ROCR Value Based Program Act
Current understanding
The ROCR (Radiation Oncology Case Rate) Value Based Program Act would establish a mandatory Medicare episode-based payment model for radiation oncology providers and suppliers, replacing fee-for-service billing with fixed case rates for 30- or 90-day treatment episodes stratified by cancer type. The proposal includes adjustments for geography, patient transportation, and provider accreditation. Status: introduced.
Evidence log
- 2025-03-13 — ROCR Value Based Program Act: cross-connection with rocr-radiation-oncology-payment: The ROCR Value Based Program Act is the legislative vehicle that would create the mandatory Medicare radiation oncology case-rate payment model described on the payment-model page. (novelty: 3)
- 2025-06-10 — Protecting Health Care for All Patients Act of 2025: cross-connection with protecting-health-care-for-all-patients-act-2025: Both bills touch value-based payment methodology in federal programs; the QALY prohibition would constrain the types of value metrics that alternative payment models like ROCR could rely on for coverage/incentive design. (novelty: 3)