{"abstract":"This final rule implements two new mandatory Medicare payment models under section 1115A of the Social Security Act--the Radiation Oncology Model (RO Model) and the End-Stage Renal Disease (ESRD) Treatment Choices Model (ETC Model). The RO Model will promote quality and financial accountability for providers and suppliers of radiotherapy (RT). The RO Model will be a mandatory payment model and will test whether making prospective episode payments to hospital outpatient departments (HOPD) and freestanding radiation therapy centers for RT episodes of care preserves or enhances the quality of care furnished to Medicare beneficiaries while reducing Medicare program spending through enhanced financial accountability for RO Model participants. The ETC Model will be a mandatory payment model focused on encouraging greater use of home dialysis and kidney transplants, in order to preserve or enhance the quality of care furnished to Medicare beneficiaries while reducing Medicare expenditures. The ETC Model adjusts Medicare payments on certain dialysis and dialysis-related claims for participating ESRD facilities and clinicians caring for beneficiaries with ESRD--or Managing Clinicians--based on their rates of home dialysis transplant waitlisting, and living donor transplants. We believe that these two models will test ways to further our goals of reducing Medicare expenditures while preserving or enhancing the quality of care furnished to beneficiaries.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2020/09/29/2020-20907.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"512","title":42}],"citation":"85 FR 61114","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on November 30, 2020.","disposition_notes":null,"docket_ids":["CMS-5527-F"],"dockets":[],"document_number":"2020-20907","effective_on":"2020-11-30","end_page":61381,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2020/09/29/2020-20907.xml","html_url":"https://www.federalregister.gov/documents/2020/09/29/2020-20907/medicare-program-specialty-care-models-to-improve-quality-of-care-and-reduce-expenditures","images":{"ER29SE20.001":{"large":"https://img.federalregister.gov/ER29SE20.001/ER29SE20.001_large.png","original_size":"https://img.federalregister.gov/ER29SE20.001/ER29SE20.001_original_size.png"},"ER29SE20.023":{"large":"https://img.federalregister.gov/ER29SE20.023/ER29SE20.023_large.png","original_size":"https://img.federalregister.gov/ER29SE20.023/ER29SE20.023_original_size.png"},"ER29SE20.000":{"large":"https://img.federalregister.gov/ER29SE20.000/ER29SE20.000_large.png","original_size":"https://img.federalregister.gov/ER29SE20.000/ER29SE20.000_original_size.png"},"ER29SE20.022":{"large":"https://img.federalregister.gov/ER29SE20.022/ER29SE20.022_large.png","original_size":"https://img.federalregister.gov/ER29SE20.022/ER29SE20.022_original_size.png"},"ER29SE20.021":{"large":"https://img.federalregister.gov/ER29SE20.021/ER29SE20.021_large.png","original_size":"https://img.federalregister.gov/ER29SE20.021/ER29SE20.021_original_size.png"},"ER29SE20.020":{"large":"https://img.federalregister.gov/ER29SE20.020/ER29SE20.020_large.png","original_size":"https://img.federalregister.gov/ER29SE20.020/ER29SE20.020_original_size.png"},"ER29SE20.005":{"large":"https://img.federalregister.gov/ER29SE20.005/ER29SE20.005_large.png","original_size":"https://img.federalregister.gov/ER29SE20.005/ER29SE20.005_original_size.png"},"ER29SE20.027":{"large":"https://img.federalregister.gov/ER29SE20.027/ER29SE20.027_large.png","original_size":"https://img.federalregister.gov/ER29SE20.027/ER29SE20.027_original_size.png"},"ER29SE20.004":{"large":"https://img.federalregister.gov/ER29SE20.004/ER29SE20.004_large.png","original_size":"https://img.federalregister.gov/ER29SE20.004/ER29SE20.004_original_size.png"},"ER29SE20.026":{"large":"https://img.federalregister.gov/ER29SE20.026/ER29SE20.026_large.png","original_size":"https://img.federalregister.gov/ER29SE20.026/ER29SE20.026_original_size.png"},"ER29SE20.003":{"large":"https://img.federalregister.gov/ER29SE20.003/ER29SE20.003_large.png","original_size":"https://img.federalregister.gov/ER29SE20.003/ER29SE20.003_original_size.png"},"ER29SE20.025":{"large":"https://img.federalregister.gov/ER29SE20.025/ER29SE20.025_large.png","original_size":"https://img.federalregister.gov/ER29SE20.025/ER29SE20.025_original_size.png"},"ER29SE20.002":{"large":"https://img.federalregister.gov/ER29SE20.002/ER29SE20.002_large.png","original_size":"https://img.federalregister.gov/ER29SE20.002/ER29SE20.002_original_size.png"},"ER29SE20.024":{"large":"https://img.federalregister.gov/ER29SE20.024/ER29SE20.024_large.png","original_size":"https://img.federalregister.gov/ER29SE20.024/ER29SE20.024_original_size.png"},"ER29SE20.009":{"large":"https://img.federalregister.gov/ER29SE20.009/ER29SE20.009_large.png","original_size":"https://img.federalregister.gov/ER29SE20.009/ER29SE20.009_original_size.png"},"ER29SE20.008":{"large":"https://img.federalregister.gov/ER29SE20.008/ER29SE20.008_large.png","original_size":"https://img.federalregister.gov/ER29SE20.008/ER29SE20.008_original_size.png"},"ER29SE20.007":{"large":"https://img.federalregister.gov/ER29SE20.007/ER29SE20.007_large.png","original_size":"https://img.federalregister.gov/ER29SE20.007/ER29SE20.007_original_size.png"},"ER29SE20.029":{"large":"https://img.federalregister.gov/ER29SE20.029/ER29SE20.029_large.png","original_size":"https://img.federalregister.gov/ER29SE20.029/ER29SE20.029_original_size.png"},"ER29SE20.006":{"large":"https://img.federalregister.gov/ER29SE20.006/ER29SE20.006_large.png","original_size":"https://img.federalregister.gov/ER29SE20.006/ER29SE20.006_original_size.png"},"ER29SE20.028":{"large":"https://img.federalregister.gov/ER29SE20.028/ER29SE20.028_large.png","original_size":"https://img.federalregister.gov/ER29SE20.028/ER29SE20.028_original_size.png"},"ER29SE20.030":{"large":"https://img.federalregister.gov/ER29SE20.030/ER29SE20.030_large.png","original_size":"https://img.federalregister.gov/ER29SE20.030/ER29SE20.030_original_size.png"},"ER29SE20.012":{"large":"https://img.federalregister.gov/ER29SE20.012/ER29SE20.012_large.png","original_size":"https://img.federalregister.gov/ER29SE20.012/ER29SE20.012_original_size.png"},"ER29SE20.011":{"large":"https://img.federalregister.gov/ER29SE20.011/ER29SE20.011_large.png","original_size":"https://img.federalregister.gov/ER29SE20.011/ER29SE20.011_original_size.png"},"ER29SE20.010":{"large":"https://img.federalregister.gov/ER29SE20.010/ER29SE20.010_large.png","original_size":"https://img.federalregister.gov/ER29SE20.010/ER29SE20.010_original_size.png"},"ER29SE20.031":{"large":"https://img.federalregister.gov/ER29SE20.031/ER29SE20.031_large.png","original_size":"https://img.federalregister.gov/ER29SE20.031/ER29SE20.031_original_size.png"},"ER29SE20.016":{"large":"https://img.federalregister.gov/ER29SE20.016/ER29SE20.016_large.png","original_size":"https://img.federalregister.gov/ER29SE20.016/ER29SE20.016_original_size.png"},"ER29SE20.015":{"large":"https://img.federalregister.gov/ER29SE20.015/ER29SE20.015_large.png","original_size":"https://img.federalregister.gov/ER29SE20.015/ER29SE20.015_original_size.png"},"ER29SE20.014":{"large":"https://img.federalregister.gov/ER29SE20.014/ER29SE20.014_large.png","original_size":"https://img.federalregister.gov/ER29SE20.014/ER29SE20.014_original