American Hospital Association July 10, 2019

The Centers for Medicare & Medicaid Services today issued a proposed rule setting forth a bundled payment model for radiation oncology, which would be mandatory in certain areas of the country. Under the model, participants would receive a bundled payment for 90-day episodes of radiation therapy for 17 disease sites, including breast, lung, prostate, kidney and colorectal cancer. This bundled payment would be made instead of regular Medicare fee-for-service payments; providers would keep any savings if spending is less than the bundled payment, subject to quality and patient experience measures,...

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Topics: Bundled Payments, CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Payment Models, Physician, Provider, Value Based
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