Department of Radiation Oncology, City of Hope Medical Center, Duarte, California.
Department of Radiation Oncology, University of California San Diego, San Diego, California.
Pract Radiat Oncol. 2021 Jan-Feb;11(1):e22-e29. doi: 10.1016/j.prro.2020.04.011. Epub 2020 May 16.
The Radiation Oncology Alternative Payment Model (RO-APM) is an alternative payment model under which Medicare patients would be reimbursed using an episode-based payment schema rather than the current fee-for-service schema. The Center for Medicare and Medicaid Services Innovation Center has published a proposed rule for the RO-APM. However, there is no accessible resource that summarizes information about the proposed rule in an easily understandable form.
Information regarding the RO-APM was accessed through the Center for Medicare and Medicaid Services Innovation Center website and listening sessions and review of the proposed rule. We summarize the most important information regarding the background, mechanics, and timeline of the proposed rule to facilitate wider understanding in the radiation oncology community and answer commonly held questions.
The proposed rule for the RO-APM would cover 40% and have widespread effect on the future of radiation oncology. We provide a primer that summarizes important information regarding the rule for practices and providers.
The proposed RO-APM will change the landscape of radiation oncology reimbursement. Understanding the implications of the model will be key to maintining a successful practice.
放射肿瘤学替代支付模式（RO-APM）是一种替代支付模式，根据该模式，医疗保险患者将通过基于疾病的支付方案而不是当前的按服务收费方案获得报销。医疗保险和医疗补助服务创新中心已发布了 RO-APM 的拟议规则。然而，没有任何易于理解的资源能够以简洁明了的形式总结关于拟议规则的信息。
通过医疗保险和医疗补助服务创新中心的网站以及听取会议和对拟议规则的审查，获取有关 RO-APM 的信息。我们总结了有关拟议规则背景、机制和时间表的最重要信息，以促进放射肿瘤学界更广泛的理解并回答常见问题。
RO-APM 的拟议规则将涵盖 40%的患者，并对放射肿瘤学的未来产生广泛影响。我们提供了一份入门指南，总结了有关该规则对实践和提供者的重要信息。
拟议的 RO-APM 将改变放射肿瘤学报销的格局。了解该模型的影响对于维持成功的实践至关重要。
