TMA urges your active participation in this crucial advocacy effort. Unless Congress acts now, you and many of our colleagues face another big cut to your Medicare payments on Jan. 1. This new round of cuts totals 8.5%, by chipping away 4.5% from the Medicare conversion factor on top of a 4% Medicare cut stemming from the Statutory Pay‐As‐You‐Go (PAYGO) Act (sequestration).