_size.png"},"ER29SE20.013":{"large":"https://img.federalregister.gov/ER29SE20.013/ER29SE20.013_large.png","original_size":"https://img.federalregister.gov/ER29SE20.013/ER29SE20.013_original_size.png"},"ER29SE20.019":{"large":"https://img.federalregister.gov/ER29SE20.019/ER29SE20.019_large.png","original_size":"https://img.federalregister.gov/ER29SE20.019/ER29SE20.019_original_size.png"},"ER29SE20.018":{"large":"https://img.federalregister.gov/ER29SE20.018/ER29SE20.018_large.png","original_size":"https://img.federalregister.gov/ER29SE20.018/ER29SE20.018_original_size.png"},"ER29SE20.017":{"large":"https://img.federalregister.gov/ER29SE20.017/ER29SE20.017_large.png","original_size":"https://img.federalregister.gov/ER29SE20.017/ER29SE20.017_original_size.png"}},"images_metadata":{"ER29SE20.001":{"large":{"identifier":"ER29SE20.001","content_type":"image/png","size":13861,"width":732,"sha":"904c48a1c0afd01a378c65d055afe368","url":"https://img.federalregister.gov/ER29SE20.001/ER29SE20.001_large.png","height":405},"original_size":{"identifier":"ER29SE20.001","content_type":"image/png","size":198864,"width":2604,"sha":"7c459b672dcc65739b285200a401a197","url":"https://img.federalregister.gov/ER29SE20.001/ER29SE20.001_original_size.png","height":1439}},"ER29SE20.023":{"large":{"identifier":"ER29SE20.023","content_type":"image/png","size":24820,"width":823,"sha":"2d4c0654794045f6a5e24f6401e15ec4","url":"https://img.federalregister.gov/ER29SE20.023/ER29SE20.023_large.png","height":290},"original_size":{"identifier":"ER29SE20.023","content_type":"image/png","size":41542,"width":3966,"sha":"8c002f6c1a635a7d1497293a6c920877","url":"https://img.federalregister.gov/ER29SE20.023/ER29SE20.023_original_size.png","height":1398}},"ER29SE20.000":{"large":{"identifier":"ER29SE20.000","content_type":"image/png","size":59518,"width":822,"sha":"0ac9fcfe876854a5f8f0dc6bbd028cf0","url":"https://img.federalregister.gov/ER29SE20.000/ER29SE20.000_large.png","height":1096},"original_size":{"identifier":"ER29SE20.000","content_type":"image/png","size":869063,"width":3863,"sha":"2e517c2e441d237fb10b0365971c8460","url":"https://img.federalregister.gov/ER29SE20.000/ER29SE20.000_original_size.png","height":5153}},"ER29SE20.022":{"large":{"identifier":"ER29SE20.022","content_type":"image/png","size":50093,"width":823,"sha":"8939331a64c2bfa4dc25a513d453e969","url":"https://img.federalregister.gov/ER29SE20.022/ER29SE20.022_large.png","height":549},"original_size":{"identifier":"ER29SE20.022","content_type":"image/png","size":87069,"width":3896,"sha":"31d18037b9b733e2ffa1859b07c06246","url":"https://img.federalregister.gov/ER29SE20.022/ER29SE20.022_original_size.png","height":2597}},"ER29SE20.021":{"large":{"identifier":"ER29SE20.021","content_type":"image/png","size":59730,"width":823,"sha":"93c4363db82ed7d2ff6bf922c9bd59ab","url":"https://img.federalregister.gov/ER29SE20.021/ER29SE20.021_large.png","height":645},"original_size":{"identifier":"ER29SE20.021","content_type":"image/png","size":104512,"width":3994,"sha":"e7bc5391951e849372048607bf5a950f","url":"https://img.federalregister.gov/ER29SE20.021/ER29SE20.021_original_size.png","height":3130}},"ER29SE20.020":{"large":{"identifier":"ER29SE20.020","content_type":"image/png","size":64769,"width":823,"sha":"9ecede64d4d34f19c13a92170b56a293","url":"https://img.federalregister.gov/ER29SE20.020/ER29SE20.020_large.png","height":670},"original_size":{"identifier":"ER29SE20.020","content_type":"image/png","size":105081,"width":3843,"sha":"c7f1e4b4f04b6c318071a955c3fba01a","url":"https://img.federalregister.gov/ER29SE20.020/ER29SE20.020_original_size.png","height":3130}},"ER29SE20.005":{"large":{"identifier":"ER29SE20.005","