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The Blog to Transform Advanced Care

Advancing Care through Innovation, Observation and Collaboration.

C-TAC Comments on Proposed Specialty Care Models for Radiation Oncology and End-Stage Renal Disease

C-TAC submitted comments this week on the proposed rule focused on implementing two new mandatory payment models, one for a radiation oncology (RO) bundle and another for end-stage renal disease (ESRD). Unlike most other Innovation Center (CMMI) models, these will be required and could cover a significant portion of people living with cancer and ESRD.

Overall, C-TAC supported both models as they will improve care for those living with these conditions. Specifically, C-TAC strongly supported the inclusion of advance care planning as one of only 4 measures in the RO model and suggested that that also be added to the ESRD model. C-TAC also strongly recommended including palliative care as a required additional service in both models to support improving the quality of life of those with advanced illness and their families. However, we raised issues with excluding people receiving hospice from both models as we pointed out that palliative radiation might be appropriate for those with advanced cancer on hospice and that the ESRD model’s shift in emphasis to home peritoneal dialysis and kidney transplantation could allow people with that illness to potentially access hospice care sooner.

For more information about C-TAC’s regulatory and legislative work, please contact Policy & Advocacy Associate Sage Rosenthal at srosenthal@thectac.org

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