On Friday, Oct. 14, the U.S. Centers for Medicare & Medicaid Services (CMS) released the final rule for the Medicare Quality Payment Program, which implements the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and replaces the sustainable growth rate formula. The Quality Payment Program has two tracks for payment: the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APMs) (Fig. 1
). Because CMS expects the Quality Payment Program to evolve over multiple years, the final announcement included an additional 60-day comment period to "continue to solicit input from clinicians, patients, and others."