The final Medicare payment reductions for physicians in 2024 encompass the following:

• The Centers for Medicare and Medicaid Services have decreased payments in 2024 for services under the Medicare Physician Fee Schedule by 3.4% .
• Medicare physician payment has been reduced by 26% adjusted for inflation from 2001–2023.
• Medicare sequestration of -2% has been extended through 2032, because of a temporary delay for 1½ years.

Considering these circumstances, we request the permanent addition of 3.75% to the fee schedule, which was added during COVID and subsequently repealed slowly; permanent repeal of sequester cuts without penalizing for the cuts and permanent repeal of PAYGO cuts.