Feature

Radiation Oncologists Fight for Payment Reform Amid Cuts


 

Radiation oncologists from the largest professional societies have come together to lobby for Medicare payment reform.

The American Society for Radiation Oncology (ASTRO) recently announced its partnership with three other groups — the American College of Radiation Oncology, the American College of Radiology, and the American Society of Clinical Oncology — to change how the specialty is paid for services.

Over the past decade, radiation oncologists have seen a 23% drop in Medicare reimbursement for radiation therapy services, with more cuts to come, according to a press release from ASTRO.

Traditionally, Medicare has reimbursed on the basis of the fraction of radiation delivered. But with moves toward hypofractionated regimens, deescalated therapy, and other changes in the field, reimbursement has continued to dwindle.

The cuts have led to practice consolidation and closures that threaten patient access especially in rural and underserved areas, a spokesperson for the group told this news organization.

To reverse this trend, ASTRO recently proposed the Radiation Oncology Case Rate program, a legislative initiative to base reimbursements on patient volumes instead of fractions delivered.

ASTRO is currently drafting a congressional bill to change the current payment structure, which “has become untenable,” the spokesperson said.

A version of this article appeared on Medscape.com.

Recommended Reading

‘Baby TAM’ effective, tolerable for breast cancer prevention
MDedge ObGyn
Few with inflammatory breast cancer get guideline-based care
MDedge ObGyn
Supercharge your medical practice with ChatGPT: Here’s why you should upgrade
MDedge ObGyn
10% of US physicians work for or under UnitedHealth. Is that a problem?
MDedge ObGyn
Physician-Owned Hospitals: The Answer for Better Care?
MDedge ObGyn
Male Surgeons Linked With Higher Subsequent Healthcare Costs
MDedge ObGyn
Why Do MDs Have Such a High Rate of Eating Disorders?
MDedge ObGyn
Panel Recommends Small Bump in 2025 Medicare Physician Pay
MDedge ObGyn
New Federal Rule for Prior Authorizations a ‘Major Win’ for Patients, Doctors
MDedge ObGyn
Oncologists Sound the Alarm About Rise of White Bagging
MDedge ObGyn