It just don’t make cents.

Top Line: There are 11 US cancer centers and their affiliated hospitals who are exempt from, not only participation in the RO model, but also standard CMS fee-for-service reimbursement rates.

The Study: That’s right, here’s a summary of the history and implications of the current system, in place since 1983, where these 11 ivory towers can bring in, on average, 37% higher relative reimbursements for the same billed outpatient services. One might ask, how did they swing this? The basic rationale, as we understand it, is the additional costs of “specialized” cancer care and paradigm-shifting research conducted at these centers needs to be offset. We only had to take up to calc-II to get into med school so how one arrives at these offsetting reimbursement rates is outside our capabilities. While other cancer centers may point out they, too, provide similar services, that’s neither here nor there in this discussion. The authors argue, even if CMS continues to reimburse these selected cancer centers at higher rates, it should still mandate their participation in the RO model if they fall within mandated zip codes. Why continue to exclude them? Because it could muddy crucial initial analyses on the RO model’s impact on savings and quality of care. Why shake things up and include them? Because they’re currently also running under a (albeit more exorbitant) fee-for-service model so all the anticipated benefits from transitioning to a bundled payment model should persist. To really drive home their point, accepting the premise these centers deserve larger payments for similar services, the authors stipulate the 11 exempt hospitals could participate in the RO model while still enjoying exclusive perks—either due to the fact the RO model already bases 90% of payment on historical payment rates (hello, 37% relative advantage) or by continuing to allow a higher base payment rate within the RO model.

TBL: “The same justifications that make the RO model sound policy for [all] hospitals apply to [currently exempt] hospitals.” | Agarwal, JCO Oncol Pract 2021


  1. Hello to everyone out here, I am here to share the unexpected miracle that happened to me … My name is Susan Christian , I live in London, UK. we got married for more than 9 years and have gotten two kids. thing were going well with us and we are always happy. until one day my husband started to behave in a way i could not understand, i was very confused by the way he treat me and the kids. later that month he did not come home again and he called me that he want a divorce, i asked him what have i done wrong to deserve this from him, all he was saying is that he want a divorce that he hate me and do not want to see me again in his life, i was mad and also frustrated do not know what to do, i was sick for more than 2 weeks because of the divorce. i love him so much he was everything to me without him my life is incomplete. i told my sister and she told me to contact a spell caster, i never believe in all this spell casting of a thing. i just want to try if something will come out of it. i contacted Dr Emu for the return of my husband to me, they told me that my husband have been taken by another woman, that she cast a spell on him that is why he hate me and also want us to divorce. then they told me that they have to cast a spell on him that will make him return to me and the kids, they casted the spell and after 24 hours my husband called me and he told me that i should forgive him, he started to apologize on phone and said that he still love me that he did not know what happen to him that he left me. it was the spell that Dr Emu casted on him that make him come back to me today, me and my family are now happy again today. thank you Dr Emu for what you have done for me i would have been nothing today if not for your great spell. i want you my friends who are passing through all this kind of love problem of getting back their husband, wife , or ex boyfriend and girlfriend to contact Dr Emu , if you need his help you can contact him through his private mail: or you can contact him through his website fb page Https://


Post a Comment

Popular Posts