Proposed Medicare payment cuts threaten physician practices, particularly small, physician-owned ones, as reimbursement rates fail to keep pace with inflation. The Centers for Medicare and Medicaid Services plans a 2.8% reduction in the conversion factor for 2025, impacting various specialties, including a 3.5% decrease for urologists. With nearly half of qualified adults relying solely on Medicare, the need for stable provider markets is critical for maintaining access to quality care.