ROCR Value Based Program Act of 2024

The ROCR Value Based Program Act of 2024 establishes a new payment system for Medicare radiation therapy services, replacing the current physician fee schedule with per-episode payments that cover all professional and technical services for specific cancer treatments. This program aims to create stable payments, improve access to radiation therapy in underserved areas, enhance treatment quality through accreditation requirements, and reduce Medicare spending by 1% annually over five years. The bill includes a $500 health equity add-on payment per patient for transportation services when patients report transportation insecurity (using ICD-10 code Z59.82), and requires radiation therapy providers to maintain accreditation from recognized organizations like the American College of Radiology. The program applies to 15 included cancer types (including breast, prostate, lung, and brain metastases) but excludes treatments like brachytherapy and proton therapy for the first 10 years.