ASTROnews Web Exclusive: CMS Reverses Course on Radiation Oncology Medicare Cuts
In a major policy victory for ASTRO, the Centers
for Medicare and Medicaid Services (CMS) announced on October 30, 2009, that it
will not implement the proposed 19 percent Medicare physician payment
cuts to radiation oncology for 2010. Instead, the agency will reduce radiation
oncology payments by only five percent over a four-year period. In other words,
the proposed 19 percent cuts for next year has been significantly reduced to
only 1 percent for 2010, which will start January 1, 2010.
CMS's final ruling follows upon ASTRO's most intensive advocacy campaign in its
history, which resulted in more than 100 members of Congress, cancer patient
groups and other key stakeholders urging the agency to stop the 19 percent cuts
proposed in July 2009. To view the Congressional letters and other advocacy
materials used to stop to the cuts, go to www.astro.org/medicarecuts.
An initial analysis of CMS's ruling reveals that the agency agreed with ASTRO
that its proposed increase on the assumed equipment utilization rate should not
apply to radiation therapy equipment. In addition, CMS agreed with most of ASTRO's recommendations regarding the PPIS data and will
make several important adjustments to practice expense survey information
specific to radiation oncology, thus resulting in an increase in the radiation
oncology PE/HR.
More details on CMS's decision will be forthcoming in future news updates and
discussed this week at ASTRO's Annual Meeting in Chicago. Feel free to stop by
the ASTRO PAC booth in the Exhibit Hall where staff will be available to answer
any questions.
Thanks and congratulations to the thousands of radiation oncology team members
who participated in this successful effort!