Public Forum: Radiation Therapy Alternative Payment Model

The Center for Medicare & Medicaid Innovation (CMMI) held a public listening session regarding the development of a report to Congress on an alternative payment model for radiation therapy services. The listening session provided an important opportunity for all stakeholders to provide input on the report.

The Patient Access and Medicare Protection Act (P.L. 114-115) requires the Secretary of Health and Human Services to submit a report to Congress on an “episodic alternative payment model” for radiation therapy services furnished in “non-facility settings”.

In developing the report, CMMI is researching issues such as how an alternative payment model for radiation therapy services may improve quality and outcomes for Medicare beneficiaries, what services are usually included in an episode of radiation therapy, how long episodes of radiation therapy typically last, common complications of radiation, measures of quality, and other issues that are important for alternative payment model design. In the report to Congress, CMMI plans to address radiation provided in non-facility settings, as well as radiation services provided in hospital outpatient departments.

The purpose of the listening session was to provide an opportunity for stakeholders to give input on the design of an alternative payment model for radiation therapy. CMMI believes this stakeholder input will strengthen and enhance the report to Congress. At the meeting, CMMI also presented background information on the report and high-level Medicare data on radiation therapy services. Additional information about the listening session is below.

 

What:
Public Forum: Radiation Therapy Alternative Payment Model

 

Download:
Slides (PDF)

Report to Congress (PDF)

 

 

Questions regarding radiation therapy efforts can be submitted to RadiationTherapy@cms.hhs.gov.