Modern Healthcare September 17, 2019
Oncology providers have come out against a proposed rule to bundle Medicare payments for radiation therapy, claiming it will put them at excessive financial risk and stifle innovation.
Freestanding radiation therapy centers, physician group practices and hospital outpatient departments that provide radiotherapy services for 17 types of cancer in specific parts of the country would be required to accept bundled payments under the proposed rule. The fees would cover some services like CT scans, dose planning and treatment aids over the first 90 days, but it wouldn’t pay for the total cost of care provided to Medicare beneficiaries.
The CMS said the radiation oncology model would test whether making prospective episode payments to these providers for radiation therapy maintains or...