain on their budgets. From the hospital’s perspective, there’s little financial incentive to serve more patients, operate more efficiently and provide superior quality services.

Consider what would happen if your local grocery store received a giant bag of money each year to feed people. The number of items would quickly decline to whatever was most convenient for the store to provide. (Have a favourite cereal? Too bad.) Store hours would become less convenient for customers, alongside a general decline in overall service. This type of grocery store, like an Alberta hospital, is actually financially better off (that is, it saves money) if you go elsewhere.

The Smith government plans to flip this entire system on its head, to the benefit of patients and taxpayers. Instead of handing out bags of money each year to providers, the new system—known as “activity-based funding”—will pay health-care providers for each patient they treat, based on the patient’s particular condition and important factors that may add complexity or cost to their care.

This turns patients from a drain on budgets into a source of additional revenue. The result, as has been demonstrated in other universal health-care systems worldwide, is more services delivered using existing health-care infrastructure, lower wait times, improved quality of care, improved access to medical technologies, and less waste.

In other words, Albertans will receive far better value from their health-care system, which is currently among the most expensive in the world. And relief can’t come soon enough—for example, last year in Alberta the median wait time for orthopedic surgeries including hip and knee replacements was 66.8 weeks.

The naysayers argue this approach will undermine the province’s universal system and hurt patients. But by allowing a spectrum of providers to compete for the delivery of quality care, Alberta will follow the lead of other more successful universal health-care systems in countries such as Australia, Germany, the Netherlands and Switzerland and create greater accountability for hospitals and other health-care providers. Taxpayers will get a much better picture of what they’re paying for and how much they pay.

Again, Alberta is not exploring an untested policy. Almost every other developed country with universal health care uses some form of “activity-based funding” for hospital and surgical care. And remember, we already spend more on health care than our counterparts in nearly all of these countries yet endure longer wait times and poorer access to services generally, in part because of how we pay for surgical care.

While the devil is always in the details, and while it’s still possible for the Alberta government to get this wrong, Monday’s announcement is a big step in the right direction. A funding model that puts patients first will get Albertans more of the high-quality health care they already pay for in a timelier fashion. And provide to other provinces an example of bold health-care reform.

Nadeem Esmail

Senior Fellow, Fraser Institute

Alberta

Alberta’s embrace of activity-based funding is great news for patients

Published on April 9, 2025

Todayville

From the Montreal Economic Institute

Alberta’s move to fund acute care services through activity-based funding follows best practices internationally, points out an MEI researcher following an announcement made by Premier Danielle Smith earlier today.

“For too long, the way hospitals were funded in Alberta incentivized treating fewer patients, contributing to our long wait times,” explains Krystle Wittevrongel, director of research at the MEI. “International experience has shown that, with the proper funding models in place, health systems become more efficient to the benefit of patients.”

Currently, Alberta’s hospitals are financed under a system called “global budgeting.” This involves allocating a pre-set amount of funding to pay for a specific number of services based on previous years’ budgets.

Under the government’s newly proposed funding system, hospitals receive a fixed payment for each treatment delivered.

An Economic Note published by the MEI last year showed that Quebec’s gradual adoption of activity-based funding led to higher productivity and lower costs in the province’s health system.

Notably, the province observed that the per-procedure cost of MRIs fell by four per cent as the number of procedures performed increased by 22 per cent.

In the radiology and oncology sector, it observed productivity increases of 26 per cent while procedure costs decreased by seven per cent.

“Being able to perform more surgeries, at lower costs, and within shorter timelines is exactly what Alberta’s patients need, and Premier Smith understands that,” continued Mrs. Wittevrongel. “Today’s announcement is a good first step, and we look forward to seeing a successful roll-out once appropriate funding levels per procedure are set.”

The governments expects to roll-out this new funding model for select procedures starting in 2026.

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The MEI is an independent public policy think tank with offices in Montreal, Ottawa, and Calgary. Through its publications, media appearances, and advisory services to policymakers, the MEI stimulates public policy debate and reforms based on sound economics and entrepreneurship.