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For years, the Medicare Sustainable Growth Rate (SGR) formula’s threats of payment cuts resulted in instability for both practices and patients. While the Medicare Access and CHIP Reauthorization Act (MACRA) offered some progress in response, it lacked key components such as an annual inflationary update and adequate support for small and rural practices. Today, physicians are the only Medicare providers who do not receive an annual inflationary update. In fact, since 2001, Medicare physician payments