Alberta
Health Care Update: Province will deliver health services regionally in seven “health corridors”
Ensuring a successfully refocused health system |
Alberta’s government continues to make progress refocusing the health care system to ensure all Albertans get the care they need.
Under Alberta’s refocused health care system, four fully integrated provincial health agencies are being created to oversee the priority sectors of primary care, acute care, continuing care, and mental health and addiction. Two of the provincial health agencies, Recovery Alberta and Primary Care Alberta, have been established with input from more than 30,000 health care professionals and Albertans.
Additionally, it was recently announced that Minister of Seniors, Community and Social Services Jason Nixon would become the sector minister for the new continuing care provincial health agency. He has now taken on this role and will oversee continuing care as the government works toward standing up the new continuing care agency.
“Refocusing the health care system is a complex process that needs to be done right. We’re committed to taking the time necessary to develop a better health care system for Albertans and the front-line workers who work tirelessly every day to serve their patients.”
Acute Care Alberta transition
Acute care, which includes hospitals, emergency services and surgery care, is a significant part of the health care system, providing critical care to Albertans when they need it most. Alberta’s new acute care provincial health agency, Acute Care Alberta, will become a legal entity in early 2025 and begin operating in spring 2025. As work continues, Alberta’s government is committed to ensuring there are no interruptions to patient care while keeping front-line workers and all Albertans informed and supported.
The new acute care provincial health agency will work directly with service providers to speed up access to high-quality care, reduce wait times and ensure a patient’s journey through the acute care system is efficient and effective.
To support the standing up of Acute Care Alberta, the Acute Care Provincial Health Agency Executive Transition Team has been established. The team includes executive members from Alberta Health and an external special adviser, Dr. Chris Eagle. As a former CEO of Alberta Health Services, Dr. Eagle brings extensive experience in the delivery of acute care services in the province. He will provide valuable insight and expertise that will support the transition of Alberta Health Services from a health authority to a service delivery provider.
Throughout this work, Albertans will continue to access acute care services as they always have, and there will be no impact to front-line health care workers and their continued dedication to delivering health care to Albertans.
Primary Care Alberta now operational
As of Nov. 18, Primary Care Alberta is a legal entity under the leadership of Kim Simmonds, whose first task is to support the transition of operations by setting the agency’s vision and mission, implementing policies and processes, and developing plans. Simmonds and her leadership team will work closely with existing primary care teams at Alberta Health Services to establish the new agency.
“Every Albertan deserves to have a long-term, trusted connection with a family doctor or health care team. We are ready to work to ensure all Albertans have a primary health care home.”
Primary Care Alberta will coordinate and deliver primary health care services across the province, so all Albertans and their families are supported in their day-to-day health needs while avoiding visiting the emergency department and reducing pressures on acute care services.
Integrated approach to health system planning
As part of the refocusing work, Alberta’s government is also taking a new, regional approach to health system planning through seven integrated health corridors.
As a regional grouping within a health care system, a health corridor is designed to reflect how Albertans use health care services in the province based on factors such as travel patterns, access points and local population needs. The corridors consider data related to where Albertans access services and facilities, as well as feedback received during health care refocusing public engagement sessions.
As a result, these corridors will enable an evidence-based approach to planning that will inform decisions about services, workforce and infrastructure across the four new provincial health agencies. This new approach will connect care pathways and support seamless patient journeys throughout the health care system.
“New health care corridors present many opportunities within Alberta’s health care system. Further regionalization of services, in addition to a focus on rural needs and representation, will be essential to ensuring our communities get access to the care they need.”
Health corridors will ensure Alberta’s government will be better able to determine current gaps in the health care system and inform investments in those areas, including operational dollars and funding for capital projects. Getting a better regional understanding of how the health care system is being used will ensure decision-making processes reflect the changing needs of Albertans.
Upcoming engagement opportunities
Alberta’s government remains committed to maintaining open lines of communication with Albertans as it stands up the new provincial health agencies that will form the backbone of Alberta’s refocused health care system.
The input, experiences and feedback Alberta’s government is gathering are helping to create a more effective and efficient health care system that meets the needs of Albertans today and for generations to come.
All Albertans are invited to participate in upcoming telephone town halls with Health Minister Adriana LaGrange to discuss the ongoing work to refocus the health system. Town halls will take place on:
- Nov. 19, from 7:30 a.m. to 9 a.m.
- Nov. 27, from 6:30 p.m. to 8 p.m.
- Nov. 28, from 7:30 a.m. to 9 a.m.
Albertans can register to participate online.
In addition to telephone town halls, Albertans can provide feedback on the refocused health care system online until Dec. 5.
A second round of in-person public engagement is planned for winter/spring 2025 to share information and receive feedback about refocusing work. Those interested in keeping up to date on the health system refocusing work and new engagement opportunities can sign up for an e-newsletter.
Quick facts
- Legislative amendments have been implemented to support the transition to the new health care system.
