Impact of the Inflation Reduction Act on Medicare Oncology Reimbursement

Tuesday, 17 September 2024, 16:38

Inflation Reduction Act threatens Medicare oncology reimbursement with estimated cuts of $12 billion by 2032. The cuts could cripple community cancer care providers, affecting patient treatment options. The Community Oncology Alliance urges Congress to address these significant financial losses.
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Impact of the Inflation Reduction Act on Medicare Oncology Reimbursement

The Financial Toll of the Inflation Reduction Act on Oncology Practices

The Inflation Reduction Act could impose an alarming $12 billion loss to community oncology practices by 2032, primarily impacting Medicare reimbursements under Part B. A new report by Avalere Health, commissioned by the Community Oncology Alliance (COA), highlights the severe implications of the IRA on oncology reimbursement.

Expected Reductions in Payments

  • Oncologists may face a 39% to 64% decrease in Medicare add-on payments.
  • Commercial and Medicare Advantage payments could see reductions of 13% to 21%.

As the report reveals, without intervention, practices may struggle to provide critical care, especially as inflation exacerbates treatment cost challenges.

Call to Action for Congressional Intervention

COA leaders have expressed alarm, urging for necessary changes to legislation to protect independent practices from the adverse effects of the IRA.

For further details on this essential topic, visiting additional resources is recommended.


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This article was prepared using information from open sources in accordance with the principles of Ethical Policy. The editorial team is not responsible for absolute accuracy, as it relies on data from the sources referenced.


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