[Skip to Content]
[Skip to Content Landing]
October 9, 2019

Alternative Payment for Radiation Oncology

Author Affiliations
  • 1Department of Health Policy and Management, Emory University, Atlanta, Georgia
  • 2Department of Radiation Oncology, Emory University School of Medicine, Atlanta, Georgia
JAMA. 2019;322(19):1859-1860. doi:10.1001/jama.2019.15888

Alternative payment models are the centerpiece of efforts to reduce Medicare spending and improve quality of care. A limitation of existing alternative payment models is that most are directed toward primary care clinicians, even though specialists account for 95% of Medicare spending.1 In July 2019, the Centers for Medicare & Medicaid Services (CMS) took a step toward broader inclusion of specialists in alternative payment models by proposing to test an episode-based payment model for radiation oncology.2 (CMS also proposed a new model for end-stage renal disease care.) Unlike previous, specialty-focused alternative payment models, participation in the Radiation Oncology Model is mandatory. The proposal offers a template that could serve as the basis for future efforts to revamp Medicare reimbursements for specialty care.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words