- To support health service delivery, Alberta Health Services divided the province into five zones: Calgary, Edmonton, south, north and central. The new integrated health system plan will include seven regional health corridors:
- North-West
- North-East
- Edmonton
- Central
- Calgary
- South-West
- South-East
Related information
Alberta
Federal taxes increasing for Albertans in 2025: Report
From the Canadian Taxpayers Federation
By Kris Sims
The Canadian Taxpayers Federation released its annual New Year’s Tax Changes report today to highlight major tax changes in 2025.
The key provincial tax change expected for Alberta is a reduction in the income tax rate.
“The Alberta government promised to reduce our lowest income tax bracket from 10 down to eight per cent and we expect the government to keep that promise in the new year,” said Kris Sims, CTF Alberta Director. “The United Conservatives said this provincial income tax cut would save families about $1,500 each and Alberta families need that kind of tax relief right now.
“Premier Danielle Smith promised to cut taxes and Albertans expect her to deliver.”
Albertans will see several federal tax hikes coming from Ottawa in 2025.
Payroll taxes: The federal government is raising the mandatory Canada Pension Plan and Employment Insurance contributions in 2025. These payroll tax increases will cost a worker up to an additional $403 next year.
Federal payroll taxes (CPP and EI tax) will cost a worker making $81,200 or more $5,507 in 2025. Their employer will also be forced to pay $5,938.
Carbon tax: The federal carbon tax is increasing to about 21 cents per litre of gasoline, 25 cents per litre of diesel and 18 cents per cubic metre of natural gas on April 1. The carbon tax will cost the average household between $133 and $477 in 2025-26, even after the rebates, according to the Parliamentary Budget Officer.
Alcohol taxes: Federal alcohol taxes will increase by two per cent on April 1. This alcohol tax hike will cost taxpayers $40.9 million in 2025-26, according to Beer Canada.
Following Budget 2024, the federal government also increased capital gains taxes and imposed a digital services tax and an online streaming tax.
Temporary Sales Tax Holiday: The federal government announced a two month sales tax holiday on certain items like pre-made groceries, children’s clothing, drinks and snacks. The holiday will last until Feb. 15, 2025, and could save taxpayers $2.7 billion.
“In 2025, the Trudeau government will yet again take more money out of Canadians’ pockets with payroll tax hikes and will make life more expensive by raising carbon taxes and alcohol taxes,” said Franco Terrazzano, CTF Federal Director. “Prime Minister Justin Trudeau should drop his plans to take more money out of Canadians’ pockets and deliver serious tax relief.”
You can find the CTF’s New Year’s Tax Changes report HERE.
Alberta
Fraser Institute: Time to fix health care in Alberta
From the Fraser Institute
By Bacchus Barua and Tegan Hill
Shortly after Danielle Smith was sworn in as premier, she warned Albertans that it would “be a bit bumpy for the next 90 days” on the road to health-care reform. Now, more than two years into her premiership, the province’s health-care system remains in shambles.
According to a new report, this year patients in Alberta faced a median wait of 38.4 weeks between seeing a general practitioner and receiving medically necessary treatment. That’s more than eight weeks longer than the Canadian average (30.0 weeks) and more than triple the 10.5 weeks Albertans waited in 1993 when the Fraser Institute first published nationwide estimates.
In fact, since Premier Smith took office in 2022, wait times have actually increased 15.3 per cent.
To be fair, Premier Smith has made good on her commitment to expand collaboration with the private sector for the delivery of some public surgeries, and focused spending in critical areas such as emergency services and increased staffing. She also divided Alberta Health Services, arguing it currently operates as a monopoly and monopolies don’t face the consequences when delivering poor service.
While the impact of these reforms remain largely unknown, one thing is clear: the province requires immediate and bold health-care reforms based on proven lessons from other countries (e.g. Australia and the Netherlands) and other provinces (e.g. Saskatchewan and Quebec).
These reforms include a rapid expansion of contracts with private clinics to deliver more publicly funded services. The premier should also consider a central referral system to connect patients to physicians with the shortest wait time in their area in public or private clinics (while patients retain the right to wait longer for the physician of their choice). This could be integrated into the province’s Connect Care system for electronic patient records.
Saskatchewan did just this in the early 2010s and moved from the longest wait times in Canada to the second shortest in just four years. (Since then, wait times have crept back up with little to no expansion in the contracts with private clinics, which was so successful in the past. This highlights a key lesson for Alberta—these reforms are only a first step.)
Premier Smith should also change the way hospitals are paid to encourage more care and a more patient-focused approach. Why?
Because Alberta still generally follows an outdated approach to hospital funding where hospitals receive a pre-set budget annually. As a result, patients are seen as “costs” that eat into the hospital budget, and hospitals are not financially incentivized to treat more patients or provide more rapid access to care (in fact, doing so drains the budget more rapidly). By contrast, more successful universal health-care countries around the world pay hospitals for the services they provide. In other words, by making treatment the source of hospital revenue, hospitals provide more care more rapidly to patients and improve the quality of services overall. Quebec is already moving in this direction, with other provinces also experimenting.
The promise of a “new day” for health care in Alberta is increasingly looking like a pipe dream, but there’s still time to meaningfully improve health care for Albertans. To finally provide relief for patients and their families, Premier Smith should increase private-sector collaboration, create a central referral system, and change the way hospitals are funded.
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