Medicare physician payment reform is ¶¶Òô´ó¹Ï’s top advocacy priority. Current Medicare payments have not kept up with practice cost inflation and are further reduced by frequent budget neutrality adjustments. The budget neutrality threshold of $20 million, established in 1992, has not been updated, leading to payment cuts when exceeded. ¶¶Òô´ó¹Ï calls on policymakers to reform Medicare physician payments to ensure adequacy, fairness, stability, and predictability, while supporting value-based, high-quality care.