Alternative Payment Plans

Surgeon preparing for surgery

Alternative Payment Plans

The term “alternative payment plan,” or APP, refers to a type of physician contract that is used by family physicians (in solo or group practice) and some rural specialists. An APP is an alternative to billing fee-for-service or being paid under a clinical/academic funding plan (C/AFP) contract.

Alternative payment plan contracts are implemented to:

  • Provide physicians with a guaranteed minimum funding level and income stability
  • Facilitate the delivery of efficient and effective medical care that may not be compatible with the fee-for-service funding model
  • Support new models of care, including collaborative care models, to better meet community needs

An APP contract includes a deliverables agreement agreed upon by the physician (or physicians), as well as representatives of the Department of Health and Wellness (DHW), the Nova Scotia Health Authority (NSHA) and Doctors Nova Scotia.

Physicians on APP contracts are expected to be accountable for the services they deliver. This requires consistent shadow billing and completion of an annual activity report.

Doctors Nova Scotia representatives are available to help physicians who are interested in converting to an APP, as well as new physicians who are considering or being offered an APP arrangement. 

Contact your Physician Advisor for assistance with:


Kim Oakley
Compensation manager, physician advisory team lead, physician advisor (Zones 2-Northern and 3-Eastern)
1-800-563-3427 ext. 4924
Jennifer Girard
Physician advisor (Zone 1-Western and Zone 4-Central)
1-800-563-3427 ext. 4912