COA Statement on Proposed Physician & Hospital Payment Rules for 2020

July 30, 2019

HHS and CMS Listen to COA Feedback in Acknowledging Critical Expertise of Oncologists and Continues Movement Towards Increasing Transparency and Competition in Cancer Care System 

Statement from Ted Okon, Executive Director, Community Oncology Alliance (COA):

 Today’s release of Medicare payment rule updates for physicians and hospitals demonstrate that HHS and CMS are serious about continuing major reforms to reduce physicians’ unnecessary paperwork and inserting much needed competition into our health care system. The Community Oncology Alliance (COA) applauds the Administration for listening to the concerns of oncologists and patients with cancer with these proposed rules.

Regarding the Medicare Physician Fee Schedule (MPFS) proposal for calendar year 2020, it is clear that CMS has continued to listen to the feedback of community oncology and recognizes the complexity of cancer care. Instead of simply collapsing or reducing reimbursement for evaluation and management (E&M) services as proposed in past years, CMS has realized that the complexity of cancer care is valuable, as is the expertise and time of the community oncologists who treat patients with complex cancers. COA thanks CMS for listening to the input of community oncology in this year’s MPFS proposal.

The Outpatient Prospective Payment System (OPPS) proposal for calendar year 2020 is a major, positive step forward from the