Alberta
Sun setting on AHS as first of four provincial health agencies, Primary Care Alberta set to launch
Primary Care Alberta, the new provincial health agency overseeing and coordinating the delivery of primary health care services, will become operational later this fall.
Alberta’s government is taking action to refocus the health care system so that every Albertan has access to a primary health care provider and timely, high-quality primary health care, no matter where they live.
Alberta’s new primary care provincial health agency, Primary Care Alberta, will create a modern, more responsive and unified health care system that prioritizes patients, empowers front-line health care professionals and helps reduce pressures on the entire health system.
The immediate priority of Primary Care Alberta is to ensure every Albertan has access to high-quality primary care services in all areas of the province, so all Albertans and their families are supported in their day-to-day health needs through every stage of life. The new primary care agency will focus on supporting integrated teams of family physicians, nurse practitioners and pharmacists to provide patients with the best care possible.
“Standing up Primary Care Alberta is an important milestone in refocusing the health care system to put patients first and give our front-line experts the support they need to ensure Albertans are receiving the care they deserve.”
Kim Simmonds, the current assistant deputy minister of strategic planning and performance at Alberta Health, will be appointed as chief executive officer of Primary Care Alberta. Simmonds brings a wealth of public and private sector experience to the role and has extensive experience working with stakeholders across the health care system. She has experience working with clinicians and understands the need for data and evidence-based decision-making when it comes to delivering primary care services to Albertans, no matter where they live.
“If primary care is to be the foundation on which the entire health system stands, every Albertan must have an ongoing connection and trusting relationship with a family doctor or health care team. They must belong to a health home where they are known and where they don’t have to tell their health story over and over again. There is much work to do in Alberta to achieve these goals, and I’m eager to get going to help make it happen.”
Modernizing Alberta’s Primary Care System (MAPS)
In 2022, the Modernizing Alberta’s Primary Care System (MAPS) initiative was launched to recommend ways to strengthen Alberta’s primary health care system. Alberta’s government undertook extensive engagement with its primary care providers and stakeholders to develop a guide to strengthen primary health care in Alberta. The MAPS final report recommended creating a single governance structure that supports an integrated team of health care professionals with data sharing within and across sectors.
Improving the coordination and delivery of primary care was also something Alberta’s government heard during provincewide engagement sessions held earlier this year as part of efforts to engage with Albertans and health care professionals on how to refocus the health care system. This made-in-Alberta solution is the first of its kind to be established in a provincial health care system. The agency is a dedicated organization to support governance, oversight, delivery, operation and coordination, a significant step being taken to improve the quality of health care delivery in the province.
Quick facts
- The Provincial Health Agencies Act enables the transition from one regional health authority, Alberta Health Services (AHS), to an integrated system of four sector-based provincial health agencies: primary care, acute care, continuing care, and mental health and addiction.
- The agencies will be responsible for delivering integrated health services, ensuring Albertans receive timely access to care regardless of where they live.
- Some of Primary Care Alberta’s longer-term priorities include:
- Engaging physicians and providing leadership opportunities to lead their peers through the change process.
- Incentivizing care models that improve health outcomes and patient experience.
- Providing tools to primary care providers, such as enhancing the current Find a Doctor website and e-Referral, that benefit both providers and patients.
- Setting standards for primary care so Albertans have consistent services.
- Funding primary care networks that bring practitioners together to implement provincial initiatives and address regional needs.
- Developing chronic disease care models to reduce the burden of chronic disease on patients and the health care system.
- More than 30,000 Albertans have had the opportunity to share their thoughts and ideas directly on the refocusing through in-person engagement sessions, online feedback forms and telephone townhalls.
- In addition to public engagement sessions, dedicated engagements were held with Indigenous communities, the francophone community and other key health partners.
Related information
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.
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.
Bacchus Barua
Tegan Hill
Director, Alberta Policy, Fraser Institute
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