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The potential expansion of this model in its current form to radiation oncology episodes has the potential to marginalize our specialty. It was afroc that submitted most of the imrt cost data upon which imrt technical component allowances were initially based. In an rfi outlining its new directions and in a report to congress, both issued in november of last year, the cms innovation center (cmmi) made it clear that it is considering expanding a medical oncology focused demonstration projectthe oncology care model to include radiation oncology episodes.

It was afroc that spearheaded efforts to obtain an exception to physician self-referral requirements for radiation oncology services ordered by radiation oncologists. In addition, members joining by june, 2018 will be entitled to a half hour consultation with has served as a highly effective representative of freestanding centers. It is comprised of a network of physicians, physicists, administrators, and allied health care professionals who are dedicated to the provision of high quality cancer care in settings that are not owned or operated by hospitals, promoting cost-effective treatment in the context of the highest standard of care.

At that time, it was anticipated that, by 2019, a voluntary episode-based payment demonstration program would be available to freestanding facilities as an alternative to physician fee schedule ratesbut no such demonstration program has materialized, nor does it appear likely to materialize in the near future, absent strong leadership from freestanding centers. Afroc has the expertise to help ensure that whatever episode based payment model emerges for radiation oncology takes our needs into account. It was afroc that conducted the cost survey of freestanding centers that was accepted by medicare when technical component payment became resource based.

I am writing to you as president of the association of freestanding radiation oncology centers ( ) to ask for your support in revitalizing the association to represent the interests of freestanding radiation oncology centers. The oncology care model places medical oncologists at the center of cancer patient management and at risk financially for the provision of radiation oncology services. It was afroc that convinced medicare not to use cost data from hospital-based radiation oncologists in establishing technical component rates in 2010.

While medicare payment for the technical component of radiation oncology centers has been essentially frozen through the end of 2019, it is anticipated that the medicare program will reconsider substantial medicare payment reductions that were put on hold when the freeze was enacted. It was afroc that spearheaded the effort to convince medicare to refrain from adopting new cpt codes in 2016, an initiative that prevented imrt payment reductions from doubling that year. Now, our members are facing new challenges, arising from new alternative payment models, episode-based payment, and hospital acquisitions.

In particular, since its inception, afroc has been singularly successful in representing freestanding radiation oncology centers before the centers for medicare and medicaid services (cms) with respect to medicare payment issues affecting freestanding cancer centers it was afroc that conducted the first cost survey of freestanding radiation oncology centers accepted by medicare for use in establishing payment rates for technical component services. I hope that you will join me in re-establishing as the highly effective proponent of our interests that it has always been. Congress to either further extend the freeze or to help design a workable alternative by the end of 2019. We urge you to become a member of to help us help you face the challenges coming down the pike as the result of our transitioning healthcare system. Join now to help assure the continued survival of freestanding radiation oncology centers as a vital component of the nations cancer treatment capabilities.


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    In particular, since its inception, afroc has been singularly successful in representing freestanding radiation oncology centers before the centers for medicare and medicaid services (cms) with respect to medicare payment issues affecting freestanding cancer centers it was afroc that conducted the first cost survey of freestanding radiation oncology centers accepted by medicare for use in establishing payment rates for technical component services. The oncology care model places medical oncologists at the center of cancer patient management and at risk financially for the provision of radiation oncology services. Now, our members are facing new challenges, arising from new alternative payment models, episode-based payment, and hospital acquisitions. At that time, it was anticipated that, by 2019, a voluntary episode-based payment demonstration program would be available to freestanding facilities as an alternative to physician fee schedule ratesbut no such demonstration program has materialized, nor does it appear likely to materialize in the near future, absent strong leadership from freestanding centers. Congress to either further extend the freeze or to help design a workable alternative by the end of 2019.

    It is comprised of a network of physicians, physicists, administrators, and allied health care professionals who are dedicated to the provision of high quality cancer care in settings that are not owned or operated by hospitals, promoting cost-effective treatment in the context of the highest standard of care. It was afroc that spearheaded efforts to obtain an exception to physician self-referral requirements for radiation oncology services ordered by radiation oncologists. Join now to help assure the continued survival of freestanding radiation oncology centers as a vital component of the nations cancer treatment capabilities. In addition, members joining by june, 2018 will be entitled to a half hour consultation with has served as a highly effective representative of freestanding centers. It was afroc that convinced medicare not to use cost data from hospital-based radiation oncologists in establishing technical component rates in 2010.

    It was afroc that conducted the cost survey of freestanding centers that was accepted by medicare when technical component payment became resource based. While medicare payment for the technical component of radiation oncology centers has been essentially frozen through the end of 2019, it is anticipated that the medicare program will reconsider substantial medicare payment reductions that were put on hold when the freeze was enacted. Accc radiation oncology pre-conference on march 14, 2018 in washington dc, and, over the coming year, we will be offering four webinars that will be free to members on regulatory requirements and business issues of interest to freestanding centers. It was afroc that helped obtain a court decision finding that the supervising physician for treatment in freestanding centers need not be a radiation oncologist. I hope that you will join me in re-establishing as the highly effective proponent of our interests that it has always been. The potential expansion of this model in its current form to radiation oncology episodes has the potential to marginalize our specialty. . We urge you to become a member of to help us help you face the challenges coming down the pike as the result of our transitioning healthcare system. In an rfi outlining its new directions and in a report to congress, both issued in november of last year, the cms innovation center (cmmi) made it clear that it is considering expanding a medical oncology focused demonstration projectthe oncology care model to include radiation oncology episodes. It was afroc that spearheaded the effort to convince medicare to refrain from adopting new cpt codes in 2016, an initiative that prevented imrt payment reductions from doubling that year.

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