Bill > HR2120

This bill establishes the Radiation Oncology Case Rate (ROCR) Value Based Payment Program to improve Medicare reimbursement for radiation therapy services. The bill creates a new payment model for radiation therapy that aims to provide more stable and unified payments, reduce disparities in cancer care, and enhance treatment quality. Specifically, it introduces per-episode payments for radiation therapy treatments across 15 different cancer types, with payments split into two installments and adjusted based on geographic location and other factors. The program includes a health equity add-on payment to help patients with transportation challenges access treatment, and introduces quality incentives for providers who meet accreditation requirements. Providers will be required to participate in the program, with some exceptions for providers experiencing significant hardships. The bill also modifies existing laws to allow radiation therapy providers to offer transportation services to patients without legal penalties and exempts the program from budget neutrality requirements. Additionally, the bill mandates future reports to evaluate the program's impact on healthcare spending, patient access, and potential expansion to other cancer treatments or Medicare benefit types.

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https://www.congress.gov/bill/119th-congress/house-bill/2120/all-info