Comment on CMS-2026-2377-0001

I strongly encourage you to oppose the proposed CMS reductions related to modifier 25. These reimbursement cuts would have a substantial negative impact on independent physician practices and ultimately limit patients' access to timely, comprehensive care. Modifier 25 enables physicians to address multiple medically necessary concerns during a single office visit. In dermatology, it is common for patients to require both an evaluation and a procedure at the same appointment. This approach improves efficiency, reduces unnecessary follow-up visits, and allows patients to receive appropriate care without avoidable delays. If reimbursement for modifier 25 is reduced, many practices will have little choice but to schedule separate appointments for issues that could otherwise be managed during one visit. This places an unnecessary burden on Medicare beneficiaries, particularly older adults who may have transportation limitations, mobility issues, or difficulty attending multiple appointments. It also delays diagnosis and treatment while increasing overall healthcare utilization and costs. It is also troubling that physician reimbursement continues to decline while hospitals and large insurance organizations experience comparatively favorable reimbursement trends. These policies disproportionately affect independent medical practices, making it increasingly difficult for them to remain financially sustainable and reducing patient access to community-based care. Medicare patients benefit most when physicians have the flexibility to provide complete, efficient care during a single visit. I respectfully urge you to oppose the proposed modifier 25 cuts and support reimbursement policies that preserve patient access, strengthen independent practices, and promote high-quality, cost-effective care.