The Alliance of Specialty Medicine wrote to Congressional Leadership asking them to address significant Medicare pay cuts, scheduled to hit on January 1, 2021. These cuts are due to the changes to the codes for office and outpatient evaluation and management (E/M) services that the Centers for Medicare & Medicaid Services (CMS) will implement next year. Some specialties in the Alliance face cuts as high as 9% due to a statutory budget neutrality rule that requires any increases in Medicare payments to be offset by corresponding decreases.