Navigation Links
ASTRO applauds MedPAC review of Stark law exception
Date:6/16/2010

The American Society for Radiation Oncology (ASTRO) commends the Medicare Payment Advisory Commission (MedPAC) for highlighting concerns about physician self-referral in cancer care in its report released yesterday. We urge the commission to make recommendations to Congress to end abuses of the physician self-referral law in radiation oncology enabled by the "in-office ancillary services exception."

"We are very pleased that key federal policymakers are fully aware of the ever-expanding schemes that are being used to generate profit at the expense of American taxpayers and cancer patients," Tim R. Williams, M.D., ASTRO chairman, said. "We appreciate the considerable effort that MedPAC and others are dedicating to examine these abuses, and we are confident that this hard work will pay off in sound policies that protect cancer patients and precious health care resources."

ASTRO's highest priority is excellence in cancer patient care. When a patient's medical condition requires a referral for specialized care, the treatment decision must be based on quality care and patient choice, not financial incentives. ASTRO believes it is wrong to create business enterprises centered on rewarding physicians for making referrals, yet we are increasingly seeing business ventures across the country designed to generate additional revenues within a group practice by incorporating radiation therapy. We believe these arrangements erode patient choice and can result in dramatic increases in one form of radiation therapy for prostate cancer, while the use of other clinically appropriate, significantly less expensive treatments, such as radiation seed implants or even "watchful waiting," have declined or disappeared. This may lead to unnecessary Medicare spending.

In its report released today, MedPAC noted that many physicians have expanded their practices in recent years to include radiation therapy and other services included in the ancillary services exception to the physician self-referral law, or Stark law. MedPAC said physician self-referral of services in the exception creates incentives to increase volume. MedPAC also noted that the exception was intended for "quick turnaround" services, such as lab tests or X-rays, provided during the same office visit. MedPAC acknowledged that radiation oncology involves multiple sessions and is rarely initiated on the same day as a cancer diagnosis. Rather, it takes several weeks to plan and then deliver radiation therapy.

MedPAC said it is considering several policy recommendations for changes in self-referral of radiation therapy, such as excluding radiation therapy from the exception, limiting the exception to "clinical integrated" practices, and improving payment accuracy.

ASTRO appreciates MedPAC's recognition of the problems of self-referral in radiation oncology. We agree that the preferred long-term solution is to develop payment systems that reward quality over volume, and we support MedPAC's approach to find a more immediate solution that addresses self-referral. ASTRO's position is that radiation therapy should be removed from the Stark law's exception, and we are interested in working with MedPAC, the Centers for Medicare and Medicaid Services and Congress on the proposed option to require group practices to demonstrate "clinical integration" to be able to provide radiation therapy through the Stark law exception.


'/>"/>

Contact: Nicole Napoli
nicolen@astro.org
703-839-7336
American Society for Radiation Oncology
Source:Eurekalert

Related medicine news :

1. ASTRO participates in FDA meeting on radiation safety
2. Florida radiation council endorses ASTRO patient protection plan
3. ASTRO patient education program recognized by AAA Awards
4. Gulf Oil Spill Goes from Disaster to Catastrophe
5. Larson, McBride named 2010 ASTRO Gold Medalists
6. Motorcycle Cancer Risk and ELF EMF Radiation Invasion of Gastrointestinal Melatonin
7. Rotavirus Vaccine Helps Kids Avoid Severe Gastro Illness
8. Study finds rotavirus vaccine greatly reduces hospitalizations for acute gastroenteritis in children
9. Dynowatt Offers Facebook Fans a Chance to See the Rangers and Astros Play for Texas Bragging Rights
10. The effect of dietary supplements, acids and animal protein on gastrointestinal disorders
11. ASTRO releases SBRT for lung cancer report
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/2/2016)... ... December 02, 2016 , ... FlexiSpot, a trusted name ... free trial program for all of the company’s desktop riser products. A simple ... free experience. , FlexiSpot’s unique desktop risers use an advanced dual gas spring ...
(Date:12/2/2016)... PA (PRWEB) , ... December 02, 2016 , ... With ... struggling through rehabilitation of an injury, patients must find the one that works for ... his pain, he created a machine that worked and decided to share it with ...
(Date:12/2/2016)... ... December 02, 2016 , ... Mediaplanet is ... USA Today, which covers the innovative treatments, therapeutic technologies, and revolutionized nutrition that ... “We are prolonging life 6 years in the last 3 decades,” says Dr. ...
(Date:12/2/2016)... West Milford, NJ (PRWEB) , ... December 02, 2016 , ... ... Norway, Nothing Water has some unique properties including its unmatched natural purity of just ... described as clean and crisp. , Nothing Water has been available in several ShopRite ...
(Date:12/2/2016)... San Francisco, CA (PRWEB) , ... December 02, ... ... in digitally-enabled care journeys, announced today that it has raised $6.0 million in ... are inspired by Clarify Health’s conviction that patients and their caregivers can receive ...
Breaking Medicine News(10 mins):
(Date:12/2/2016)... GARDENS, N.Y. , Dec. 2, 2016  LifeVac, ... will be included in the Emergency Response Training and ... are very excited to have LifeVac become part of ... Lih , Founder and CEO of LifeVac. "Having an ... LifeVac safely and effectively will help leverage our efforts ...
(Date:12/2/2016)... 2, 2016 Research and Markets has announced ... Growth and Demand Forecast to 2022" report to their offering. ... , , ... in 2015, and it is expected to grow at a CAGR of ... to witness faster growth during the forecast period, a CAGR of 8.8% ...
(Date:12/2/2016)... , Dec. 2, 2016 Quantum Radiology,s Mobile ... expert radiologist interpretation directly to women at the workplace, ... corporations, such as Delta Air Lines and SunTrust Bank, ... as a component of wellness initiatives. "I ... SunTrust. It enables them to have a mammogram without ...
Breaking Medicine Technology: