The Centers for Medicare & Medicaid Services (CMS) has released the proposed rules for the Calendar Year (CY) 2025 Physician Fee Schedule and the Hospital Outpatient Prospective Payment and ASC Payment Systems. The proposed rule includes a 2.8% cut in payment rates, which has drawn swift outrage from industry groups who argue that the reduction is insufficient. Additionally, CMS has issued final guidance for the Medicare Prescription Payment Plan and is spreading awareness of the Rx payment plan through guidance. Congress is also considering changes to the Medicare physician pay system for the first time since 2015, potentially pitting primary care doctors against specialists.