Support H.R. 879 and Site Neutral Payment Policies
Medicare’s reimbursement structure favors hospital-owned clinics over community cancer clinics, causing financial disparities and increased patient costs. Implementing site neutral payment policies could save $146 billion over ten years, allowing reinvestment into the physician fee schedule.
Additionally, as of January 1, 2025, the Centers for Medicare & Medicaid Services (CMS) enacted cuts to the 2025 Physician Fee Schedule (PFS) which has resulted in a reduction to reimbursement of 4% for medical oncology, 3.25% for radiation oncology, and 3.6% for gynecologic oncology. Community cancer practices face inflation, staffing shortages, and rising expenses, with Medicare rates dropping 29% over two decades when adjusted for costs.
Addressing these cuts is crucial to preserving patient access to community cancer care. Urge your Member of Congress to enact site neutral policies that ensure payment parity and support H.R. 879, the Medicare Patient Access and Practice Stabilization Act, introduced by Reps. Greg Murphy, MD (R-NC) and Jimmy Panetta (D-CA), which aims to offset the recent finalized cut by CMS to physician reimbursement.