content_type":"image/png","size":45083,"width":820,"sha":"a0053624dbde4f7193ad22a0205fa02e","url":"https://img.federalregister.gov/ER29SE20.005/ER29SE20.005_large.png","height":378},"original_size":{"identifier":"ER29SE20.005","content_type":"image/png","size":90351,"width":4147,"sha":"3a6fdd6e7996f758884d95abfd7b15ac","url":"https://img.federalregister.gov/ER29SE20.005/ER29SE20.005_original_size.png","height":1911}},"ER29SE20.027":{"large":{"identifier":"ER29SE20.027","content_type":"image/png","size":39463,"width":823,"sha":"37497e41e7964b79579b667f0ee88e3c","url":"https://img.federalregister.gov/ER29SE20.027/ER29SE20.027_large.png","height":347},"original_size":{"identifier":"ER29SE20.027","content_type":"image/png","size":69920,"width":4011,"sha":"9b943ed966ab803c0d9bca600e55f467","url":"https://img.federalregister.gov/ER29SE20.027/ER29SE20.027_original_size.png","height":1691}},"ER29SE20.004":{"large":{"identifier":"ER29SE20.004","content_type":"image/png","size":108777,"width":823,"sha":"71170ea0b906808d2759497d0b98b8f1","url":"https://img.federalregister.gov/ER29SE20.004/ER29SE20.004_large.png","height":1053},"original_size":{"identifier":"ER29SE20.004","content_type":"image/png","size":220785,"width":4147,"sha":"01d2bce8f7ce59b47513cd19b10e650b","url":"https://img.federalregister.gov/ER29SE20.004/ER29SE20.004_original_size.png","height":5305}},"ER29SE20.026":{"large":{"identifier":"ER29SE20.026","content_type":"image/png","size":23956,"width":823,"sha":"16085c838e71fdd1141e9361d58d6100","url":"https://img.federalregister.gov/ER29SE20.026/ER29SE20.026_large.png","height":296},"original_size":{"identifier":"ER29SE20.026","content_type":"image/png","size":41161,"width":3888,"sha":"529d1612840750c488dff7b061a0f00e","url":"https://img.federalregister.gov/ER29SE20.026/ER29SE20.026_original_size.png","height":1398}},"ER29SE20.003":{"large":{"identifier":"ER29SE20.003","content_type":"image/png","size":120060,"width":823,"sha":"53a46968d72a0ccc30cb7da8bf64b329","url":"https://img.federalregister.gov/ER29SE20.003/ER29SE20.003_large.png","height":1061},"original_size":{"identifier":"ER29SE20.003","content_type":"image/png","size":245815,"width":4136,"sha":"9c832337e70a2f0aba01c6ad2fed14ea","url":"https://img.federalregister.gov/ER29SE20.003/ER29SE20.003_original_size.png","height":5333}},"ER29SE20.025":{"large":{"identifier":"ER29SE20.025","content_type":"image/png","size":24972,"width":823,"sha":"72144aa18e45347c5d022c1aa1f955f9","url":"https://img.federalregister.gov/ER29SE20.025/ER29SE20.025_large.png","height":296},"original_size":{"identifier":"ER29SE20.025","content_type":"image/png","size":42651,"width":3888,"sha":"1808c58c7a43c179e60f3b5d23497fbe","url":"https://img.federalregister.gov/ER29SE20.025/ER29SE20.025_original_size.png","height":1398}},"ER29SE20.002":{"large":{"identifier":"ER29SE20.002","content_type":"image/png","size":115992,"width":823,"sha":"3cd7f465f326a96d972fd3d277632b53","url":"https://img.federalregister.gov/ER29SE20.002/ER29SE20.002_large.png","height":1066},"original_size":{"identifier":"ER29SE20.002","content_type":"image/png","size":238989,"width":4119,"sha":"4c2b0ecdc06ba692e149fdb01770a427","url":"https://img.federalregister.gov/ER29SE20.002/ER29SE20.002_original_size.png","height":5333}},"ER29SE20.024":{"large":{"identifier":"ER29SE20.024","content_type":"image/png","size":22990,"width":823,"sha":"78a40faa28f76db49759c5d07f837fde","url":"https://img.federalregister.gov/ER29SE20.024/ER29SE20.024_large.png","height":290},"original_size":{"identifier":"ER29SE20.024","content_type":"image/png","size":39990,"width":3966,"sha":"b0357ec7afe0bb66a037586fc8f17f43","url":"https://img.federalregister.gov/ER29SE20