Duke announces proton therapy, $50 million anonymous gift

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would this be approved?
I guess if they are advertising it, they must be doing it
My assumption is… I know it’s bad to assume… they are “doing it.” But with their linacs. We all need to keep in mind that one of the side reasons to get a proton machine is that it tends to increase the linac business too.
 
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My assumption is… I know it’s bad to assume… they are “doing it.” But with their linacs. We all need to keep in mind that one of the side reasons to get a proton machine is that it tends to increase the linac business too.

Maryland has a big dept. the proton center is one part of it, and has protons
 
Isn't Maryland the place that had that one rad onc who was spamming every rad onc in the country trying to get them to refer him patients for protons a few years ago? It was nuts.

I once referred a patient to New York Proton Center and got a nice Christmas card.
 
Your experience would make for a humorous graphic t-shirt.
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My assumption is… I know it’s bad to assume… they are “doing it.” But with their linacs. We all need to keep in mind that one of the side reasons to get a proton machine is that it tends to increase the linac business too.
Why every practice in (esp in FL) was tripping over themselves to get a cyberknife two-ish decades ago
 
for straight Medicare (without supplemental insurance) protons for OA would get reimbursed just fine… Also some self-pay pts would get duped, no doubt
 
for straight Medicare (without supplemental insurance) protons for OA would get reimbursed just fine… Also some self-pay pts would get duped, no doubt
I'm sure there's a list of icd10 codes that get paid depending on the Medicare LCD, no? Similar to IMRT or srs/SBRT... They don't just cover every code out there
 
for straight Medicare (without supplemental insurance) protons for OA would get reimbursed just fine… Also some self-pay pts would get duped, no doubt
Maybe. If you practice in an area with no proton LCD. If you practice in an area with a proton LCD, there will be an accompanying LCA, and the arthritis ICDs aren’t on them, and the claim would be auto rejected.
 

In the same article, the publication said that, like Arkansas’s proton clinic, a New Jersey facility had also defaulted on its bond payment in the third quarter of 2024.

“In 2020, a trio of proton centers filed for bankruptcy, affecting more than $360 million of bonds,” the story stated.

Despite the apparent problems at the facility at UAMS, Taylor said the clinic was operating at full speed, with five doctors and 26 other staff. Asked if there were plans to lay off employees, she said the situation was quite the opposite.

“Oh, my, no, we’re recruiting for the center,” she said. “If you know of any doctors, send them over.”
 
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I suspect they need to recruit given that they just got 5 resignations.
Attack of the ASTRO/attack of the CMS, if you ask me.

How so? Proton centers were operating on tight margins as is. It costs ~5x more to build a proton center versus an IMRT center but you only get ~2-3x the reimbursement per treatment. However, IGRT technical, even in hospital settings, wasn't bundled into the proton delivery code like it was in IMRT prior to Jan 1, 2026; hence the "per treatment" reimbursement could be like ~3-4x the IMRT reimbursement (in a hospital) with a 775xx + 77014. But with the slashing of IGRT across the board for everyone everywhere (all IGRT technical eliminated), proton centers margins are now tighter than ever: like a too-small bathing suit on a too-long ride home from the beach.

Mark Storey is leaving Oklahoma.

It may not be end times, but it sure at least seems like penultimate times.

I recall reading about the UAB proton center closure and realizing the place had treated 500 people... in 3 years. No way in hell any other specialty in medicine thinks it can get away with numbers like that. I know it's by no means 1:1, but if you look at rad onc, supposedly ~6000 US rad oncs are treating about ~1.2 million unique people a year. I remember reading one time that ~15,000 derms treat about ~45 million unique people per year.
 
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