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Daily Practice

RO Model

On November 2, 2021, the Centers for Medicare and Medicaid Services finalized, with a few modifications, the Radiation Oncology Model (RO Model) as part of the 2022 Hospital Outpatient Prospective Payment System (HOPPS) final rule. While the Agency maintained excessive payment cuts decried by ASTRO and Members of Congress, CMS included in the model an extreme and uncontrollable circumstances (EUC) policy, associated with the COVID-19 Public Health Emergency (PHE), that will grant RO Model participants some flexibility on quality reporting and monitoring requirements in the first performance year (PY1). The mandatory “RO Model” is set to start January 1, 2022, and cover 30% of eligible episodes in select geographic areas across the country for a five- year period ending on December 31, 2026. 

ASTRO remains very concerned that, despite modest changes, CMS did not address the punitive nature of the model on mandated participants, as the discount factor payment cuts and participation burden remain significant challenges to successful participation.

This page is designed to provide radiation oncology practices with resources for implementing the final rule, ASTRO’s advocacy efforts to address the Model’s flaws and background that details the model’s development over the last several years.