.024/ER29SE20.024_original_size.png","height":1398}},"ER29SE20.009":{"large":{"identifier":"ER29SE20.009","content_type":"image/png","size":47780,"width":823,"sha":"a3e3265aaf0d2d5583f2a18bfc5a5ffb","url":"https://img.federalregister.gov/ER29SE20.009/ER29SE20.009_large.png","height":698},"original_size":{"identifier":"ER29SE20.009","content_type":"image/png","size":97198,"width":3043,"sha":"00257e26402a000367a0a3d670bf09ae","url":"https://img.federalregister.gov/ER29SE20.009/ER29SE20.009_original_size.png","height":2581}},"ER29SE20.008":{"large":{"identifier":"ER29SE20.008","content_type":"image/png","size":18900,"width":817,"sha":"4a2cf4f2a01eeff096ccbd2f1a243cf9","url":"https://img.federalregister.gov/ER29SE20.008/ER29SE20.008_large.png","height":216},"original_size":{"identifier":"ER29SE20.008","content_type":"image/png","size":47574,"width":3071,"sha":"9a1bcf53d6b73b4b69670ca8d56bacdb","url":"https://img.federalregister.gov/ER29SE20.008/ER29SE20.008_original_size.png","height":812}},"ER29SE20.007":{"large":{"identifier":"ER29SE20.007","content_type":"image/png","size":30334,"width":823,"sha":"d6a70026fb37814154002f9d822b38ef","url":"https://img.federalregister.gov/ER29SE20.007/ER29SE20.007_large.png","height":319},"original_size":{"identifier":"ER29SE20.007","content_type":"image/png","size":54175,"width":3842,"sha":"9998468b45bf130884dd9b208ac2b118","url":"https://img.federalregister.gov/ER29SE20.007/ER29SE20.007_original_size.png","height":1489}},"ER29SE20.029":{"large":{"identifier":"ER29SE20.029","content_type":"image/png","size":36065,"width":822,"sha":"fca0c35d7a171de1e75f9febcf7f866d","url":"https://img.federalregister.gov/ER29SE20.029/ER29SE20.029_large.png","height":428},"original_size":{"identifier":"ER29SE20.029","content_type":"image/png","size":69990,"width":4321,"sha":"51c23daaae8fce7741482b5d86a056f5","url":"https://img.federalregister.gov/ER29SE20.029/ER29SE20.029_original_size.png","height":2250}},"ER29SE20.006":{"large":{"identifier":"ER29SE20.006","content_type":"image/png","size":107213,"width":823,"sha":"864492711ebafbf6305a841952485699","url":"https://img.federalregister.gov/ER29SE20.006/ER29SE20.006_large.png","height":1061},"original_size":{"identifier":"ER29SE20.006","content_type":"image/png","size":174952,"width":3481,"sha":"96654cee635c0bcb70dba331f5b78f23","url":"https://img.federalregister.gov/ER29SE20.006/ER29SE20.006_original_size.png","height":4488}},"ER29SE20.028":{"large":{"identifier":"ER29SE20.028","content_type":"image/png","size":44890,"width":823,"sha":"f23fe43c6e39b22fd29a4c4c03c1e2c8","url":"https://img.federalregister.gov/ER29SE20.028/ER29SE20.028_large.png","height":486},"original_size":{"identifier":"ER29SE20.028","content_type":"image/png","size":80378,"width":4333,"sha":"d16c856927157011488b2126a74cfe7e","url":"https://img.federalregister.gov/ER29SE20.028/ER29SE20.028_original_size.png","height":2559}},"ER29SE20.030":{"large":{"identifier":"ER29SE20.030","content_type":"image/png","size":45940,"width":822,"sha":"3cb581e66dba3a74c17902460a4a5d75","url":"https://img.federalregister.gov/ER29SE20.030/ER29SE20.030_large.png","height":340},"original_size":{"identifier":"ER29SE20.030","content_type":"image/png","size":85168,"width":3957,"sha":"d3a4896d303993b4bb71fce072775ba7","url":"https://img.federalregister.gov/ER29SE20.030/ER29SE20.030_original_size.png","height":1636}},"ER29SE20.012":{"large":{"identifier":"ER29SE20.012","content_type":"image/png","size":75209,"width":823,"sha":"314e0401148d9c620d2b594c3b9d11a8","url":"https://img.federalregister.gov/ER29SE20.012/ER29SE20.012_large.png","height":803},"original_size":{"identifier":"ER29SE20.012","content_type":"image/png","size":116425,