On April 6, 2022, the Centers for Medicare and Medicaid Services (CMS) issued the RO Model Proposed Rule, which seeks to delay the implementation of the payment model from January 1, 2023, to a date to be determined in a future notice of proposed rulemaking. According to CMS, the date will be issued as part of rule making not less than six months prior to the determined launch date. Comments in response to this proposed rule are due June 7, 2022.
In addition to the delay, CMS also notes that future rulemaking may also include modification to model design. ASTRO issued a statement saying that it is hopeful that during this interim period, CMS will make adjustments recommended by Congress and the broad coalition of stakeholders within the radiation oncology community, as we remain concerned that the model in its current form is too punitive for clinics. We believe that the modifications proposed by ASTRO and the radiation oncology community will ensure successful participation among physicians and facilities and produce savings for the Medicare program while preserving or enhancing the quality of care furnished to Medicare beneficiaries. We continue to believe that episodic payments for radiation therapy services have great potential to improve quality and equity while reducing cancer care costs, and we will continue to advocate for proposals that achieve these goals.
This page is designed to provide radiation oncology practices with resources related to the RO Model, including ASTRO’s advocacy efforts to address the Model’s flaws and background that details the model’s development over the last several years.