ASCO in Action

ASCO in Action provides the latest news and analysis related to critical policy issues affecting the cancer community, updates on the Association for Clinical Oncology’s ongoing advocacy efforts, and opportunities for members and others in the cancer care community to take action.

To sign up for advocacy alerts, log in to ASCO.org with your member or guest account, and visit the subscription center available under your account profile.

Showing results for Medicare

February 27, 2024

This month, Members of Congress sent letters to Senate leadership urging the Senate to use upcoming government funding legislation to address the Medicare physician payment cuts that took effect on January 1. With the March government funding deadlines coming up, the letter requests that the House and Senate work together to include provisions that provide stability to physician payments. The Association for Clinical Oncology urged House and Senate members to sign the letters and continues to monitor efforts to address Medicare physician cuts. 

 

February 13, 2024

The Centers for Medicare & Medicaid Services (CMS) has finalized prior authorization policy updates within Medicare Advantage (MA), Medicaid Managed Care and Fee for Service, Children’s Health Insurance Plans (CHIP) Managed Care and Fee for Service, and Qualified Health Plans (QHPs) on the Federally Facilitated Exchanges (FFEs). These changes come in response to the Association for Clinical Oncology (ASCO) and other stakeholder concerns that prior authorization processes limit beneficiary access to care in Medicare Advantage. 

January 16, 2024

The Association for Clinical Oncology (ASCO) submitted comments to the Centers for Medicare & Medicaid Services (CMS) in response to two proposed rules: the 2025 Medicare Advantage and Part D proposed rule and the 2025 Notice of Benefit and Payment Parameters proposed rule. ASCO’s comments support provisions that address utilization management and health equity, which have the potential to improve access to care for the cancer community.

January 16, 2024

In a response to the Establishment of Disincentives for Health Care Providers That Have Committed Information Blocking proposed rule, the Association for Clinical Oncology (ASCO) urges the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) not to implement the disincentives as proposed. ASCO also asks CMS for further clarification on the enforcement process, and the Association supports establishing a meaningful opportunity for appeals.

January 16, 2024

As of January 1, 2024, oncology practitioners can bill and receive Medicare payment for connecting patients to navigation services. The Centers for Medicare & Medicaid Services adopted two billing codes for Principle Illness Navigation services: G0023 for the initial 60 minutes per patient per month, and G0024 to capture each additional 30 minutes per patient per month. The American Society of Clinical Oncology has received many inquiries about coding and billing for these new services and has made resources available for the oncology community.