CMS Unveils Proposed Radiation Oncology Model of Care

Anthony Hagen and Rachel Narozniak
Published: Wednesday, Jul 17, 2019
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Until now, radiation oncology (RO) has remained largely untouched by the valuebased initiatives of the Centers for Medicare and Medicaid Services (CMS). The federal agency aims to change that with a proposed RO Model of care that would promote site-neutral payment and take away incentives for volume-based billing. Radiotherapy (RT) providers and suppliers in randomly selected areas would be required to participate in the episode-based payment plan, which would apply to the treatment of 17 types of cancer.1,2

ASTRO stated that “with modifications, the model has the potential to incentivize higher-quality, more convenient radiation treatments for patients.”

References

  1. Proposed Radiation Oncology (RO) Model. CMS.gov. cms.gov/ newsroom/fact-sheets/proposed- radiation-oncology-ro-model. Published July 10, 2019. Accessed July 11, 2019.
  2. CMMI radiation oncology alternative payment model “RO Model” proposed rule summary [press release]. Arlington, Virginia: American Society for Radiation Oncology; July 11, 2019. astro.org/News-and-Publications/ What-is-Happening-in-Washington/ 2019/CMMI-Radiation-Oncology- Alternative-Payment-Model. Accessed July 12, 2019.

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Oncology Briefings™: Individualizing Treatment After Second-Line Therapy for Patients With mCRCAug 29, 20191.0
Community Practice Connections™: Immunotherapeutic Strategies with the Potential to Transform Treatment for Genitourinary CancersAug 29, 20191.0
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