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ACCC Submits Comments to CY 2019 Proposed Outpatient Prospective Payment System Rule

On September 24, 2018, the Association of Community Cancer Centers (ACCC) submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the agency's proposed CY 2019 Outpatient Prospective Payment System (OPPS) rule.

In its comments, ACCC recommends that CMS:

  • Not finalize its proposal to reduce reimbursement to Wholesale Acquisition Cost (WAC) plus 3 percent for new drugs and biologicals that do not yet have adequate Average Sales Price (ASP) data;

  • Not finalize its proposal to reduce payment for separately payable drugs purchased under the 340B program at nonexcepted hospital off-campus provided-based departments;

  • Not finalize its proposal to reduce reimbursement to 40 percent of the OPPS rate for certain clinic visits furnished at excepted off-campus provider-based departments;

  • Not finalize its proposal to reduce reimbursement to 40 percent of the OPPS rate for service-line expansions at excepted off-campus provider-based departments;

  • Clarify how hospital should bill for furnishing certain outpatient services related to CAR T-cell therapies and ensure that hospitals are paid appropriately for furnishing these therapies; and

  • Ensure that any model based on Competitive Acquisition Program (CAP) authority is voluntary for all participants, preserves patient access to treatment and provider flexibility, and promotes cost-efficiency through more effective distribution and delivery of drugs and biological rather than utilization management tools.

Read full comment letter here.

Read ACCC's CY 2019 OPPS proposed rule summary (requires login).

 

ACCC Submits Comments to CY 2019 Proposed Physician Fee Schedule Rule

On September 10, 2018, the Association of Community Cancer Centers (ACCC) submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the agency's proposed Physician Fee Schedule rule for calendar year 2019.  

Read the ACCC CY 2019 PFS comment letter.

Read ACCC’s CY 2019 PFS proposed rule summary and ACCC’s CY 2019 OPPS proposed rule summary (requires login).

Webinar: Archived Presentation on CY 2019 Proposed Medicare OPPS and PFS Rules

View this archived webinar from ACCC and legal experts from Hogan Lovells US LLP for an in-depth analysis of the calendar year (CY) 2019 Medicare payment rules. Learn how the proposed Hospital Outpatient Prospective Payment System (OPPS) and proposed Physician Fee Schedule (PFS) rules could affect your cancer program or practice.
 View On-Demand (Requires Login)  

As community cancer care providers who experience first-hand the challenges of providing quality cancer care, ACCC members are the best positioned to educate decision-makers on how coverage and reimbursement issues affect community oncology.

ACCC provides members with the information and resources needed to effectively advocate on the issues that are important to them. Together, we can positively influence the future of community oncology. Visit our Legislative Action Center to learn more.

Oncology Care Model (OCM) Collaborative
ACCC believes in the future of value-based care in oncology. The OCM Collaborative provides a forum for sharing innovative tools and resources and connects you with fellow OCM peers to implement complex changes to care delivery.

Visit this page to learn more about how to make the most of the collaborative for your practice through our online portal, as well as national and regional meetings.

Legislative Action Center
The ACCC Legislative Action Center is designed to keep ACCC members informed about current and upcoming legislation that may affect your cancer program or practice. Find out how to contact your legislators.

ACCC Capitol Hill Day 2018

On Wednesday, March 14, ACCC members representing 26 states headed to Capitol Hill to speak up on behalf of access to quality cancer care in nearly 100 congressional meetings with their legislators. ACCC Capitol Hill Day 2018 participants addressed current legislative efforts and the impact new mandates would have on their patients and their cancer programs. This year's ACCC advocacy issues include support for:


Access, Payment & Reimbursement Reform

ACCC serves as a policy advocate to its hospital and physician practice members on federal legislative/regulatory issues and as an essential information resource on all Medicare reimbursement issues facing its hospital members.