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Rep. Higgins urges CMMI to work with Congress on RO Model

June 22, 2021

Congressman Brian Higgins (NY-26) joined calls for increased transparency and collaboration at the Centers for Medicare and Medicaid Innovation (CMMI) by sending his own letter to Deputy Administrator and Director of the CMS Innovation Center, Elizabeth Fowler.

In his letter, Rep. Higgins specifically highlights the need for increased transparency and collaboration at CMMI when developing alternative payment models like the radiation oncology model (RO Model). Rep. Higgins acknowledges that the RO Model represents an important step towards a value-based payment system that works to increase quality in patient care while providing stable payments for providers. However, he notes the harm possible when CMMI does not appropriately consult with and inform outside stakeholders during the development process as shown by significant payment cuts included in the RO Model.

In order to achieve the shared goals of improved patient care, lower health care costs, and better population health, Rep. Higgins argues it is critical that Congress, CMMI and outside stakeholders work together.