RO APM Dies!

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thecarbonionangle said:
It has been said that the RO APM is suspected dead. A new proposed rule which appeared in office of budget and management might suggest it is a cancellation before it is made public. Need to follow this folks but yuge if true.
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Will it be dead like PORT in N2 lung is dead or dead like Ethyol in rad onc is dead. That is the question. Either way don’t f*** with the proton gang they will shiv you.
 
TheWallnerus said:
Will it be dead like PORT in N2 lung is dead or dead like Ethyol in rad onc is dead. That is the question. Either way don’t f*** with the proton gang they will shiv you.
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From what I hear, some community rad oncs are so happy they’re even considering sending some kids to proton!

Considering.
 
TheWallnerus said:
Will it be dead like PORT in N2 lung is dead or dead like Ethyol in rad onc is dead. That is the question. Either way don’t f*** with the proton gang they will shiv you.
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Dead like a tailess rigor mortis possum on side of road in the heat of Georgia. If you talked to a proton person they assured you an exception or death of APM was a sure thing, despite signs of the contrary at the time. At that time, this was either proton arrogance or they knew something. Turns out proton lobby is very very powerful and saved the field. The fix was in all along. So the real question is Does anybody love protons more than community rad onc now?
 
This is really quite a storyline

Other than hearsay from noCal, any corroboration ?
 
TheWallnerus said:
Will it be dead like PORT in N2 lung is dead or dead like Ethyol in rad onc is dead. That is the question. Either way don’t f*** with the proton gang they will shiv you.
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Not to beat a dead horse, but PORT is certainly not dead everywhere.

If you have 50%+ LN positivity, or ECE in my tumor board, you’re probably going to get (offered) PORT
 
thecarbonionangle said:
Dead like a tailess rigor mortis possum on side of road in the heat of Georgia. If you talked to a proton person they assured you an exception or death of APM was a sure thing, despite signs of the contrary at the time. At that time, this was either proton arrogance or they knew something. Turns out proton lobby is very very powerful and saved the field. The fix was in all along. So the real question is Does anybody love protons more than community rad onc now?
Click to expand...
1646786125124.gif
 
Ah, so much time and energy from thousands of people have gone into examining and/or preparing for this model for years. Effort that could have gone into, perhaps, patient care?

Are we really anything but hamsters running frantically on a wheel, our white coats gallantly flapping in the breeze, giving everything we have to tasks which ultimately lead nowhere?

1646887195052.png
 
elementaryschooleconomics said:
Ah, so much time and energy from thousands of people have gone into examining and/or preparing for this model for years. Effort that could have gone into, perhaps, patient care?

Are we really anything but hamsters running frantically on a wheel, our white coats gallantly flapping in the breeze, giving everything we have to tasks which ultimately lead nowhere?

View attachment 351574
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Seems to be the hallmark of academic rad onc at the moment. It’s no surprise the halls of govt work in a similar fashion

While we are on the topic. Think if the thousands or hundreds of thousands of wasted human labor hours among med students, residents, attendings, support staff churning out meaningless paper after paper all for the purpose of padding a CV or getting a letter of rec. i mean I would assume these people could have been doing something more creative prospective taking risks furthering out modality right? Maybe I’m wrong.
 
ASTRO:

"The Centers for Medicare and Medicaid Services today delayed the Radiation Oncology Alternative Payment Model start date from January 1, 2023, to a date to be determined through future rulemaking. ASTRO remains hopeful that during this process, CMS also makes the adjustments recommended by Congress and the broad coalition of stakeholders within the radiation oncology community as we remain concerned that the model in its current form is too punitive for clinics. We remain committed to value-based care in radiation oncology. We believe that the modifications proposed by ASTRO and the radiation oncology community will ensure successful participation among physicians and facilities and produce significant savings for the Medicare program. We continue to believe that episodic payments for radiation therapy services have great potential to improve quality and equity while reducing cancer care costs, and we will continue to advocate for proposals that achieve these goals.”
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