"width":3918,"sha":"48dc0b9a39918f64bfefb755d338c92e","url":"https://img.federalregister.gov/ER29SE20.012/ER29SE20.012_original_size.png","height":3822}},"ER29SE20.011":{"large":{"identifier":"ER29SE20.011","content_type":"image/png","size":59280,"width":823,"sha":"18a9a3a538981e0845e2c34c402bf93f","url":"https://img.federalregister.gov/ER29SE20.011/ER29SE20.011_large.png","height":735},"original_size":{"identifier":"ER29SE20.011","content_type":"image/png","size":109168,"width":4243,"sha":"389ac8d4dcf6b966e65ad19b1a0d0e98","url":"https://img.federalregister.gov/ER29SE20.011/ER29SE20.011_original_size.png","height":3790}},"ER29SE20.010":{"large":{"identifier":"ER29SE20.010","content_type":"image/png","size":11602,"width":678,"sha":"bca830116c14302fcb71d0fe8834aea0","url":"https://img.federalregister.gov/ER29SE20.010/ER29SE20.010_large.png","height":224},"original_size":{"identifier":"ER29SE20.010","content_type":"image/png","size":13431,"width":2409,"sha":"510b3c0cc9dbe0acf52269bb1a299987","url":"https://img.federalregister.gov/ER29SE20.010/ER29SE20.010_original_size.png","height":797}},"ER29SE20.031":{"large":{"identifier":"ER29SE20.031","content_type":"image/png","size":41250,"width":822,"sha":"c4f0b902785183533dba66ad2a198fbd","url":"https://img.federalregister.gov/ER29SE20.031/ER29SE20.031_large.png","height":520},"original_size":{"identifier":"ER29SE20.031","content_type":"image/png","size":69373,"width":3966,"sha":"e9caa707c4712969e5edcd5413c0c6f5","url":"https://img.federalregister.gov/ER29SE20.031/ER29SE20.031_original_size.png","height":2508}},"ER29SE20.016":{"large":{"identifier":"ER29SE20.016","content_type":"image/png","size":52621,"width":823,"sha":"09a477236ca29d128dc46de9f7b3ca20","url":"https://img.federalregister.gov/ER29SE20.016/ER29SE20.016_large.png","height":556},"original_size":{"identifier":"ER29SE20.016","content_type":"image/png","size":344706,"width":4465,"sha":"4bfe4d3fa247a4f0d231a7dae5d4b4ca","url":"https://img.federalregister.gov/ER29SE20.016/ER29SE20.016_original_size.png","height":3015}},"ER29SE20.015":{"large":{"identifier":"ER29SE20.015","content_type":"image/png","size":57659,"width":821,"sha":"4ce84a1d7fd38524368d21cc92e3f54f","url":"https://img.federalregister.gov/ER29SE20.015/ER29SE20.015_large.png","height":534},"original_size":{"identifier":"ER29SE20.015","content_type":"image/png","size":391881,"width":4555,"sha":"b618d70b78f35f6b19f4a680792777b3","url":"https://img.federalregister.gov/ER29SE20.015/ER29SE20.015_original_size.png","height":2961}},"ER29SE20.014":{"large":{"identifier":"ER29SE20.014","content_type":"image/png","size":43287,"width":823,"sha":"a10cdc487265b04581d6182dee478a40","url":"https://img.federalregister.gov/ER29SE20.014/ER29SE20.014_large.png","height":515},"original_size":{"identifier":"ER29SE20.014","content_type":"image/png","size":137085,"width":3980,"sha":"2bb80a564e8427adda324dde6df02d24","url":"https://img.federalregister.gov/ER29SE20.014/ER29SE20.014_original_size.png","height":2491}},"ER29SE20.013":{"large":{"identifier":"ER29SE20.013","content_type":"image/png","size":93534,"width":823,"sha":"98ea96f2adecd5ebd2dee8e58074d645","url":"https://img.federalregister.gov/ER29SE20.013/ER29SE20.013_large.png","height":1001},"original_size":{"identifier":"ER29SE20.013","content_type":"image/png","size":171312,"width":4205,"sha":"92699f55ea82699f91f2bece1ade8c54","url":"https://img.federalregister.gov/ER29SE20.013/ER29SE20.013_original_size.png","height":5114}},"ER29SE20.019":{"large":{"identifier":"ER29SE20.019","content_type":"image/png","size":9075,"width":818,"sha":"d79bd044095a66077128f80384ce4bd5","url":"https://img.federalregister.gov/ER29SE20.019/ER29SE20.019_large.png