CMS NEWS
FOR IMMEDIATE RELEASE
September 18, 2020
September 18, 2020
Contact: CMS Media Relations
(202) 690-6145 | CMS Media Inquiries
(202) 690-6145 | CMS Media Inquiries
CMS Announces Transformative New Model of Care for Medicare Beneficiaries with Chronic Kidney Disease
Model focuses on reducing costs and improving quality of care for patients
Today, the Centers for Medicare & Medicaid Services (CMS) announced it has finalized the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model, to improve or maintain the quality of care and reduce Medicare expenditures for patients with chronic kidney disease. The ETC Model delivers on President Trump’s Advancing Kidney Health Executive Order and encourages an increased use of home dialysis and kidney transplants to help improve the quality of life of Medicare beneficiaries with ESRD. The ETC Model will impact approximately 30 percent of kidney care providers and will be implemented on January 1, 2021 at an estimated savings of $23 million over five and a half years.
“Over the past year, the Trump Administration has taken more action to advance American kidney health than we’ve seen in decades,” said HHS Secretary Alex Azar. “This new payment model helps address a broken set of incentives that have prevented far too many Americans from benefiting from enjoying the better lives that could come with more convenient dialysis options or the possibility of a transplant.”
To read the full ETC Model release, click here: https://www.cms.gov/newsroom/
To read the ETC Model Fact Sheet, click here: https://www.cms.gov/newsroom/
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CMS NEWS
FOR IMMEDIATE RELEASE
September 18, 2020
September 18, 2020
CMS Announces Innovative Payment Model to Improve Care, Lower Costs for Cancer Patients
Radiation Oncology Model will modernize Medicare payments for radiotherapy services
Today, the Centers for Medicare & Medicaid Services (CMS) finalized a new Innovation Center model expected to improve the quality of care for cancer patients receiving radiotherapy and reduce Medicare expenditures through bundled payments that allow providers to focus on delivering high-quality treatments. The new Radiation Oncology (RO) Model allows this focus on value-based care by creating simpler, more predictable payments that incentivize cost-efficient and clinically effective treatments to improve quality and outcomes. The RO Model, part of a final rule on specialty care models issued by CMS, will begin on January 1, 2021 and is estimated to save Medicare $230 million over 5 years.
“President Trump knows that, for cancer patients, what matters is their quality of life and beating their cancer. But today, Medicare payment for radiotherapy is based on the number of treatments a patient receives and where they receive it, which can lead to spending more time traveling for treatment with little clinical value,” said CMS Administrator Seema Verma. “That’s why the Trump administration has developed a new innovative model that allows patients and providers to focus on better outcomes for patients.”
To read the full RO Model release, click here:
To read the Radiation Oncology Model Fact Sheet: https://www.cms.gov/newsroom/
More information on the Model is available at: https://innovation.cms.gov/
These Models are a part of a CMS final rule on Medicare Program; Specialty Care Models To Improve Quality of Care and Reduce Expenditures (CMS-5527-F), which can be viewed at: https://innovation.cms.gov/
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