Medicare would shift radiation therapy to bundled payments
In committeeH.R. 2120Latest action
Sponsor: Brian K. Fitzpatrick · Representative · PA
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Official title: ROCR Value Based Program Act
119th Congress
Topics: Health care
Introduced:
Read the official bill on Congress.govIn plain words
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Medicare would pay radiation therapy clinics a single fixed amount per cancer patient per treatment, instead of billing for each service separately.
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What does this do?
This bill replaces Medicare's current per-service payments for radiation therapy with one bundled payment covering a full course of treatment for 15 cancer types, including breast, lung, and prostate cancer. Payment rates would be the same whether treatment happens at a hospital or a private clinic. The bill also adds a small extra payment to help patients with transportation needs get to their appointments, and requires clinics to meet accreditation standards to receive full payment.
Who does it affect?
Medicare patients receiving radiation therapy for cancer are directly affected, as are the doctors, clinics, and hospital outpatient departments that provide that treatment.
Why does it matter?
Clinics that do not meet accreditation standards would receive a reduced payment. Any savings from this payment change would not be used to reduce Medicare payments in other areas.
What does it cost, and who pays?
- Fixed pay per treatment, 2 installments
- Add-on for patients lacking transport
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Where does it stand?
- IntroducedMar 14, 2025
- House committeeYou are here · Mar 14, 2025
- House vote
- Senate
- The president's desk
Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the president.
Latest action: — Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.