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.
From the Fraser Institute
By Tegan Hill
According to the recent mid-year update tabled Thursday, the Smith government projects a $4.6 billion surplus in 2024/25, up from the $2.9 billion surplus projected just a few months ago. Despite the good news, Premier Smith must reduce spending to avoid budget deficits.
The fiscal update projects resource revenue of $20.3 billion in 2024/25. Today’s relatively high—but very volatile—resource revenue (including oil and gas royalties) is helping finance today’s spending and maintain a balanced budget. But it will not last forever.
For perspective, in just the last decade the Alberta government’s annual resource revenue has been as low as $2.8 billion (2015/16) and as high as $25.2 billion (2022/23).
And while the resource revenue rollercoaster is currently in Alberta’s favor, Finance Minister Nate Horner acknowledges that “risks are on the rise” as oil prices have dropped considerably and forecasters are projecting downward pressure on prices—all of which impacts resource revenue.
In fact, the government’s own estimates show a $1 change in oil prices results in an estimated $630 million revenue swing. So while the Smith government plans to maintain a surplus in 2024/25, a small change in oil prices could quickly plunge Alberta back into deficit. Premier Smith has warned that her government may fall into a budget deficit this fiscal year.
This should come as no surprise. Alberta’s been on the resource revenue rollercoaster for decades. Successive governments have increased spending during the good times of high resource revenue, but failed to rein in spending when resource revenues fell.
Previous research has shown that, in Alberta, a $1 increase in resource revenue is associated with an estimated 56-cent increase in program spending the following fiscal year (on a per-person, inflation-adjusted basis). However, a decline in resource revenue is not similarly associated with a reduction in program spending. This pattern has led to historically high levels of government spending—and budget deficits—even in more recent years.
Consider this: If this fiscal year the Smith government received an average level of resource revenue (based on levels over the last 10 years), it would receive approximately $13,000 per Albertan. Yet the government plans to spend nearly $15,000 per Albertan this fiscal year (after adjusting for inflation). That’s a huge gap of roughly $2,000—and it means the government is continuing to take big risks with the provincial budget.
Of course, if the government falls back into deficit there are implications for everyday Albertans.
When the government runs a deficit, it accumulates debt, which Albertans must pay to service. In 2024/25, the government’s debt interest payments will cost each Albertan nearly $650. That’s largely because, despite running surpluses over the last few years, Albertans are still paying for debt accumulated during the most recent string of deficits from 2008/09 to 2020/21 (excluding 2014/15), which only ended when the government enjoyed an unexpected windfall in resource revenue in 2021/22.
According to Thursday’s mid-year fiscal update, Alberta’s finances continue to be at risk. To avoid deficits, the Smith government should meaningfully reduce spending so that it’s aligned with more reliable, stable levels of revenue.
Author:
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
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