ROCR Value Based Program Act
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Overview
This bill establishes a new Medicare payment program, the Radiation Oncology Case Rate Value Based Program (ROCR Program), for radiation therapy providers and suppliers. The program aims to provide per-episode payments based on national rates, with adjustments for geographic location, inflation, and a health equity achievement add-on for transportation services. It includes provisions for mandatory participation, quality incentives, and reporting requirements to assess the program's impact and address underserved areas. The bill also modifies civil monetary penalties to account for free or discounted transportation services provided to patients.
Key provisions
- Establishes the ROCR Program to provide per-episode payments for radiation therapy services.
- Sets payment rates based on national base rates with adjustments for geographic location, inflation, and a health equity achievement add-on.
- Requires providers to be accredited and maintain quality standards.
- Mandates participation for Medicare providers, with exemptions for innovation models and hardship cases.
- Includes a provision for transportation services, offering an add-on payment for providers who offer free or discounted transportation.
- Requires the Government Accountability Office to report on program implementation and underserved areas.
- Modifies civil monetary penalties to account for free or discounted transportation services.
- Exempts the ROCR Program from budget neutrality adjustment requirements for a specified period.
Who is affected
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