Radiation Oncology Model will modernize Medicare payments for radiotherapy services
On September 18, CMS finalized a new Innovation Center model
expected to improve the quality of care for cancer patients receiving
radiotherapy and reduce Medicare expenditures through bundled payments that
allow providers to focus on delivering high-quality treatments. The new
Radiation Oncology (RO) Model allows this focus on value-based care by creating
simpler, more predictable payments that incentivize cost-efficient and
clinically effective treatments to improve quality and outcomes. The RO Model,
part of a final rule on specialty care models issued by CMS, will begin on
January 1, 2021 and is estimated to save Medicare $230 million over 5 years.
“President Trump knows that, for cancer patients, what matters is
their quality of life and beating their cancer. But today, Medicare
payment for radiotherapy is based on the number of treatments a patient
receives and where they receive it, which can lead to spending more time
traveling for treatment with little clinical value,” said CMS Administrator
Seema Verma. “That’s why the Trump administration has developed a new
innovative model that allows patients and providers to focus on better outcomes
for patients.”
For More information:
These Models are a part of a CMS final rule on Medicare Program; Specialty Care
Models To Improve Quality of Care and Reduce Expenditures (CMS-5527-F).
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