DOTmed March 19, 2025
A bipartisan group of lawmakers has reintroduced legislation aimed at overhauling Medicare’s payment structure for radiation therapy.
The Radiation Oncology Case Rate (ROCR) Value-Based Payment Program Act of 2025 seeks to replace the current per-treatment reimbursement model with a patient-focused, episode-based system designed to improve care quality while reducing costs.
The bill, sponsored by Sens. Thom Tillis (R-N.C.) and Gary Peters (D-Mich.), along with Reps. Brian Fitzpatrick (R-Pa.), Jimmy Panetta (D-Calif.), Dr. John Joyce (R-Pa.), and Paul Tonko (D-N.Y.), is intended to stabilize access to radiation therapy and curb financial pressures on providers. Supporters argue that shifting to bundled payments will align financial incentives with evidence-based care, helping patients receive appropriate treatment without unnecessary visits.
“The ROCR Act represents a...
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