","height":144},"original_size":{"identifier":"ER29SE20.019","content_type":"image/png","size":14805,"width":3995,"sha":"6eefc1a26de462a40e683aa9fc7d43da","url":"https://img.federalregister.gov/ER29SE20.019/ER29SE20.019_original_size.png","height":703}},"ER29SE20.018":{"large":{"identifier":"ER29SE20.018","content_type":"image/png","size":7964,"width":818,"sha":"ae608b912d638ce2fb7e93098e5d9d8d","url":"https://img.federalregister.gov/ER29SE20.018/ER29SE20.018_large.png","height":144},"original_size":{"identifier":"ER29SE20.018","content_type":"image/png","size":12575,"width":3995,"sha":"7bf8c95eddeee5382d6484dd4771be86","url":"https://img.federalregister.gov/ER29SE20.018/ER29SE20.018_original_size.png","height":703}},"ER29SE20.017":{"large":{"identifier":"ER29SE20.017","content_type":"image/png","size":39221,"width":822,"sha":"425a0691d2e23886637fc6336b081b0f","url":"https://img.federalregister.gov/ER29SE20.017/ER29SE20.017_large.png","height":452},"original_size":{"identifier":"ER29SE20.017","content_type":"image/png","size":81576,"width":4441,"sha":"dec4b483464d00cf6841e71bf9e8b13c","url":"https://img.federalregister.gov/ER29SE20.017/ER29SE20.017_original_size.png","height":2441}}},"json_url":"https://www.federalregister.gov/api/v1/documents/2020-20907?publication_date=2020-09-29","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2020-09-29/2020-20907/mods.xml","not_received_for_publication":null,"page_length":268,"page_views":{"count":24118,"last_updated":"2026-07-26 22:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-09-29/pdf/2020-20907.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2020-20907.pdf?1600702395","publication_date":"2020-09-29","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2020/09/29/2020-20907.txt","regulation_id_number_info":{"0938-AT89":{"issue":"202204","html_url":"https://www.federalregister.gov/regulations/0938-AT89/radiation-oncology-ro-model-cms-5527-","title":"Radiation Oncology (RO) Model (CMS-5527) ","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202204&RIN=0938-AT89&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AT89"],"regulations_dot_gov_info":{"supporting_documents":[{"title":"Radiation Oncology Model","document_id":"CMS-2019-0101-0373"},{"title":"Radiation Oncology Model","document_id":"CMS-2019-0101-0333"},{"title":"Medicare Program: Specialty Care Models to Improve Quality of Care and Reduce Expenditures; Correction","document_id":"CMS-2019-0101-0332"},{"title":"Medicare Program: Specialty Care Models To Improve Quality of Care and Reduce Expenditures","document_id":"CMS-2019-0101-0331"},{"title":"Medicare Program: Specialty Care Models to Improve Quality of Care and Reduce Expenditures","document_id":"CMS-2019-0101-0001"}],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AT89/radiation-oncology-ro-model-cms-5527-","title":"Radiation Oncology (RO) Model (CMS-5527) "},"comments_count":0,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2019-0101","supporting_documents_count":5,"docket_id":"CMS-2019-0101","document_id":"CMS-2019-0101-0331","regulation_id_number":"0938-AT89","title":"Specialty Care Models to Improve Quality of Care and Reduce Expenditures CMS-5527-P","checked_regulationsdotgov_at":"2020-10-08T02:30:08Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":61114,"subtype":null,"title":"Medicare Program; Specialty Care Models To Improve Quality of Care and Reduce Expenditures","toc_doc":"Specialty Care Models To Improve Quality of Care and Reduce Expenditures","toc_subject":"Medicare Program:\n","topics":["Administrative practice and procedure","Health facilities","Medicare","Reporting and recordkeeping requirements"],"type":"Rule","volume":85}